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MINNESOTA- REVENUE z ALL applications (State Deed Application Form) for a conditional use deed must be accompanied by a completed Conditional Use Deed Supplement form. Authorized Public Use M.S. 282.01. subd, la, par: (e) limits the authorized public uses for conditional use deeds to the following list. Please check the appropriate box below; ❑ road or right- of-way for a road ❑ Park Will the park be available to and accessible by the public? O Yes. 4 No l Trails Will there be sfgnage Indicatingto the public this is a 'park? O Yes O No ❑ Transit facilities Will the park contain amenities maintained for active utilization bythe public? O Yes O No ❑ Public beach or boat launch Type of amenities: ❑ Public parking Will the park primarily be open space? O Yes O No ❑ Civic recreation or conference facilibes ❑ Public service facilities 'type of facility: riesonrse in del Via intended public rue of ble prumv.. The property will be used for a public trail. Trail is already constructed. Do you anticipate establishing the proposed use within 3- years? 6 Yes ❑ No If *no ', when do you anticipate the use being established? Feel Required Minn. Stat. § 282.01„ sl lg requires a fee of $250 to be submitted to the Commissioner of Revenue along with this application. If this application is denied, the Commissioner shall refund $150 of the application fee. ($ The required fee is enclosed. Supporting Documentation Indicate the supporting documentation that you have Included for consideration during the review of your application. Please note that some forms of documentation are required. Check all that apply 13 Photos (required) ® Resolution authorizing application by the governmental subdivision (required) LAP Maps (required) ❑ Plans documenting the intended use ❑ Other: This application it is Hereby: rejected— granted — T Fee Paid:_,._, I I Commissioner of Revenue Rev. (07/10) Refund: — 23-31-22 -34 -0027 Nropeny ioenpriolion nunlail lsi Ipt l %x reaeestea property la[ta adaryonai sneau it nelemaryl $ 300.00 6.5 acres more or less hlerlttt waive of requested properly local acreage or raili"iteo proper) o Property is substantially occupied bar a trail that was constructed by the property developer and turned over to the City. IL ueserue current conoluon or uw parcel i"mity any irn provernems ano natural lealurasr There is also a large pond and some wetlands on the land. August 7, 2009 — o 2009370.001 r 2 Daff laCOtoeng W auatiar'S ceninote of ronerture 1 Lna CquRCy rECOr�er la amicaaia! NCCorai r B L)OWrflEn4 hurl (it apMaole) 43 LL Vale of renomrng of suonpr's cerinlcate or ronenura wnpt tnp county registrar or noes (11 appneaare) Hegistrars uacurmilt number I applicable) ' Authorized Public Use M.S. 282.01. subd, la, par: (e) limits the authorized public uses for conditional use deeds to the following list. Please check the appropriate box below; ❑ road or right- of-way for a road ❑ Park Will the park be available to and accessible by the public? O Yes. 4 No l Trails Will there be sfgnage Indicatingto the public this is a 'park? O Yes O No ❑ Transit facilities Will the park contain amenities maintained for active utilization bythe public? O Yes O No ❑ Public beach or boat launch Type of amenities: ❑ Public parking Will the park primarily be open space? O Yes O No ❑ Civic recreation or conference facilibes ❑ Public service facilities 'type of facility: riesonrse in del Via intended public rue of ble prumv.. The property will be used for a public trail. Trail is already constructed. Do you anticipate establishing the proposed use within 3- years? 6 Yes ❑ No If *no ', when do you anticipate the use being established? Feel Required Minn. Stat. § 282.01„ sl lg requires a fee of $250 to be submitted to the Commissioner of Revenue along with this application. If this application is denied, the Commissioner shall refund $150 of the application fee. ($ The required fee is enclosed. Supporting Documentation Indicate the supporting documentation that you have Included for consideration during the review of your application. Please note that some forms of documentation are required. Check all that apply 13 Photos (required) ® Resolution authorizing application by the governmental subdivision (required) LAP Maps (required) ❑ Plans documenting the intended use ❑ Other: This application it is Hereby: rejected— granted — T Fee Paid:_,._, I I Commissioner of Revenue Rev. (07/10) Refund: —