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, t ' Metropolitan Council � Environmental Services MCES Affidavit-D ' 390 Robert Street North Last Updated: 12/11/2013 ' St. Paul, Minnesota 55101-1805 651.602.1421 �651.602.1030 fax Sewer Availability Charge(SAC) 2014 AFFIDAVIT OF PROPERTY USE This Affidavit of Property Use is to verify the demand on this property for SAC purposes for Non-Conforming Credit when there is no evidence of SAC paid for the existing demand and no documentation can be found for the two types of Non-Conforming Credit: 1) Grandparent Demand (demand used prior to 1973 when the SAC program began with evidence between 1968-1978); and 2) Long Continuous Demand (demand for 10 years or more up through 3 years prior to current SAC Determination or permit issuance . Property Address: 3382 Shoreline Drive Orono Mn Customer Community: City of Orono Parcel Identification Number: 17-117-23-44-0100 Dates of Non-Conforming Credit: 2/27/1995 through 7�11/2011 Type of Non-Conforming Credit: � Grandparent Demand � Long Continuous Demand I certify that Customer Community staff has researched the above property and have found none of the items listed below for activity at this address: - Dated Building Plan(s) associated with a building permit - Building Inspection record(s) stating the actual use of the property - Business License(s) - Building or County Assessment Record(s) Although no written proof exists, I believe the demand of this property includes (must be specific in what was there and, if more than one demand include the amount of square feet for each specific use): This space is part of a buildinq at 3382 Shoeline Drive in Orono. It is 8500 sq ft and was used as a hair salon known as Jul Ann Hair Fashions from February 1995 to July 2011 when it was changed to a pilates an we ness s u io. and was used in this manner during the Non-Conforming Credit dates as stated above. I hereby certify that I have read and understood this affidavit and that the statements are true to my knowledge and belief. I further understand that the giving of false information in this affidavit constitutes fraud and is also cause for the immediate redetermination of any charges. I have no conflict of interest in this matter. Print Name of Community OfficiaL ��c=�C��E'�'-� �r--'�-�Cr��' Community Building/SAC Official Signature of Community Official: ��--�`�'� ��C��'�---�ate: � �� Print Name of Community Official: L�(LL- ��N (�i2-�Nd ��p,f �Tt�c►n l Department Head of Building or SAC Official Signature of Community Official: Date: � — )l� - 1 s