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Hennepin County Taxpayer Services Department Survey Division, Suite A-703 Hennepin County GovernmentCenter Minneapolis, Minnesota 55487-0073 612-348-3131, Phone www.co.hennepin.mn.us December 6, 2004 David Windle City of Roseville 2660 Civic Center Drive Roseville, MN 55113 Agreement # A031408 Hennepin County desires to extend the above referenced EPDB Conditional Use License 1A--..greement through December 31, 2005. If )'011 as a Govern....111ent lJnit, Consultant/Third Party or Private Corporation, desire to extend the above-reference Agreement, the following requirements must be satisfied as they pertain to your entity. Please return the required information to Hennepin County, Attention: Robert Moulder (at the address stated at the top of this page). A.) GOVERNMENTAL UNIT MUST FURNlSH TO THE COUNTY A COpy OF THE ACTION OF USER'S GOVERNING BODY AUTHORIZING THIS AGREEMENT EXTENSION. HOWEVER, IF AN OFFICIAL OF USER IS AUTHORIZED BY STATUTE OR CHARTER TO APPROVE AN AGREEMENT OF THIS NATURE THEN THIS ORIGINAL LETTER SIGNED BY SUCH OFFICIAL AUTHORIZING THE EXTENSION MUST BE RETURNED TO THE COUNTY. NOTE: SUCH OFFICIAL MUST ATTACH TO THIS LETTER A COPY OF THEIR STATUTORY OR CHARTER A UTHORITY TO APPROVE THE AGREEMENTS. B.) CONSULTANT/THIRD PARTY MUST PROVIDE THE COUNTY A COPY OF AFFIRMATION BY GOVERNMENTAL UNIT THAT YOU WILL CONTINUE AS CONSULTANT AS STATED IN AGREEMENT NO. THROUGH THE YEAR 2005. IN ADDITION, CONSULTANT/THIRD PARTY MUST SIGN THE ATTACHED SIGNATURE P AGE AND ACKOWLEDGEMENT AND RETURN ORIGINALS OF BOTH TO THE COUNTY. C.) PRIVATE CORPORATION MUST SIGN THE ATTACHED SIGNATURE PAGE AND ACKNOWLEDGEMENT AND RETURN ORIGINALS OF BOTH TO THE COUNTY. An Equal Opportunity Employer Recycled Paper