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<br />10-111 <br /> <br />SHEYENNE-MAPLE FLOOD CONTROL DISTRICT #3 <br />MAPLE RIVER DAM <br />PROJECT BALLOT <br /> <br />Parcel Number: <br />Property Description: <br /> <br />09020011900046 <br />6-141-49 UNPLATTED THAT PT OF THE SW1/4 OF SEC 6 <br />LYING DIRECTLY S OF LT <br /> <br />Amou nt Assessed: <br /> <br />$2.06 <br />CASS COUNTY <br />C/O CASS COUNTY HIGHWAY DEPT <br />PO BOX 698 <br />WEST FARGO ND 58078 <br /> <br />Owners Name: <br />Address: <br /> <br />Signature <br /> <br />Should the Cass County Joint Water <br />Resource District proceed with the <br />Sheyenne-Maple Flood Control District #3 <br />Project as described herein? <br /> <br />Signature <br /> <br />DYes <br /> <br />D No <br /> <br />Signature <br /> <br />Signature <br /> <br />The Amount Assessed listed above can be paid with <br />interest over 15 years. <br /> <br />Q:1600016245-0 1 12004 AssessmentlBallot 6245-01.doc <br />