Laserfiche WebLink
St ��/ {/ Departmert a Employment <br /> • JN reFEcon(o'mic DerNopment �""- <br /> 1/L�V'✓��� nfpE5p5`'A�Y <br /> MN SHOVEL READY CERTIFIED DEVELOPMENT SITE APPLICATION <br /> I. CONTACT INFORMATION Page 1 of 4 <br /> Submitting Organization* Local Economic Development <br /> Organization If Different <br /> Contact Name <br /> Organization <br /> Address <br /> Cit /State/Zip <br /> Count <br /> Phone <br /> FAX <br /> E-Mail <br /> *Note Type of Organization (Owner, Broker, Representative, etc.) <br /> II. SITE/COMMUNITY INFORMATION AND SITE OWNERSHIP <br /> Site Name and Address <br /> Site Name/Desig nation <br /> Primary PIN Number(s) <br /> Legal Description <br /> Address <br /> Cit <br /> Count <br /> Site Information <br /> Total developable land acres Required Documentation <br /> Number of Parcels Please enter"yes" in box to the right if the <br /> document is attached <br /> Distance to major state/U.S. highway miles Title Commitment using 2006 ALTA <br /> Commitment Form <br /> Directions from Interstate or Major Highway: ALTA Survey ASC 2005 <br /> If site not owned, attach copy of <br /> option or purchase agreement <br /> Copy of site layout <br /> Copy of aerial photo(s) identifying <br /> Attach following schedules for parcel and lot: site location/major highways <br /> -List of parcels/lots and designation within each site. Schedule and required submittals for <br /> -Market price for each parcel or lot in $/SF, $/acre and $/lot. site plan approval/permits <br /> -Any special assessments and the amount due for each lot in Updated Community Profile as <br /> $/year and current balance ($)for each lot. reported in MNPRO's database <br /> -Real estate taxes payable in the current year by lot or parcel. Will site comply with LEED Certified <br /> site requirements? <br /> (Refer to instructions for more <br /> details) <br /> Identify All Current Property Owners for This Site <br /> Owner# 1 Owner#2 <br /> Name <br /> Address <br /> City/State/Zip <br /> Phone <br /> E-Mail <br />