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HENNEPIN COUNTY PARCEL DIVISION OR COMBINATION OWNER REQUEST FORM <br /> Parcel Identification and Platting Supervisor <br /> Resident and Rea1 Estate Services <br /> A-500 Government Center <br /> Minneapolis, MN 55487-0060 <br /> Email: RRES.PropertyIDandPlatsna,Hennepin.us <br /> Telephone: 612-348-3271 <br /> DATE: ��G�1 2�P � � � g <br /> I hereby make a request for a(separat combined) ssessment on the following described land: <br /> I.D.No.n�0' � ��� 23— � �� ���� I.D. No. ('(O" � �� — �3� y ( — d � � � <br /> I.D.No. I.D.No. <br /> I.D.No. I.D. No. <br /> (For additional I.D.No's add an attachment) <br /> Remarks: G�(�i�L�Z �.(3Yl'l LJI !'i� G�,f/1� ��P��P G�G���''�i� �S <br /> �-f� 3 �a��- /�v��� <br /> �lty of Drowo <br /> For I$' Tax Year <br /> Signature of Fee Owner <br /> Address ��� ��RK �VC <br /> O�.�rsc� , I�I�t ��.3SC9 <br /> Telephone# q'�oZ •1-�i�� ` �as�j <br /> Mail Tax Statements to: <br /> C��E���� �. ���R <br /> �{�5� 1��4RK �uE <br /> 1.-or•�c� L��,c , M t�l S53S� <br /> 1 �Page . <br />