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HENNEPIN COUNTY PARCEL DIVISION OR COMBINATION OWNER REQUEST FORM <br /> Parcel Identification and Platting Supervisor <br /> Resident and Real Estate Services <br /> A-500 Government Center <br /> Minneapolis,MN 55487-0060 <br /> Email: RRES.PropertylDandPlats@Hennepin.us <br /> Telephone: 612-348-3271 <br /> DATE: Z J l 3 fe0 20 <br /> I hereby make a request for a(separate/combined) assessment on the following described land: <br /> I.D.No. 0W?233400 (2 I.D.No. <br /> I.D.No. USO l t 12-51-100 I.D.No. <br /> I.D.No. I.D.No. <br /> (For additional I.D.No's add an attachment) <br /> Remarks: <br /> City of C)t20No <br /> For ZO Z.AD Tax Year fi / <br /> Signature of Fee Owner <br /> Address 770 LIA-ll V iv.nl AL/ <br /> Telephone# t9 t2 1 <br /> Mail Tax Statements to: <br /> (1 ADO USS ko.3c , <br /> 11P age <br />