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HomeMy WebLinkAboutCC - December 5, 2023Y 0F O jT. 0 L. 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Regular City Council Meeting — Tuesday, December 5, 2023 Call to Order — 7:00 p.m. Pledge of Allegiance Resident Forum Agenda Approval 1. Approval of Minutes (11/21/23 Regular) Consent Items 2. Approve Payment of Claims — Finance 3. Approve Replacement Rooftop Units at City Hall — Finance 4. Approve Change Order #1 / 23-23, Fire Station #2 Parking Lot Reconstruction —Engineering 5. Approve Purchase Agreement & Easement/23-13, WM Improvements - Crosstown Blvd. NW (RR Tracks to 158th Ave. NW) - Andover Blvd. NW (Vale St. NW to Prairie Rd. NW) - Prairie Rd. NW (Andover Blvd. NW to 157th Ave. NW) & 23-12A, Crosstown Blvd. NW Trail - Xeon St. NW to Prairie Rd. NW — Engineering 6. Approve Green Acres Assessment Deferral Request for C.P. 21-39 — Engineering 7. Approve Variance Resolution and Findings of Fact for 2274 164th Avenue NW- Planning 8. Approve Encroachment Agreement for Monument Sign at 151St Ln NW/Prairie Road — Planning 9. Approve City Administrator Review —Administration 10. Approve 2024 Massage Therapy Licenses — Administration 11. Approve 2024 Used Vehicle Sales Business Licenses — Administration 12. Approve 2024 Cannabinoid License —Administration 13. Approve 2024 Tobacco Licenses — Administration 14. Approve 2024 Liquor Licenses — Administration 15. Approve 2024 Kennel Licenses — Administration 16. Approve Application for Exempt Permit —Administration 17. Approve Assessment Deferment Request for Disabled Individual/23-17, 2023 Full Depth Reclamation — Engineering Discussion Items 18. Public Hearing — 2024 Property Tax Levy and 2024 Budget —Administration/Finance 19. Review/Adopt 2023 Debt Service Levy Changes — Administration/Finance 20. Public Hearing: Consider Vacation of Easement - 2393 135th Ave NW; PID# 34-32-24-33-0014 — Jason Peachey (Applicant) - Planning Staff Items 21. Administrator's Report —Administration Mayor/Council Input Adjournment 1f ND6061VYE 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council CC: Jim Dickinson, City Administratd� FROM: Michelle Harmer, Deputy City Clerk SUBJECT: Approval of Minutes DATE: December 5, 2023 INTRODUCTION The following minutes were provided by TimeSaver, reviewed by Administration, and submitted for City Council approval: November 21, 2023 Regular DISCUSSION The minutes are attached for your review. ACTION REQUIRED The City Council is requested to approve the above minutes. Respectfully submitted, Michelle Hartner Deputy City Clerk Attach: Minutes 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 REGULAR ANDOVER CITY COUNCIL MEETING — NOVEMBER 21, 2023 MINUTES The Regular Bi -Monthly Meeting of the Andover City i Bukkila, November 21, 2023, 7:00 p.m., at the Andover NW, Andover, Minnesota. Councilmembers present: Councilmember absent: Also present: PLEDGE OF FIRE Fire gave Mayor Bukkila gave Mr. The family members of Mr. Mayor Bukkila RESIDENT FORUM Jamie Barthel, Ted Butler,Rick E Ih6M City Administrator, Jim Dickinsoj Community Development Directc Director of Public Works/City En City Attorney, Scott Baumgartner Fire Chief, Dennis Jones Others EFIGHTER BADGE PINNING was called to order by Mayor ill. 1685 Crosstown Boulevard and Randy Nelson Joe Janish-` leer, David Cameron Hime and Scott Sanford. He the oath of office. Mr. Sanford pinned their badges. family members for their support of the firefighters. Patty Stay, 2108 150'' Avenue NW, came forward and discussed the City tree lighting. She shared that she believes it is a great idea that the City start something like this as many surrounding cities have tree lightings in place already. She shared ideas for this event growing in the future, including having food trucks, the high school band play music, and vendors set up for the event. She added that planting a tree would be more cost effective than buying a tree each year. She noted it would be fun to watch a tree grow over time. She stated having the tree outside of City Hall would be wonderful for all residents to see as Hanson Boulevard is the main road through the City. She added that many residents do not utilize the YMCA and would miss out seeing the tree if it was Regular Andover City Council Meeting Minutes — November 21, 2023 Page 2 1 back behind the water tower. She noted this event would also be beneficial to the local 2 establishments as many residents will continue their night by eating out. She stated she hopes this event comes to fruition. 4 5 Angie Sedesky, 1162 157th Lane NW, came forward and asked if the tree lighting would be a City 6 event or a City Council event. Mayor Bukkila stated it would be both as the Council drives City 7 business. She noted this event would be supported by the Council. 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 Ms. Sedesky shared that she is a member of the Andover Lions Club and they were approached by a City employee to volunteer at this event. She stated it was her understanding that Public Works would be setting up the event and the Lions would be working it. She asked what the Council would be doing for this event. Mayor Bukkila stated this has yet to be determined. She explained this will be the first event of its kind and they are still working through the planning of it. Ms. Sedesky stated this event should be at City Hall moving forward where it can be viewed off the main road. She encouraged the Council to volunteer for the event. Emily Smith, 2837 135th Lane NW, came forward and stated her husband is a firefighter and they have been involved with the Toys for Joy toy drive planning. She shared her excitement for the tree lighting and shared her support for this as well as having it on a more visible road. Tracy Strombeck, 16401 Uplander Street NW, came forward and shared that she is in support of the tree lighting and in support of it being on the City Hall campus. She stated she is against the variance request at 2274 164th Avenue NW. She added she attended the Planning and Zoning Commission meeting on this and asked how this applicant will be addressing the wetlands impacts. She noted the letter that she received from the City was not clear and she was not sure if this applicant was already approved to build. She shared that she has lived in her home for almost 20 years and stated this is a very heavily wooded area that is very thick with wetlands and marsh. She noted if the applicant wants to build back in this area, then he, should have to comply with the 20 foot driveway. She added the Fire Chief had recommended that the variance not be granted due to the fact that emergency vehicles and first responders would be unable to respond in a timely manner and would be unable to pass on a 12 -foot driveway. She asked the Council to consider the precedent this would set. Shawn Mars, 16178 Raven Street NW, came forward and shared he is the landowner that Ms. Strombeck was referring to. He asked if he will have time to discuss his variance request when this item comes up on the agenda. Mayor Bukkila stated he will have an opportunity to speak during this item. Mayor Bukkila stated anyone who would like to be involved in the tree lighting event to give their information to Staff. Regular Andover City Council Meeting Minutes — November 21, 2023 Page 3 1 AGENDA APPROVAL 2 3 City Administrator Dickinson noted the supplemental information received: 4 Item #19 — Public Hearing/Private Kennel License/17900 Uplander Street NW 6 Mr. Dickinson requested the addition of two agenda items: 7 Item #17A — Approving the Animal Impound Facility Agreement for 2024. 9 Motion by Butler, Seconded by Nelson, to approve the Agenda as amended. Motion carried 10 unanimously. 11 12 APPROVAL OF MINUTES 13 14 November 8, 2023, Regular Meeting 15 16 Motion by Nelson, Seconded by Butler, to approve the November 8, 2023, Regular meeting 17 minutes as presented. Motion carried unanimously. 