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141NNESOTA, AHATEUR SPIORTSI COMISSION
<br />SPORT FACILITY BONDING APPLICATION
<br />WHERE TO SUB141 :
<br />Senid two oirill Iii nal signed copies, wilth Project Uocum�enta,tioin to: Minnesota Amateur Sports Commission,
<br />D�epla,rtm�eint of Trade and Economic Development,, 900 Am�ericia,n Center, Building, 150 East Kellogg Boulevard,
<br />St,. Paul, Minniesolta 5151 01.
<br />A,. 'LOCAL �U�NIT OF GOVERNPIENT RESPONSIBLE FOR PROJECT: City of Roseviolle
<br />[Ut 10, 1 1 [ I ITA G 111! V i i
<br />Name Bofb Bierscheid
<br />Title Di of Pariks and Recreation
<br />Address, 1114 Wolodhill Drive, Roseville,,, Minnesota
<br />zip 55113
<br />County Ramsey Phone: Home �1 2 488-3187 Work 4904281
<br />C. UK OF PROJECT,: Spleedskati'ng/Ba,ni d,y/ Mau l til -Use, Fact I i lEtwer Project Number (i
<br />ff an
<br />D. TYPE OF APPLICATIOW-W,
<br />(check one)
<br />Acquisition X Development
<br />E. PROJECT DOCUMENTATION - (refer to checklist)
<br />011111111M. Combined Acquisition and Development
<br />The dociuments submitted in, support o' thi's application should be considered part of this application.
<br />1. Resolutilon of 'Local Applicant
<br />2 1
<br />Geographilic locatilon imp
<br />�3. Site Plan and Checklist
<br />4�. Envirormental intrusions statement
<br />5. Environmental Assessment Statement
<br />6. Agreements and Arrangements
<br />7. Operation and fttintenance,
<br />8. Letter of County Concurrence
<br />9w Comprehens "I've Plan (social beneflit)
<br />10. Locall Financial Commitment
<br />11. Economic Impact Analysis,
<br />12. Designation
<br />130, Budget, ('or cost breakdown)�
<br />F. FEDERAL EMPLOYER IDEN7 IFICA�TION NUMBER:1
<br />"
<br />AL *'4*1040T, A
<br />41-6007849
<br />IN WITNESS THEREOF,, the applicant has caused, this application to be executed on
<br />119
<br />:e
<br />C i ty of: Ro: s, eiv il 11;
<br />Legal Name: of Appl: ican't
<br />Endorsement
<br />By
<br />S11 gnature
<br />Title., Mayon or Chairperson
<br />Signature of person authorized to, sign on behalf of the local Muni t. I hereby certify that the unit of
<br />local govermnent, identified her is wil"ling and able to undertake the project described in this
<br />application.
<br />�Imw�
<br />(si gned) (date)
<br />(title)
<br />Nail to: Plall'I one copy of' the completed application form With all required attachments to:
<br />Kinnesiota Amateur Sports Commisslion, Department of''Trade and Economilc Developwnt, 1900 American
<br />Center Wilding,, 150 East, Kellogg Boulevard, St. Paul, Minnesota 55,1 01.
<br />O6,-�88
<br />
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