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�� EMPLOYMENT AND <br /> ECONOMIC DEVELOPMENT <br /> MN SHOVEL READY CERTIFIED DEVELOPMENT SITE APPLICATION <br /> I. CONTACT INFORMATION <br /> Submitting Organization' Local Economic Develo <br /> Or anization If Differ <br /> Contact Name <br /> Or anization <br /> Address <br /> Cit /State/Zi <br /> Count <br /> Phone <br /> FAX <br /> E-Mail <br /> "Note T pe of Or anization (Owner, Broker, Representative, etc.) <br /> II. SITE/COMMUNITY INFORMATION AND SITE OWNERSHIP <br /> Site Name and Address <br /> Site Name/Desi nation <br /> Prima PIN Number(s) <br /> Latitude and Lon itude <br /> Le al Description <br /> Address <br /> Cit <br /> Count <br /> Site Information <br /> Total developable land (acres) Required Documentati <br /> Number of Parcels Please enter"yes" in box to the <br /> document is attached <br /> Distance to major State/U.S. highway (miles) Title Commitment using 2006 <br /> ALTA 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 /> Cop of site la out <br /> Copy of aerial photo(s) identifying <br /> site location/major highways <br /> Attach followin,y schedules for parcel and lot: Schedu�e and required submitta�s <br /> •List of parcels/lots and designation within each site. for site p�an approval/permits <br /> •Market price for each parcel or lot in $/SF, $/acre and Updated Community Profile as <br /> $/IOt. reported in LOIS/EMSI <br /> •Any special assessments and the amount due for each Desktop review of <br /> lot in $/year and current balance ($) for each lot. Archeo�ogica��cu�tura� resources <br /> •Real estate taxes payable in the current year by lot or (sHPo) <br /> parcel. <br /> Desktop review of Threatened <br /> and Endangered Species (DNR <br /> and FWS) <br /> Have wetlands been identified <br /> through the National Wetland <br /> Inventor (USFWS)? <br />