18 19 CONSENT ITEMS 20 21 Item 2 Approve Payment of Claims 22 Item 3 Approve Resolution Authorizing Pursuit of Highway Safety Improvement Program 23 Funding/Crosstown Blvd. NW & Crosstown Dr. NW Roundabout Project (See Resolution 24 R086-23) 25 Item 4 Approve Declaration of Encroachment Easement/l5860 Uplander St. NW 26 Item 5 Order Feasibility Report/24-02/2024 Street Reconstruction (See Resolution R087-23) 27 Item 6 Order Feasibility Report/24-11/2024 Full Depth Reclamation (See Resolution R088-23) 28 Item 7 Order Project and Direct Preparation of Final Plans and Specifications/24-14/Hills of 29 Bunker Lake West Park Parking Lot Reconstruction (See Resolution R089-23) 30 Item 8 Order Feasibility Report/24-15/2024 Mill & Overlay/Bunker Lake Village (See Reolution 31 R090-23) 32 Item 9 Order Feasibility Report/24-16/2024 Mill & Overlay/Bunker Lake Boulevard Service 33 Road NW/Grouse St. NW (See Resolution R091-23) 34 Item 10 Order Feasibility Report/24-17/2024 Mill & Overlay/Bunker Lake Boulevard Service 35 Road NW/Rose St. NW to Heather St. NW (See Resolution R092-23) 36 Item 11 Order Project and Direct Preparation of Final Plans and Specifications/23-38/Red Oaks 37 Water Contamination Mitigation (See Resolution R093-23) 38 Item 12 Order Project and Direct Preparation of Final Plans and Specifications//24-18/Public 39 Works West Parking Lot Reconstruction (See Resolution R094-23) 40 Item 13 Order Project and Direct Preparation of Final Plans and Specification/24-19/7t' Avenue 41 Frontage Road Trail Connection (See Resolution R095-23) 42 Item 14 Receive October 2023 City Investment Reports 43 Item 15 Receive October 2023 General Fund Budget Progress Report 44 Item 16 Approve Cannabinoid License/13650 Hanson Blvd. Suite 104 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 Regular Andover City Council Meeting Minutes — November 21, 2023 Page 4 Item 17 Accept Contribution/Chad & Lori Himkel/Fire Dept. (See Resolution R096-23) Item 17A Approve 2024 Animal Impound Facility Agreement Motion by Nelson, Seconded by Engelhardt, to approve of the Consent Agenda as read. Motion carried unanimously. ANOKA COUNTYSHERIFFS OFFICE MONTHLY REPORT Commander Paul Lenzmeier provided a monthly report including 1,079 calls for service, 284 traffic stops, 14 reported thefts, nine DWI arrests, four felony arrests, eight gross misdemeanor arrests, and 14 misdemeanor arrests during the month of October. He noted the following significant event of a fire on 142"d Lane NW which resulted in a total home loss; however, the homeowners were able to make it out of the home safely. He shared that they currently have five candidates in background check and three in field training, as well as interviews for more candidates coming up. He explained they conducted alcohol compliance checks which are done annually. He shared that of the 18 compliance checks there were five violations that have occurred which will be sent to the City Attorney for review. He added they are seeing an increase in mental health calls and suicides. He stated the Police Department is always available for someone to talk to or to provide resources or support. He wished the Council and residents a very Happy Thanksgiving. Councilmember Butler asked if the increase in traffic stops is related to the increase in DUI arrests. He also asked if the increase in warrant arrests are tied to this as well. Commander Lenzmeier said yes to both. Councilmember Butler stated the traffic arrests are down even though traffic stops are up. He asked if this speaks to deputies issuing warnings. Commander Lenzmeier said yes. Councilmember Butler asked if there will be compliance checks done for retailers who will be permitted to sell THC and cannabis products. Commander Lenzmeier said yes and explained that they will navigate through this new law and will be performing these compliance checks as well. Councilmember Nelson noted that thefts, damage to property, drug arrests, and traffic arrests are all lower year to date than they have been for the past five years. Mayor Bukkila noted the felony and gross misdemeanor arrests are significantly higher. She asked why these two types of arrests have increased. Commander Lenzmeier explained this can be related to the number of traffic stops. He explained if they make a traffic stop which leads to a drug arrest or other felony that is the reason for the increase. Councilmember Engelhardt asked if the reported thefts are residential thefts or commercial thefts. Commander Lenzmeier shared that most of these thefts are retail thefts. He noted they do not have many reported residential thefts. 2 0 6 7 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 Regular Andover City Council Meeting Minutes — November 21, 2023 Page 5 Councilmember Engelhardt highlighted the opportunity for residents to participate in the neighborhood watch program. The Council shared their appreciation for the Sheriff's Office and their work and wished them a Happy Thanksgiving. PUBLIC HEARING/PRIVATE KENNEL LICENSE/17900 UPLANDER STREET NW The City Council is requested to hold a public hearing and consider issuing a private kennel license for Shawn and Andrea Burke for the period November 22, 2023 through December 31, 2024. Mr. Dickinson reviewed the information with the Council and shared the request for a private kennel license. He shared that this process started with a barking complaint. He added they received some resident input on this matter, one of which did identify a violation for an individual in a different community and is not the applicant. He stated this should not be considered in this case. Councilmember Engelhardt asked what the mechanism would be to convert this into a residential license. Mr. Dickinson shared that this license is just for private enjoyment and does not have a retail component. He recommended limiting the license to four dogs. He noted if the applicants wanted a commercial license it would have to go through another hearing. Councilmember Butler asked if a private kennel license just gives a resident the ability to own more than three dogs on private property and does not give the ability to operate a kennel for breeding purposes or other commercial purposes. Mr. Dickinson said yes. Councilmember Nelson asked if there was only one barking dog incident where a resident called the City in Woodbury and if that is the one that needs to be disregarded. Mr. Dickinson said yes and noted this applicant in question is a different person. He also noted there are no complaints logged within the Sheriff's Department that are defined relative to citations. He shared that they did receive a complaint at City Hall and followed up with a courtesy letter. Councilmember Nelson asked if the kennel license is $200 initially then $25 a year to renew. Mr. Dickinson stated that he is not sure of the renewal amount, but reminders are sent out every year to renew. Motion by Butler, Seconded by Barthel, to open the public hearing at 7:40 p.m. Motion carried unanimously. Terry Bush, 17751 Uplander Street NW, came forward and shared that he had the opportunity this evening to talk to both of the applicants. He noted the wording is very confusing in the letter that was sent to the residents in regard to this private kennel license which created alarm within the neighborhood. He explained this neighborhood is an aging and quiet neighborhood. He reiterated that the wording of the letter was very confusing and was not clear on the difference between a Regular Andover City Council Meeting Minutes — November 21, 2023 Page 6 1 private kennel license and a commercial kennel license. He stated the applicants had three dogs of 2 their own and then inherited a fourth dog. He noted he has not heard any noise coming from this 3 property and has not heard any of the neighbors complain about the noise. He added he agrees that 4 the number of dogs should be limited. He stated the property owners have done a great job of 5 planning for this by putting up the fence. He noted he views them as responsible pet owners. He 6 reiterated that this would not be a commercial license and would like the private kennel license to 7 not exceed four dogs. 8 9 Motion by Barthel, Seconded by Nelson, to close the public hearing at 7:43 p.m. Motion carried 10 unanimously. 11 12 Councilmember Barthel added that he agrees that this license should be limited to four dogs. 13 14 Councilmember Butler agreed. 15 16 Councilmember Nelson agreed. 17 18 Mayor Bukkila shared that the standard across the whole City, regardless of lot size, is for a 19 maximum of three dogs. She noted this applicant has two and a half acres and increasing the 20 maximum by one dog is not an unreasonable request. She added it is very common that properties 21 in the rural area have certain privileges to use their land. 22 23 Motion by Barthel, Seconded by Butler, to approve a private kennel license at 17900 Uplander 24 Street NW, with up to four dogs under the license. Motion carried unanimously. 