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MINNESOTA- REVENUE <br />ALL applications (State Deed Application Form) for a conditional use deed must be accompanied by a <br />completed Conditional Use Deed Supplement form. <br />23-31-22-34-0027 <br />PfOp6fV 4011111100011 nu it (M) <br />for requested gwoperry f9b­�5 additional sheels if ne0a"ary) <br />$300.00 <br />6.5 acres more or less <br />Market ialue 5f reiluesm PRiperLy <br />10till saes ge of requests d -proper W <br />rtissubstantial)occupied <br />b trail that was constructed by the property developer and turned over to the City. <br />D,,Zro <br />0.,,, <br />uan 6T me Parcel <br />(0609Y any Improvements ano ft&75rarffa—tur*sT— <br />There is also a large pond and some wetlands on the land. <br />August 7, 2009 <br />2009370.001 <br />4D vate iff tacoraing DI 811001"1 Gert: licate <br />ofp ei are wr a Cq re;-Pffler ju apoicalm) <br />Recordar's D= meat num"r ($1 applZiBrOT— <br />a <br />% Me Bf 166MO9 Of SU01101"S CartifiCate <br />W <br />W MMI[Ure V-1`1% M 66U-rq fetilrar of Miles Jif aP ice <br />elsU-1t7si UOWM"L number (dapp hrable) <br />Authorized Public Use <br />M.S. 282.01, subd, la, pa r. (a) limits the authorized public uses for conditional use deeds to the following list. Please check the <br />appropriate box below, <br />Road of right-of4ay for a road 0 Park <br />Trails Will the park be available to and accessible by the public? 0 Yes 0 No <br />Will there be signage indicating to the public this is a park? 0 Yes 0 No <br />Transit facilities Will the park contain amenities maintained for active <br />utilization by the public? 0 Yes 0 No <br />0 Public beach or boat launch Type of amenities* <br />[] Public parking Will the park primarily be open space? 0 Yes 0 No <br />0 Civic recreation or conference facilities 0 Public service facilities <br />?Z Type of facility. <br />L <br />Deurtbe in detail the intended publia use of the pm-tr- <br />The property will be used for a public trail. Trail is already constructed. <br />Do you anticipate establishingthe proposed use within 3 -years? 6 Yes C3 No <br />If 'no-. when do you antlelpate the use being established? <br />Fee Required <br />Minn. Stat. § 282.01, subd. Ig requires a fee of $250 to be submitted to the Commissioner of Revenue along with this application. <br />if this application is denied, the Commissioner shelf refund $150 of the application fee, <br />13 The required fee is enclosed. <br />Supporting Documentation <br />Indicate the supporting documentation that you have included for consideration during the review of your application. <br />Please note that some forms of documentation are required. Check all that apply <br />0 Photos (required) CM Resolution authorizing application by the governmental subdivision (required) <br />E9 Maps (required) El Plans documenting the intended use <br />0 Other: <br />IdifflEe— Uie—ofi—ty - - - - - - - - - - - - - - T - - -1 <br />�hls application it is hereby: rejected.. granted Fee Paid:____ <br />I <br />Refund: <br />L Commissioner of Revenue By — <br />— — — — — — — — — — — — — — — — — <br />Rev. (07/10) <br />