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• i Metropolitan Council � Environmental Services MCES Affidavit-C ; 390 Robert Street North Last Updated: 12/14/2014 ! St. Paul, Minnesota 55101-1805 "' � 651.602.1531 �651.602.1030 fax Sewer Availability Charge(SAC) 2015 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 Property Address: 3384-3386 Shoreline Drive Customer Community: Ci of Orono Parcel Identification Number: 17-117-23 44 0100 Dates of Non-Conforming Credit: 1968 througf 1978 Type of Non-Conforming Credit: � Grandparent Demand ❑ Long Continuous Demand vve certiry tnat c;ustomer c;ommunity statt nave researcnea tne aaove properry ana touna no written proof of the existing use on this site. Records researched may have included: dated building plans associated with a specific permit, building inspection records stating the actual use of the property, business licenses, and/or building or county assessment records. The records that were researched include: City Building Permits and other written communications in City files. Although we could find no written proof, we 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): See attached sheet dated June 29, 2015. and was used in this manner during the Non-Conforming Credit dates as stated above. We hereby certify that we have read and understood this affidavit and that the statements are true to our knowledge and belief. We further understand that the giving of false information in this affidavit constitutes fraud and is also cause for the immediate redetermination of any charges. We have no conflict of interest in this matter. Print Name of Community Official: 4��Cw�-v� �ar��t�R�'�" Co unity uilding/SAC Official Signature of Community Official: Date: ��/� Print Name of Community Official: p d► .Q ��V �U�J(�rn�r �cC�2� Dep ent Head of Bu' ' orS8C•1��+eie4 Signature of Community Official: ` Date: �