25 26 Mr. Dickinson stated this is an opportunity for the City to evaluate the notification letters for public 27 hearings which have been used for years. He noted that Staff will look into this to make the letters 28 clearer to eliminate confusion. 29 30 CONSIDER COMPREHENSIVE PLANAMENDMENT REQUEST - PID# 23-32-24-33- 31 0002 & PID# 23-32-24-32-0006 - TO CHANGE THE GUIDED LAND USE FOR THE 32 ABOVE NOTED PROPERTIES FROM URHL - URBANRESIDENTIAL HIGHLOW TO 33 URH- URBANRESIDENTLAL HIGHAND 1.5 ACRES OF NC - NEIGHBORHOOD 34 COMMERCLAL (APPLICANT. J.A. WEDUMFOUNDATION) 35 36 The City Council is requested to consider the recommendation of the Planning & Zoning 37 Commission and make a decision on the Comprehensive Plan amendment. 38 39 Community Development Director Janish reviewed the information with the Council concerning 40 the request for a Comprehensive Plan amendment. He discussed the proposed project as well as 41 the land use history of this site. He shared that the Planning & Zoning Commission held a public 42 hearing on this and discussed concerns with the future roundabout and headlights into these homes, 43 public utilities, and the future demand of the site. He added the Planning & Zoning Commission 44 liked the separated commercial component and suggested there be a traffic study done as part of Regular Andover City Council Meeting Minutes —November 21, 2023 Page 7 future applications. He said the applicant would be willing to conduct a traffic study based on the numbers of what is actually being proposed. He shared that the Planning & Zoning Commission recommended approval of the Comprehensive Plan amendment. 5 Councilmember Nelson asked if they were to approve the Comprehensive Plan amendment and it 6 were to move forward to the Met Council if there are any concerns with this being approved by 7 the Met Council. Mr. Janish stated what they are doing here is really just moving the commercial 8 piece over. He noted in conversations with the sector representative, he has indicated that he is not 9 expecting there to be any major hurdles with the Met Council when this is submitted. 10 11 Councilmember Butler stated with the movement of the commercial parcel to the Bluebird Street 12 side of the development he could imagine some concerns with this being close to the neighborhood 13 residences. He asked if there would be a PUD coming forward if this were to proceed and if they 14 would be able to push for additional screening to create some separation for the commercial parcel 15 and the surrounding residences. Mr. Janish said yes and explained that as part of the PUD they 16 would be looking at the landscaping plan that would be submitted for buffering between the two. 17 He stated the applicant would be responsible for coming up with this plan. He shared that there 18 was a recommendation to also consider where the trash enclosure would be located and try to 19 locate it to the west of the proposed commercial building so they are further away from the 20 residences. 21 22 Councilmember Nelson noted the 1.5 acres of commercial would have to blend in with the 23 development. He asked if a different appearance would be required for this. Mr. Janish explained 24 as part of the PUD, they will be looking at the elevations for the specific buildings and doing this 25 comparison to provide this information to the Planning & Zoning Commission and Council. He 26 added they would be looking for this to have a soften architectural appearance rather than an 27 industrial look. 28 29 Councilmember Nelson shared that the traffic study that was already conducted in this area 30 concluded that there will likely be less traffic in this area due to less commercial. Mr. Janish stated 31 the last traffic study focused more on the reduction in the amount of commercial that was already 32 in this area and how the impact is different for these senior residential areas. He said there would 33 be a significant decrease in the amount of traffic because of this. 34 35 Mr. Janish shared that the intent is to have a roundabout as a part of this at Bluebird Street and 36 Crosstown Boulevard. 37 38 Councilmember Barthel asked how many businesses would be able to fit in the 1.5 acres of 39 commercial space. Mr. Janish stated this would depend on the amount of space that these 40 businesses want to rent. He added the overall parking stalls would also dictate the types of uses 41 that would be able to go into this area. 42 43 Councilmember Nelson stated the separate area for neighborhood commercial will be landscaped 44 to differentiate the area and to mitigate lights into homes. Mr. Janish noted this would be reviewed 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 Regular Andover City Council Meeting Minutes — November 21, 2023 Page 8 further as part of the PUD and site plan process. Mayor Bukkila shared that she is disappointed with this entire design. She noted this is not anywhere near the amount of information that they had on the previous concept. She explained there was a great amount of effort on the previous proposal to deliver some designs and concepts in response to Council concerns on how the land would be used. She stated this property is originally intended for commercial use and if they were going to change this, then the design that comes forward would have to fit into this area and would have to be well vetted and what the City wants. She said this is a big deal for changing the Comprehensive Plan and she is not comfortable with the commercial piece in terms of the orientation that she is seeing. She stated she is concerned about the impact to the residents directly across the street. She explained they went into this level of detail with the previous proposal. She noted there are a lot of improvements in terms of the larger building and the Hanson Boulevard profile. She stated with what she is seeing and based off of what has been reviewed this evening, she cannot be in favor of moving forward with this. Mr. Janish stated as the applicants were putting the sketch plans together and Staff reviewed what is required as far as the Comprehensive Plan amendment. He noted the last time the presentations were brought forward; the applicant did provide much more information than what was required as part of the application. He explained that Staff provided direction to the applicant on what to provide as the rest would be discussed as part of the PUD applications. Councilmember Nelson complimented the applicant as the process in the past had been very thorough. He noted what they received today is a good concept plan to tack the 1.5 -acre parcel for neighborhood commercial; however, he agrees with Mayor Bukkila and would like to get a better sketch of this to know what it would look like as he cannot visualize it currently. Councilmember Butler asked if the Comprehensive Plan amendment would just allow the Council to make a zoning change to one parcel to designate it as commercial and the remaining parcel would be in the new residential classification. He asked if the concerns would then be addressed in the PUD process in terms of the layout and style of the buildings. Mr. Janish said that is correct. Councilmember Butler shared that a core goal of the Council from the start of this process was to maintain the commercial presence in this area. He stated by approving the Comprehensive Plan amendment they are not committing to the design of this as it would still come forward as a PUD application. He noted he is willing to entertain moving forward with the Comprehensive Plan amendment while making it very clear to the applicant that there are reservations about the sketch plan as shown and they will really want to see a lot of work put into the screening and orientation of these buildings. Councilmember Barthel noted this project likely fits perfectly in this location. He stated at the EDA meeting, Mr. Janish shared that there are a lot of businesses that want to get into Andover. He added that on August 41, the Council changed the Comprehensive Plan to make this seven acres of commercial land and seven to ten acres of residential land. He noted they changed this, and they were very excited about the opportunities here and now they are proposing putting in Regular Andover City Council Meeting Minutes —November 21, 2023 Page 9 1 only 1.5 acres of commercial land that could hold maybe four businesses on one of the most 2 pristine pieces of land in the City. He stated although this plan may be good for Andover now, it 3 will not be good for Andover in 20 years. 