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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:RR'ES.PropertyiDandPlatsr?Hennenin.us_ <br /> Telephone: 612-348-3271 <br /> DATE: July 20,2022 <br /> I hereby make a request for a(separate/combined)assessment on the following described land: <br /> I.D.No. 2011723340024 I.D.No. <br /> I.D.No. 2011723340023 I.D.No. <br /> I.D.No. 2011723340027 I.D.No. <br /> (For additional I.D.No's add an attachment) <br /> Remarks: Combining 3 lots into two per attached. <br /> City of Orono <br /> For 2023 Tax Year <br /> Signature of Fee Owner '`rE(2.rto W.m. <br /> Address SI o 0 M.r ""nfL 1-Ak<°rvS 1)+l.tVIA <br /> et) l rJA 2 t,j cs43 <br /> Telephone# t2"- �- r L5 e-9 <br /> Mail Tax Statements to: <br /> W,-tSR.-tav f L L� c <br /> 'l b o ply jt.g_a 6t- LAt-.aS ])tit to.7 <br /> D NJ AiMO c51-3 <br /> 1jPage <br />