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I►cqui l ±an, R+ l ii tat can, dew ni + t�aneo a�� l K <br /> Type of project ❑ Single- or Multi- Family Housing <br /> ❑ Farm land and structures <br /> ❑ Vacant land; free from any structures <br /> ❑ Business, commercial, or industrial <br /> Site Control Indicate the status of the project site and attach documentation: <br /> ❑ Applicant owns property: Date acquired <br /> ❑ Lease: Expiration date <br /> ❑ Option to purchase: Expiration date <br /> ❑ Other: Describe <br /> Zoning Is the site zoned for the proposed activity? ❑ Yes ❑ No <br /> If no, provide an explanation and timetable to change zoning or obtain variance: <br /> Appraisal If request is for property acquisition, has an appraisal been completed within the last 12 <br /> months? <br /> ❑ Yes; copy of appraisal attached. <br /> ❑ No; if appraised value not known, what is the fair market value determination? <br /> Relocation Does the project require relocation (moving) of occupants of a structure? <br /> ❑ Temporary <br /> ❑ Permanent <br /> ❑ No relocation necessary <br /> General Information Notice <br /> Has a General Information Notice to sellers and /or tenants of Relocation or No Relocation benefits been <br /> completed? <br /> ❑ Yes; provided to occupants on MM /dd /yyyy ❑ No; will be completed on MM /dd /yyyy <br /> �t <br /> :xjf s.. <br /> Is the project currently underway? <br /> ❑ Yes; and a federally- accepted environmental review has been completed. <br /> ❑ Yes; but there has not been an environmental review. <br /> 0 No; project will not begin before an environmental review is completed by Anoka County. <br /> Noise Abatement and Control <br /> Distance from nearest railroad: Q More, or ❑ Less than 3,000 feet <br /> Anoka County CDBG Application <br />