4 5 Councilmember Engelhardt stated he has heard a lot of comments from residents about commercial 6 space and what they would like to see in the City. He noted they have been working with and 7 cooperating with the developer on this and they have been very accommodating. He added 8 Andover has an aging population and they do not want the community crowded with low-income 9 or high-density housing and they want to keep the neighborly feel of Andover. He stated this 10 ideally would be a lot more of a small business corridor; however, they have the applicant in front 11 of them that are interested in this area. He noted he does not have an issue with making this change. 12 13 Mr. Janish asked if the Council would like to allow for some additional review for consideration 14 of this Comprehensive Plan amendment. 15 16 Mayor Bukkila said she would leave it open for this opportunity if the applicant would agree to do 17 so. 18 19 Mayor Bukkila asked for a timeline for this to come back forward. 20 21 Councilmember Butler asked if they would need to table this item. Mr. Dickinson said yes and 22 they would also need to table the next item. He explained Staff would evaluate when the 60 days 23 would run out and work with the applicant to meet some of the items that Council is looking for. 24 He shared the suggestion to provide clear direction to the applicant when tabling this item so the 25 applicant can work on enhancing this sketch as a part of the process. 26 27 Mike Gould with SilverCrest, 5402 Parkdale Drive, came forward and shared that they have 28 worked through some of these issues prior. He noted the commercial piece of this is paramount. 29 He thinks these function better now that it is separated from the main building. He added they 30 already have interest in the commercial area. He shared that he has worked with the J.A. Wedum 31 Foundation for over 20 years. He noted they have a long-term commitment to Andover. He 32 explained they have a long-term view in this area and want to work with the City to make this 33 something that will be acceptable and that everyone will be proud of. 34 35 Mayor Bukkila asked if they would be willing to provide additional time so they can work on the 36 landscaping, providing elevations, and other items that the Council may request. Mr. Gould stated 37 they would be willing to take more time to work with Staff for these items. 38 39 Mayor Bukkila asked what timeline the applicant needs to get this information together. 40 41 Mindy Michael with Kaas Wilson Architects came forward and shared that Kaas Wilson is very 42 excited about this project and would want to work with Staff on this to make sure that they are 43 delivering a quality product. She stated they can tend to move quickly when they are excited about 44 projects such as this one; however, they do not want to move too quickly. Regular Andover City Council Meeting Minutes — November 21, 2023 Page 10 1 Mr. Gould stated he agrees with a 60 extension. Mr. Dickinson noted that if they work through 2 this quicker than the 60 days then it can be brought back sooner, he suggests up to 60 days. 3 4 Motion by Butler, Seconded by Nelson, to table consideration of the Comprehensive Plan 5 amendment for up to 60 days to allow time for the applicant to provide additional renderings, 6 elevations, and screening plans to better inform the Council of the intentions for this property. 7 Motion carried unanimously. 8 9 CONSIDER REZONING REQUEST - PID #23-32-24-33-0002 & PID# 23-32-24-32-0006 - 10 REZONE PROPERTIES FROM M-2: MULTIPLE DWELLING HIGH LOW DENSITY TO 11 M-3 MULTIPLE DWELLING HIGH DENSITY AND NB - NEIGHBORHOOD BUSINESS. 12 (APPLICANT: J.A. WEDUMFOUNDATION) 13 14 Mr. Janish stated this item will also need to be tabled as a result of the previous action. 15 16 Motion by Butler, Seconded by Nelson, to table consideration for the rezoning request for up to 17 60 days to allow time for the applicant to provide additional renderings, elevations, and screening 18 plans to better inform the Council of the intentions for this property. Motion carried unanimously. 19 20 RECESS & RECONVENE 21 22 Motion by Barthel, Seconded by Nelson, to recess the meeting at 8:28 p.m. Motion carried 23 unanimously. The meeting was reconvened at 8:41 p.m. 24 25 CONSIDER A VARIANCE FOR THE WIDTH OF AN ACCESS ROAD TO A SINGLE - 26 FAMILY HOME TO BE LOCATED AT 22 74 164 TH A VENUE NW (PID# 12-32-24-22- 27 0015) -SHAWN MARS (APPLICANT) 28 29 The City Council is requested to consider the recommendation of the Planning & Zoning 30 Commission and consider approval of the variance request to the review criteria of City Code 12- 31 15-9 based on findings of fact. 32 33 Mr. Janish reviewed the information with the Council and the request for a variance of an access 34 road. He shared that the Planning & Zoning Commission held a public hearing on this where they 35 discussed concerns with emergency access and if the Fire Department would have sufficient 36 emergency access. He noted the Fire Department would prefer to see a 20 foot driveway; however, 37 they understand the situation that the applicant is in and noted that as long as there is a 20 foot 38 wide upland passing area is provided they should be able to respond to emergencies at this 39 proposed site. He shared the Planning & Zoning Commission's recommendation of approval. 40 41 Councilmember Nelson asked if the Fire Department recommended the 20 foot wide driveway 42 with the upland area near the house. Chief Jones explained the Fire Department would always like 43 the 20 -foot access all the way to the residence. He noted they do understand the environmental 44 impacts of this situation and would like to accommodate the potential use of this property. He Regular Andover City Council Meeting Minutes — November 21, 2023 Page 11 stated what the applicant is proposing would work for the Fire Department and they would be in support of this. Councilmember Nelson asked if it would be difficult with a 12 foot driveway for a tender truck to get back to the home. Chief Jones said yes and explained they would be able to set up hoses to push water from the tender to the pumping apparatus and once the water supply is depleted from the tender then the larger area would allow the tenders to pass. 9 Mayor Bukkila asked if there would be a safe space for an engine in this area to maneuver. Chief 10 Jones stated they would not be driving a ladder truck into this area to begin with, and it would only 11 be engines and tenders. He noted they would never be operating an apparatus blindly. 12 13 Shawn Mars, the applicant, came forward and stated Staff have done a good job at explaining the 14 situation. He stated he has been working with all of the different wetland agencies on this and all 15 agencies have their own requirements for everything. He noted there are many different interests 16 in this situation and this proposal does a good job at finding a way for everyone to get what they 17 want while minimizing issues to the wetland. He added he is okay with making the rest of the 18 driveway 20 feet wide when it gets to the yard. He shared it will be his family who will be living 19 in this home and he would not propose something that could potentially put his family in danger. 20 21 Councilmember Nelson asked if the previous owner of the property also went through these 22 different agencies as well. Mr. Mars said yes and explained when he purchased the property it 23 looked like there was an approval process from the watershed that stated the plan was approved 24 pending a purchase agreement for wetland credits. He noted apparently this plan did not check 25 with the City. He added the wetland mitigation project was also not able to be changed over to the 26 new owners and he had to start a new application when he purchased the property. 27 28 Mayor Bukkila asked if the applicant were to have a 20 foot driveway, would they still need a 29 variance. Mr. Janish said no. 30 31 Mayor Bukkila asked if the only reason for the variance is for the preservation of as much wetlands 32 as possible. Mr. Janish said that was correct. 33 34 Mayor Bukkila noted this is the closest thing she has seen to a demonstration of the variance 35 process because this is not anyone's creation, and it is working with the land to make reasonable 36 accommodations for residents. She added the Fire Chiefs statements alleviated her greatest 37 concerns. 38 39 Councilmember Barthel stated he feels a lot better about this after hearing from the Fire Chief and 40 hearing that he is okay with this variance. 41 42 Councilmember Butler gave credit to the applicant for working through this process and trying to 43 come up with a solution that would satisfy the public safety needs, the watershed district, and the 44 various wetland agencies. He noted this is a good case for why the variance process exists. He Regular Andover City Council Meeting Minutes — November 21, 2023 Page 12 shared that he will be in support of granting this variance. Mayor Bukkila added this request is not financial, it is environmental. She noted there are always options to fill wetlands but when there is an opportunity for something like this it does have merit. Mr. Janish noted the resolution does not include the findings of fact. He stated Council can direct Staff to gather these findings of facts and have this be brought back for approval. 9 Motion by Butler, Seconded by Barthel, to adopt Resolution No. R097-23 approving a variance 10 for the property located at 2274 164a' Avenue NW with direction to Staff for the preparation of 11 findings of fact. Motion carried unanimously. 12 13 CONSIDER INTERIM USE PERMIT - MINING & LAND RECLAMA TION PID(S)# 07-32- 14 24-34-0003; 07-32-24-33-0001 AND 07-32-24-23-0002. (APPLICANT. • DARRENLAZAN) 15 16 The City Council is requested to consider the recommendation of approval by the Planning & 17 Zoning Commission and make a decision regarding the IUP request. 18 19 Mr. Janish reviewed the information with the Council and shared the request for an IUP for the 20 creation of two stockpiles on the discussed site. He shared the Planning & Zoning Commission's 21 recommendation for approval. 22 23 Mayor Bukkila asked if other permits have been pulled for this same thing. Mr. Janish shared that 24 they have had additional permits pulled by this applicant for the stockpiles. He noted the previous 25 stockpile was used and moved with these materials. He stated once they get into the phased 26 development, this is where the stockpiles are developing. 27 28 Mayor Bukkila asked if there have been any issues, complaints, or non-compliance with this 29 applicant. Mr. Janish said no. 30 31 Motion by Butler, Seconded by Nelson, to adopt Resolution No. R098-23 granting an Interim Use 32 Permit for mining and land reclamation at PIDS# 07-32-24-34-0003; 07-32-24-33-0001 and 07- 33 32-24-23-0002. Motion carried unanimously. 34 35 CONSIDER FINAL PLA T LEGA CY A T PETERSEN FARMS 36 37 The City Council is requested to adopt the resolution approving the final plat of Legacy at Petersen 38 Farms with conditions. 39 40 Mr. Janish reviewed the information with the Council concerning the final plat for Legacy at 41 Petersen Farms. 42 43 Motion by Nelson, Seconded by Engelhardt, to adopt Resolution No. R099-23 approving the final 44 plat of Legacy at Petersen Farms. Motion carried 4 ayes, 1 nay (Barthel). Regular Andover City Council Meeting Minutes — November 21, 2023 Page 13 1 ADMINISTRATOR'S REPORT 2 3 City Staff updated the Council on the administration and city department activities, legislative 4 updates, updates on development/CIP projects, and meeting reminders/community events. 6 (Administrative Staff Report) Mr. Dickinson reviewed the Administrative Staff report. He shared 7 that the Council will be working through the final budget items at the next workshop meeting. He 8 added the City is currently at 62 new homes this year. He noted Staff is also working on year-end 9 activities such as year-end audit and open enrollment of benefits for all employees. 10 11 (Public Works/Engineering Department Report) Mr. Berkowitz reviewed the Public Works and 12 Engineering Department report. He shared that a lot of the consent items on the agenda this evening 13 were engineering items and projects that are moving forward. He stated they are still pothole 14 patching every day in the City. He added they hope to start flooding the ice rinks in early December 15 with the rinks fully operational by the holiday school break. He shared that there is a neighborhood 16 informational meeting coming up for the 2024 street reconstruction project on December 5th. He 17 added they also will have an informational meeting about the roundabout construction for 18 Crosstown Boulevard and Nightingale Street and Nightingale Street and Veterans Memorial 19 Boulevard which will be held on December 7`h. He shared they will be broadcasting this on social 20 media to get the word out to the residents as well as putting up the information board and sending 21 mailers. He highlighted the tree lighting ceremony that is scheduled for December 81h from 5:00 22 p.m. to 8:00 p.m. with the tree lighting at 6:00 p.m. which will be in the west Community Center 23 parking lot. 24 25 Councilmember Engelhardt asked how the new roundabout on Prairie Road is going. Mr. 26 Berkowitz stated there have been no complaints or issues with the roundabout. He noted it has 27 been up and running for a few weeks and the developer still has temporary lighting up in the area 28 while they wait for permanent lighting. 29 30 MA YORICO UNCIL INPUT 31 32 Councilmember Nelson wished everyone a Happy Thanksgiving 33 34 ADJOURNMENT 35 36 Motion by Barthel, Seconded by Butler, to adjourn. Motion carried unanimously. The meeting 37 adjourned at 9:05 p.m. 38 39 Respectfully submitted, 40 41 Ava Rokosz, Recording Secretary 42 REGULAR ANDOVER CITY COUNCIL MEETING MINUTES —NOVEMBER 21, 2023 TABLE OF CONTENTS PLEDGE OF ALLEGIANCE..................................................................................................... 1 FIRE DEPARTMENT - FIREFIGHTER BADGE PINNING ................................................... 1 RESIDENTFORUM.................................................................................................................. 1 AGENDAAPPROVAL.............................................................................................................. 3 APPROVALOF MINUTES....................................................................................................... 3 CONSENTITEMS..................................................................................................................... 3 Item 2 Approve Payment of Claims ............................................................................. 3 Item 3 Approve Resolution Authorizing Pursuit of Highway Safety Improvement Program Funding/Crosstown Blvd NW & Crosstown Dr. NW Roundabout Project (R086- 23)...................................................... ........................................................ 3 Item 4 Approve Declaration of Encroachment Easement/158601 Uplander St. NW ............ 3 Item 5 Order Feasibility Report/24-02/2024 Street Reconstruction _(R087-23) ................... 3 Item 6 Order Feasibility Report/24-11/2024 Full Depth Reclamation (R088-23) ............... 3 Item 7 Order Project and Direct Preparation of Final Plans and Speci6cations/24-14/Hills of Bunker Lake West Park Parking Lot Reconstruction (R089-23) .................. 3 Item 8 Order Feasibility RepoW24-15/2024 Mill & Overlay/Bunker Lake Village (R090- 23) ....................... ........ ,,....... ....... .................................................3 Item 9 Order Feasibility Report/24-16/2024. Mill & Overlay/Bunker Lake Boulevard Service Road NW/Grouse St. NW (R091-23).. ........................ 3 Item 10 Order Feasibility Report/24-17/2024 Mill & Overlay/Bunker Lake Boulevard Service Road NW/Rose St. NW to Heather St. NW (R092-23) ............................................................. 3 Iteml l Order Project and Direct Preparation of Final Plans and Specifications/23-38/Red Oaks Water Contamination Mitigation (R093-23) ................................................... 3 Item 12 Order Proiect and Direct Prenarationrof Final Plans and Snecifications/24- Item 13 ' Order Project and Direct Preparation of Final Plans and Specifications/24-19/7' Avenue Frontage Road Trail Connection(R095-23)................................................ 3 Item 14 _ Receive October 2023 City Investment Reports....................................................... 3 Item 15 ' Receive October 2023 General Fund Budget Progress Report ................................. 3 Item 16 Approve Cannabinoid License/ 13650 Hanson Blvd. Suite 104 ............................... 3 Item 17 Accept Contribution/Chad & Lori Himkel/Fire Dept(R096-23)............................. 3 Item 17a Approve 2024 Animal Impound Facility Agreement ............................................... 3 ANOKA COUNTY SHERIFF'S OFFICE MONTHLY REPORT ............................................. 4 PUBLIC HEARING/PRIVATE KENNEL LICENSE/17900 UPLANDER STREET NW ...... 5 CONSIDER COMPREHENSIVE PLAN AMENDMENT REQUEST - PID# 23-32-24-33- 0002 & PID# 23-32-24-32-0006 - TO CHANGE THE GUIDED LAND USE FOR THE ABOVE NOTED PROPERTIES FROM URHL - URBAN RESIDENTIAL HIGH LOW TO URH - URBAN RESIDENTIAL HIGH AND 1.5 ACRES OF NC - NEIGHBORHOOD COMMERCIAL (APPLICANT: J.A. WEDUM FOUNDATION) Motionto Table.................................................................................................................. 6 CONSIDER REZONING REQUEST - PID #23-32-24-33-0002 & PID# 23-32-24-32-0006 - REZONE PROPERTIES FROM M-2: MULTIPLE DWELLING HIGH LOW DENSITY TO M-3 MULTIPLE DWELLING HIGH DENSITY AND NB - NEIGHBORHOOD Regular Andover City Council Meeting Minutes —November 21, 2023 Page 15 BUSINESS. (APPLICANT: J.A. WEDUM FOUNDATION) Motion to Table .............. 10 RECESS.................................................................................................................................... 10 RECONVENE.......................................................................................................................... 10 CONSIDER A VARIANCE FOR THE WIDTH OF AN ACCESS ROAD TO A SINGLE- FAMILY HOME TO BE LOCATED AT 2274 164TH AVENUE NW (PID# 12-32-24- 22-0015) - SHAWN MARS (APPLICANT) (R097-23) .................................................. 10 CONSIDER INTERIM USE PERMIT MINING & LAND RECLAMATION PID(S)# 07- 32-24-34-0003; 07-32-24-33-0001 AND 07-32-24-23-0002. (APPLICANT: DARREN LAZAN)(R098-23).......................................................................................................... 12 CONSIDER FINAL PLAT LEGACY AT PETERSEN FARMS (R099-23) .......................... 12 ADMINISTRATOR'S REPORT.............................................................................................. 13 MAYOR/COUNCIL INPUT.................................................................................................... 13 ADJOURNMENT..................................................................................................................... 13 AN66Wra 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Councilmembers CC: Jim Dickinson, City Administrator FROM: Lee Brezinka, Finance Manager SUBJECT: Payment of Claims DATE: December 5, 2023 INTRODUCTION Attached are disbursement edit lists for claims related to the on-going business of the City of Andover. DISCUSSION Claims totaling $151,431.79 on disbursement edit list #1-2 from 11/22/2023 to 11/30/2023 have been issued and released. Claims totaling $193,671.76 on disbursement edit list #3 dated 12/05/2023 will be issued and released upon approval. BUDGET IMPACT The edit lists consist of routine payments with expenses being charged to various department budgets and projects. ACTION REQUESTED The Andover City Council is requested to approve total claims in the amount of $345,103.55. Please note that Council Meeting minutes will be used as documented approval. Respectfully submitted, ✓isp' ✓1 Lee Brezinka Attachments: Check Proof Lists Accounts Payable Computer Check Proof List by Vendor User: BrendaF Printed: 11/22/2023 - 10:08AM Batch: 00422.11.2023 Invoice No Description Amount Payment Date Acct Number ?CN DQVER Reference Vendor: Aladtec Aladtec, Inc. Check Sequence: 1 ACH Enabled: False INV00309398 2024 Aladtec Maintenance Contract 4,620.00 11/22/2023 0101-42200-62305 Check Total: 4,620.00 Vendor: AmazonBu Amazon Capital Services Check Sequence: 2 ACH Enabled: False 1 DJ6-RGCQ-CCRC Hitch for New F-550 Truck for Parks Dept 399.95 11/22/2023 4180-49300-65400 IJXF-KF9T-DRCX Wall Clock 21.51 11/22/2023 2130-44000-61020 IKHN-RGRJ-DJPQ Garage Door Opener Remote 14.99 11/2212023 2130-44300-61020 Check Total: 436.45 Vendor: AnkCity City of Anoka Check Sequence: 3 ACH Enabled: False INV01805 Tmffic Signal - Bunker & 7th Ave 27.54 11/22/2023 0101-43400-62005 INV0I806 Traffic Signal - 7th Ave & 143rd 31.08 11/22/2023 0101-43400-62005 Check Total: 58.62 Vendor: ArchkeyT Archkey Technologies Check Sequence: 4 ACH Enabled: False S0003442827 Gym Camera Installation 3,995.00 11/22/2023 2130-44400-63105 Check Total: 3,995.00 Vendor: AspenMil Aspen Mills Check Sequence: 5 ACH Enabled: False 322550 Uniform for Jakob Knivsland 404.35 11/22/2023 0101-42200-61305 322639 Uniform for Anne Wesp 8.00 11/22/2023 0101-42200-61305 323074 Uniform for Scott Sanford 14.85 11/22/2023 0101-42200-61305 Check Total: 427.20 Vendor: Centerpt CenterPoint Energy Check Sequence: 6 ACH Enabled: False 2001737-2 2527 Bunker Lk Blvd - Unit #2 12.60 11/22/2023 4520-49300-62015 6402418664-1 2527 Bunker Lk Blvd - Unit #1 6.28 11/22/2023 4520-49300-62015 6403279835-3 2511 Bunker Lk Blvd -(Duplex) 23.36 11/22/2023 452049300-62015 AP -Computer Check Proof List by Vendor (11/22/2023 - 10:08 AM) Page 1 Invoice No Description Amount Payment Date Acct Number Reference AP -Computer Check Proof List by Vendor (11/22/2023 - 10:08 AM) Page 2 Check Total: 42.24 Vendor: CinWGK Cintas Corp Check Sequence: 7 ACH Enabled: False 4174455492 Floor Mat Rental 53.97 11/22/2023 0101-41930-62200 4174455579 Uniform Cleaning & Shop Towels 152.03 11/22/2023 6100-48800-61020 4174455692 Uniform Cleaning 196.05 11/22/2023 0101-43100-61020 4174455692 Uniform Cleaning 28.02 11/22/2023 0101-43300-61020 4174455692 Uniform Cleaning 111.99 11/22/2023 0101-45000-61020 4174455692 Uniform Cleaning 28.01 11/22/2023 5100-48100-61020 4174455692 Uniform Cleaning 56.00 11/22/2023 5200-48200-61020 Check Total: 626.07 Vendor: CoreMain Core & Main LP Check Sequence: 8 ACH Enabled: False T956417 ILL 39A Touchpad Black 1,217.18 11/22/2023 5100-48100-61020 Check Total: 1,217.18 Vendor: D&TSepti D & T Septic Services, Inc. Check Sequence: 9 ACH Enabled: False 00039796 Refund Overpayment of Pumping Permits 20.00 11/22/2023 0101-00000-10301 Check Total: 20.00 Vendor: ECM ECM Publishers, Inc. Check Sequence: 10 ACH Enabled: False 973455 Ordinance No. 557 Summary 96.80 11/22/2023 0101-41300-63025 Check Total: 96.80 Vendor: Ferguson Ferguson Waterworks 92518 Check Sequence: I1 ACH Enabled: False 0522779 Mise. Storm Sewer Supplies 51.48 11/22/2023 5300-48300-61145 Check Total: 51.48 Vendor: Grainger Grainger Check Sequence: 12 ACH Enabled: False 9904008191 Wedge Anchor 66.70 11/22/2023 2130-44000-61020 Check Total: 66.70 Vendor: GriessTr Tracey Griess Check Sequence: 13 ACH Enabled: False 2023 Trainer for Soccer 670.00 11/22/2023 2130-44400-63005 Check Total: 670.00 Vendor: HoffmanB Hoffman Bros. Sod, Inc. Check Sequence: 14 ACH Enabled: False AP -Computer Check Proof List by Vendor (11/22/2023 - 10:08 AM) Page 2 Invoice No Description Amount Payment Date Acct Number Reference 028103 Classic Bluegrass Sod 552.00 11/22/2023 530048300-61130 Check Total: Vendor: HowiesHo Howies Hockey Tape iNV000199899 Resale Items for Pro Shop Check Total: Vendor: InnovOff Innovative Office Solutions, LLC IN4379740 Paper Towels & Mop Check Total: Vendor: KowalchA Ava Kowalchyk 2023 Soccer Coach Check Total: Vendor: LawBri Bri Law 2023 Soccer Coach Check Total: Vendor: LegShiel Legal Shield 31833 November 2023 Premium Check Total Vendor: LennarBu Lennar Corporation 15153 - Escrow 15153 Norway Street NW 15153 -Insp Fee 15153 Norway Street NW 15158 - Escrow 15158 Norway Street NW 15158 -Insp Fee 15158 Norway Street NW 15166 - Escrow 15166 Norway Street NW 15166 -Insp Fee 15166 Norway Street NW 15197 - Escrow 15197 Larch Street NW 15197 -Insp Fee 15197 Larch Street NW 693- Escrow 693151 at Lane NW 693 - Insp Fee 693 151st Lane NW 552.00 1,034.83 1,034.83 1,009.35 1,009.35 196.00 196.00 42.00 42.00 50.85 50.85 7,400.00 -75.00 7,400.00 -75.00 7,400.00 -75.00 7,400.00 -75.00 7,400.00 -75.00 Check Sequence: 15 11/22/2023 2130-44200-61245 Check Sequence: 16 11/22/2023 2130-44000-61020 Check Sequence: 17 11/22/2023 2130-44400-63005 Check Sequence: 18 11/22/2023 2130-44400-63005 Check Sequence: 19 11/22/2023 0101-00000-21219 Check Sequence: 20 11/22/2023 7200-00000-24204 11/22/2023 0101-41600-54180 11/22/2023 7200-00000-24204 11/22/2023 0101-41600-54180 11/22/2023 7200-00000-24204 11/22/2023 0101-41600-54180 11/22/2023 7200-00000-24204 11/22/2023 0101-41600-54180 11/222023 7200-00000-24204 11/222023 010141600-54180 ACH Enabled: False ACH Enabled: False ACH Enabled: False ACH Enabled: False ACH Enabled: False ACH Enabled: False Check Total: 36,625.00 Vendor: MacgEmer Macqueen Emergency Group Check Sequence: 21 ACH Enabled: False P22309 SCBAFlow Tests 2,985.00 11/222023 0101-42200-63010 AP -Computer Check Proof List by Vendor (11/22/2023 - 10:08 AK Page 3 Invoice No Description Amount Payment Date Acct Number Reference W05559 Fire Rescue #1 - Insurance Claim 2,842.10 11/22/2023 6100-48800-63135 W05756 Fire Rescue#1- Repair Paint Damage While in: 4,430.00 11/22/2023 6100-48800-63135 Check Total: 10,257.10 Vendor: MadNatiL Madison National Life Ins Co, Inc Check Sequence: 22 ACH Enabled: False 1591945/026986 December 2023 LTD Premium 931.99 11/22/2023 0101-00000-21216 Check Total 931.99 Vendor: MauerMai Mauer Main Check Sequence: 23 ACH Enabled: False 5302135 Module Kit for Unit #4825 373.80 11/22/2023 6100-48800-61115 Check Total: 373.80 Vendor: McKnighP Payton McKnight Check Sequence: 24 ACH Enabled: False 2023 Soccer Coach 234.50 11/22/2023 2130-44400-63005 Check Total: 234.50 Vendor: Menards Menards Inc Check Sequence: 25 ACH Enabled: False 7184 4000 PSI Concrete & Portland Cement Type 1L 295.76 11/22/2023 530048300-61145 7255 Lysol Wipes & 3M Worktunes AM/FM 69.41 11/22/2023 0101-43100-61020 7523 Galvanized Sheet & Snip Cuts 32.96 11/22/2023 2130-44300-61020 Check Total: 398.13 Vendor: MNEquipn Minnesota Equipment Check Sequence: 26 ACH Enabled: False P53312 Tools 107.23 11/22/2023 010145000-61205 Check Total 107.23 Vendor: MNLifeln Minnesota Life Insurance Company Check Sequence: 27 ACH Enabled: False 0034706 December 2023 Premium - 36259051-00 19.50 11/22/2023 010142200-60330 0034706 December 2023 Premium -36259051-00 46.36 11/22/2023 0101-00000-21205 0034706 December 2023 Premium - 36259051-00 259.32 11/22/2023 7100-00000-21218 0034706 December 2023 Premium - 36259051-00 1,959.45 11/22/2023 0101-00000-21205 Check Total: 2,284.63 Vendor: Mohlenca Mohlencamp Family Trust Check Sequence: 28 ACH Enabled: False Trail Easement 9,090.00 11/22/2023 4170-49300-63010 Check Total: 9,090.00 AP -Computer Check Proof List by Vendor (11/22/2023 - 10:08 AM) Page 4 Invoice No Description Amount Payment Date Acct Number Reference Vendor: NCPERS NCPERS Group Life Ins 312000122023 December 2023 Premium 312000122023 December 2023 Premium Check Total: Vendor: NordquiL Lydia Nordquist 2023 Soccer Coach 176.00 Check Sequence: 30 ACH Enabled: False 234.50 11/22/2023 2130-44400-63005 234.50 Check Total: Vendor: ODP Bus ODP Business Solutions, LLC 335626956002 CH Office Supplies 335626956002 CH Office Supplies 335626956002 CH Office Supplies 335626956002 CH Office Supplies 335626956002 CH Office Supplies 335626956002 CH Office Supplies 335626956002 CH Office Supplies 337379020001 Copy Paper 340944460001 Office Supplies 340957607001 Lysol Wipes 340957608001 Stationery, Certifs Check Total: Vendor: OneNetGI OneNet Global 21088 Monthly Phone Service @ City Hall 21088 Monthly Phone Service @ Fire Stations 21088 Monthly Phone Service @ Public Works 21088 Monthly Phone Service @ Community Center 21088 Monthly Phone Service @ WTP 30.00 Check Total: Vendor: Optum Optum Financial Inc 0001508251 2023 3rd Qtr HSA Fees 176.00 Check Sequence: 30 ACH Enabled: False 234.50 11/22/2023 2130-44400-63005 234.50 Check Total: 386.25 Check Sequence: 29 ACH Enabled: False 160.00 Vendor: OPUS21 11/22/2023 0101-00000-21205 16.00 ACH Enabled: False 1122/2023 7100-00000-21218 176.00 Check Sequence: 30 ACH Enabled: False 234.50 11/22/2023 2130-44400-63005 234.50 Check Total: 386.25 Vendor: OPUS21 OPUS 21 Check Sequence: 31 ACH Enabled: False 50.00 October 2023 Utility Billing 11/22/2023 0101-42300-61005 11/222023 5100-48100-63010 39.99 October 2023 Utility Billing 11/22/2023 0101-41500-61005 11/22/2023 520048200-63010 30.00 October 2023 Utility Billing - 11/22/2023 0101-41600-61005 11/22/2023 0101-43600-63010 20.00 11/22/2023 0101-41230-61005 10.00 11/22/2023 0101-41300-61005 19.99 11222023 0101-41400-61005 30.00 11/22/2023 0101-41200-61005 59.33 1122/2023 6100-48800-61005 139.79 11/22/2023 2130-44000-61020 60.20 11/22/2023 2130-44000-61020 14.99 11/22/2023 2130-44000-61020 474.29 Check Sequence: 32 ACE Enabled: False 1,160.34 11/22/2023 0101-41910-62030 181.00 11/222023 0101-41920-62030 372.00 11/22/2023 0101-41930-62030 176.00 11/22/2023 2130-44000-62030 75.00 11/222023 5100-48100-62030 1,964.34 Check Sequence: 33 ACH Enabled: False 386.25 11222023 6200-48900-63005 AP -Computer Check Proof List by Vendor (11/22/2023 - 10:08 AM) Page 5 Check Total: 386.25 Vendor: OPUS21 OPUS 21 Check Sequence: 34 ACH Enabled: False 231055 October 2023 Utility Billing 3,525.46 11/222023 5100-48100-63010 231055 October 2023 Utility Billing 3,948.71 11/22/2023 520048200-63010 231055 October 2023 Utility Billing - 3,841.91 11/22/2023 0101-43600-63010 AP -Computer Check Proof List by Vendor (11/22/2023 - 10:08 AM) Page 5 Invoice No Description Amount Payment Date Acct Number Reference 231055 October 2023 Utility Billing 5,519.10 11/22/2023 5300-48300-63010 Check Total: 16,835.18 Vendor: OReiAuto O'Reilly Auto Parts Check Sequence: 35 ACH Enabled: False 3253-372539 Oil Filter for Stock 5.29 11/22/2023 6100-48800-61115 3253-372560 Brake Cable for Unit #139 14.44 11/222023 610048800-61115 3253-372863 Oil Filter for Stock 5.29 11/22/2023 610OA8800-61115 3253-373168 Htr Fitting for Unit #08-408 5.65 11/22/2023 610OA8800-61115 Check Total: 30.67 Vendor: OTlinc OTI Inc. Check Sequence: 36 ACH Enabled: False 23-0196 Yard Waste 600.75 11/22/2023 0101-43100-63010 Check Total: 600.75 Vendor: PeterBen Bente Peterson Check Sequence: 37 ACH Enabled: False 2023 Soccer Coach 77.00 11/22/2023 213044400-63005 Check Total: 77.00 Vendor: R&R R&R Specialties of Wisconsin Check Sequence: 38 ACH Enabled: False 0080415 -IN Power Brush, Board 12" 496.45 11/22/2023 2130-44300-61020 Check Total: 496.45 Vendor: RCMSpeci RCM Specialties Inc Check Sequence: 39 ACH Enabled: False 9341 Emulsion 1,040.13 1122/2023 0101-43100-61125 Check Total: 1,040.13 Vendor: RenkoCon Renko Construction Check Sequence: 40 ACH Enabled: False 231511 Asbestos Insp. Q 2513 & 2511 Bunker Lake Blu 1,750.00 11/222023 4501-49300-63105 Check Total: 1,750.00 Vendor: SchmidtE Elizabeth Schmidt Check Sequence: 41 ACH Enabled: False 2023 Soccer Coach 234.50 11/22/2023 2130-44400-63005 Check Total: 234.50 Vendor: SchmedB Bella Schroeder Check Sequence: 42 ACH Enabled: False 2023 Soccer Coach 38.50 1122/2023 2130-44400-63005 AP -Computer Check Proof List by Vendor (11/22/2023 - 10:08 AlVI) Page 6 Invoice No Description Amount Payment Date Acct Number Reference AP -Computer Check Proof List by Vendor (11/22/2023 - 10:08 AM) Page 7 Check Total: 38.50 Vendor: StockeDa Dayna Stocks Check Sequence: 43 ACH Enabled: False 2023 Soccer Coach 234.50 11/22/2023 2130-44400-63005 Check Total: 234.50 Vendor: SuperVis Superior Vision Insurance Check Sequence: 44 ACH Enabled: False 0000781283 December 2023 Premium 146.53 11/22/2023 0101-00000-21222 0000781283 December 2023 Premium 10.93 11/22/2023 7100-00000-21218 Check Total: 157.46 Vendor: Timesave Timesaver Check Sequence: 45 ACH Enabled: False M28691 City Council Meeting 573.50 11/22/2023 0101-41100-63005 Check Total: 573.50 Vendor: TCPropMt Twin Cities Property Maintenance Inc Check Sequence: 46 ACH Enabled: False 222439 Rental Properties Snow Removal Services 2,014.00 11/22/2023 4520-49300-63010 Check Total: 2,014.00 Vendor: Uline Uline Check Sequence: 47 ACH Enabled: False 170737501 Entry Mat, Waterhog Elite Mat, Bristle Broom & 1,651.26 11/22/2023 2130-44000-61020 Check Total: 1,651.26 Vendor: Verizon Verizon Wireless Check Sequence: 48 ACH Enabled: False 9948267989 Storm Water Pump 25.02 11/22/2023 5300-48300-62030 Check Total: 25.02 Vendor: WidmarkE Erik Widmark Check Sequence: 49 ACH Enabled: False 00038227 Driveway Escrow - 1781 164th Lane NW 600.00 11/22/2023 4140-00000-24201 Check Total: 600.00 Vendor: YatesEll Ella Yates Check Sequence: 50 ACH Enabled: False 2023 Soccer Coach 115.50 11/22/2023 2130-44400-63005 Check Total: 115.50 Vendor: Ziegler Ziegler, Inc. Check Sequence: 51 ACH Enabled: False AP -Computer Check Proof List by Vendor (11/22/2023 - 10:08 AM) Page 7 Invoice No Description Amount Payment Date Acct Number Reference SI000412770 Repairs @ LS#4 for Low Coolant Temp Alarm Check Total: Total for Check Run: Total of Number of Checks: 665.04 11/22/2023 5200-48200-63100 665.04 105,889.99 51 AP -Computer Check Proof List by Vendor (11/22/2023 - 10:08 Alva Page 8 Accounts Payable Computer Check Proof List by Vendor ANL66WR User: BrendaF Printed: 11/30/2023- 1:56PM Batch: 00429.11.2023 Invoice No Description Amount Payment Date Acct Number Reference Vendor: AFLAC AFLAC Check Sequence: I ACH Enabled: False 217938 November 2023 Premium 441.48 11/30/2023 0101-00000-21209 Check Total: 441.48 Vendor: AmazonBu Amazon Capital Services Check Sequence: 2 ACH Enabled: False 17DQ-X3V7-3D73 Disc Brake Caliper Tool 72.47 11/30/2023 610048800-61205 1P9G-6PL6-7Y9P Stickers for Kids 22.57 11/30/2023 2130-44400-61055 IRGP4YPQ-1GNY Toner Cartridge 23.00 11/30/2023 2130-44000-61020 Check Total: 118.04 Vendor: AmEnginT American Engineering Testing Check Sequence: 3 ACH Enabled: False INV -164389 2023 Mill&Overlay - Andover Blvd 1,457.00 11/30/2023 4140-49300-63005 Check Total: 1,457.00 Vendor: Bolton Bolton & Menk, Inc. Check Sequence:4 ACH Enabled: False 0324588 2023 HSIP Funding Application 300.00 11/30/2023 4140-49300-63005 Check Total: 300.00 Vendor: Chemsear Chemsearch Check Sequence: 5 ACH Enabled: False 8459065 Cut-Thru EF Aerosol 302.03 11/30/2023 2130-44000-61020 Check Total: 302.03 Vendor: ChetsSho Chefs Shoes, Inc. Check Sequence: 6 ACH Enabled: False 407128 Safety Boots for Carter Schrippe 200.00 11/30/2023 010143100-61005 Check Total: 200.00 Vendor. CintasGK Cintas Corp Check Sequence: 7 ACH Enabled: False 4174455418 Floor Mat Rental 56.66 11/30/2023 010141910-62200 AP -Computer Check Proof List by Vendor (11/30/2023 - 1:56 PW Page I Invoice No Description Amount Payment Date Acct Number Reference 4175070541 Uniform Cleaning 193.71 11/30/2023 0101-43100-61020 4175070541 Uniform Cleaning 27.69 100/2023 0101-43300-61020 4175070541 Uniform Cleaning 110.66 11/30/2023 0101-45000-61020 4175070541 Uniform Cleaning 27.68 11/30/2023 5100-48100-61020 4175070541 Uniform Cleaning 55.33 11/30/2023 5200-48200-61020 4175070572 Uniform Cleaning & Shop Towels 212.22 11/30/2023 6100-48800-61020 Check Total: 683.95 Vendor: StPaulCi City of St. Paul Check Sequence: 8 ACH Enabled: False IN55884 Asphalt Mix 6,508.71 11/30/2023 010143100-61125 Check Total: 6,508.71 Vendor: CitwdPlu Citywide Plumbing, LLC Check Sequence: 9 ACH Enabled: False 7739 Disconnect & Reconnect 3 Sinks @ FS #3 638.00 11/30/2023 0101-41920-63105 Check Total: 638.00 Vendor: Connex2 Connexus Energy Check Sequence: 10 ACH Enabled: False DMG0001293 Damage to Line 218.30 11/30/2023 5300AS300-63100 Check Total: 218.30 Vendor: Divisi 16 Division 16 Electric, LLC Check Sequence: I1 ACH Enabled: False 8052 WTP Heaters - Replace 2 Fan Motors 1,702.26 11/30/2023 5100-48100-63105 Check Total: 1,702.26 Vendor: ECM ECM Publishers, Inc. Check Sequence: 12 ACH Enabled: False 972738 Andover Advocate - November 145.00 11/30/2023 01OIA6000-63025 974472 Dee 5 PH 2393 135th Ave NW Eas 133.10 11/30/2023 0101-41500-63025 Check Total: 278.10 Vendor: EganSery Egan Service Check Sequence: 13 ACH Enabled: False MNT0000023403 Andover Blvd & Crosstown RR Maim 568.67 11/30/2023 0101-43400-62300 Check Total: 568.67 Vendor: FacMotor Factory Motor Parts Company Check Sequence: 14 ACH Enabled: False 128-Z14490 Battery Core 48.00 11/30/2023 6100-48800-61115 128-Z14709 Batteries for Units #13-94 & #13-91 320.64 11/30/2023 6100-48800-61115 AP -Computer Check Proof List by Vendor (11/30/2023 - 1:56 PM) Page 2 Invoice No Description Amount Payment Date Acct Number Reference AP -Computer Check Proof List by Vendor (11/30/2023 - 1:56 PM) _ Page 3 Check Total: 272.64 Vendor: Grainger Grainger Check Sequence: 15 ACH Enabled: False 9903070838 Dispensing Bottle 68.12 11/30/2023 520048200-61005 Check Total: 68.12 Vendor: Hakanson Hakanson Anderson Assoc., Check Sequence: 16 ACH Enabled: False 51936 Coon Creek Trail Easement 855.00 11/30/2023 417049300-63005 Check Total: 855.00 Vendor: JaniWood Janish Wood Products Check Sequence: 17 ACH Enabled: False 16407 Replace Women & Men's Bath Top @ FS #3 1,825.00 11/30/2023 010141920-63105 Check Total: 1,825.00 Vendor: JRAdvanc JR's Advanced Recyclers Check Sequence: 18 ACH Enabled: False 111737 Appliances, Bulbs & Electronics Recycling 150.00 11/30/2023 010146000-63010 111738 Appliances & Electronics Recycling 780.00 - 11/30/2023 010146000-63010 111739 Appliances & Electronics Recycling 150.00 11/30/2023 010146000-63010 111740 Appliances, Bulbs & Electronics Recycling 542.00 11/30/2023 0101-46000-63010 Check Total: 1,622.00 Vendor: KraabeBr Brian Kraabel Check Sequence: 19 ACH Enabled: False Nov 2023 November 2023 Medical Reimbursement 164.90 11/30/2023 7100-00000-21218 Check Total: 164.90 Vendor: LubrTech Lube -Tech Check Sequence: 20 ACH Enabled: False 3348094 Mobil Grease 707.98 11/30/2023 6100-48800-61020 3363477 Old World BlueDEF Diesel Exba Fluid 555.86 11/30/2023 610048800-61050 Check Total: 1,263.84 Vendor: MauerMai Mauer Main Check Sequence: 21 ACH Enabled: False 5302157 Sensor Kit for R-1 109.33 11/30/2023 610048800-61115 _ Check Total: 109.33 Vendor: Menards Menards Inc Check Sequence: 22 ACH Enabled: False 7215 Tools 39.97 11/30/2023 010141930-61205 7326 Tools 14.46 11/30/2023 010141930-61205 AP -Computer Check Proof List by Vendor (11/30/2023 - 1:56 PM) _ Page 3 Invoice No Description Amount Payment Date Acct Number Reference 7580 Green Treated 6X6- 10' & Cedartone 2X10 - 8' 196.87 11/30/2023 0101-45000-61105 7582 Misc. Supplies 15.04 11/30/2023 2130-44000-61020 7587 Misc. Supplies 17.65 11/30/2023 0101-41930-61120 7626 Storm Blaster Clear &Paint Towel 21.57 11/30/2023 0101-41930-61120 AP -Computer Check Proof List by Vendor (11/30/2023 - 1:56 PM) Page 4 Check Total: 305.56 Vendor: MNEquipn Minnesota Equipment Check Sequence: 23 ACH Enabled: False P53837 Rewind Starter 60.84 11/30/2023 6100-48800-61115 Check Total: 60.84 Vendor: NussTrck Nuss Track & Equipment Check Sequence: 24 ACH Enabled; False PSO059535-1 Parts for Unit 416-209 744.12 11/30/2023 6100-48800-61115 Check Total: 744.12 Vendor: ORc Auto O'Reilly Auto Parts Check Sequence: 25 ACH Enabled: False 3253-373239 Compound for Unit #16-209 56.80 11/30/2023 6100-48800-61115 3253-374166 Air Filter 15.83 11/30/2023 6100-48800-61115 3253-375195 Oil & Fuel Filters 66.38 11/30/2023 610048800-61115 3253-375414 Comprs Oil 48.97 11/30/2023 610048800-61115 3253-375448 Comprs Oil for Unit #2200-01 24.99 11/30/2023 6100-48800-61115 3253-375448 Funnel & Cleaner 20.48 11/30/2023 6100-48800-61020 Check Total: 233.45 Vendor: OxySvcCo Oxygen Service Company Check Sequence: 26 ACH Enabled: False 0003568153 Cylinders 70.64 11/30/2023 610048800-61020 Check Total: 70.64 Vendor: Plunkett Plunketfs Pest Control, Inc. Check Sequence: 27 ACH Enabled: False 8315393 Pest Control @ City Hall 136.28 11/30/2023 0101-41910-63010 8315394 Pest Control @ Public Works 136.28 11/30/2023 0101-41930-63010 8315435 Pest Control @ Comm Ctr 76.15 11/30/2023 2130-44000-63010 8316055 Pest Control @ Vehicle Maint 136.28 11/30/2023 6100-48800-63010 8316056 Pest Control @ Cold Storage 136.28 11/30/2023 0101-41940-63010 8316061 Pest Control @ WTP 136.50 11/30/2023 5100-48100-63010 Check Total: 757.77 Vendor: RDOEquip ROO Equipment Check Sequence: 28 ACH Enabled: False P0919470 Parts for Unit#509 31.36 11/30/2023 610048800-61115 AP -Computer Check Proof List by Vendor (11/30/2023 - 1:56 PM) Page 4 Invoice No Description Amount Payment Date Acct Number Reference P0937670 Parts for Unit #509 33.88 11/30/2023 610048800-61115 Vendor: Verizon Check Total: 65.24 Check Sequence: 32 ACH Enabled: False Vendor: RedpathC Redpath and Company Service 330.11 11/30/2023 Check Sequence: 29 ACH Enabled: False 150481307 Federal Single Audit for Year End 2022 5,960.00 162.48 11/30/2023 251046500-63005 9949157382 Check Total: 5,960.00 293.38 11/30/2023 2130-44000-62030 Vendor: SafeFast Safe -Fast, Inc. Service 52.63 11/30/2023 Check Sequence: 30 ACH Enabled: False INV283174 Jackets, Mesh Vest & Sweatshirts 178.31 296.79 11/30/2023 010142300-61005 INV283174 Jackets, Mesh Vest & Sweatshirts 298.99 57.63 11/30/2023 010141600-61005 TNV283174 Jackets, Mesh Vest & Sweatshirts 894.93 832.72 11/30/2023 010143100-61020 INV283174 Jackets, Mesh Vest & Sweatshirts 894.93 88.45 11/30/2023 010145000-61020 INV283174 Jackets, Mesh Vest & Sweatshirts 357.97 491.66 11/30/2023 520048200-61005 INV283174 Jackets, Mesh Vest & Sweatshirts 357.97 204.93 11/30/2023 610048800-61020 9949157382 Check Total: 2,983.10 81.24 11/30/2023 010143300-62030 Vendor: SchroedM Mark & Kayla Schroeder Service 377.06 11/30/2023 Check Sequence: 31 ACH Enabled: False 2022-02715 Pool Escrow- 16826 Inca Street NW 1,500.00 130.94 11/30/2023 0101-00000-24217 9949157382 Check Total: 1,500.00 311.27 11/30/2023 510048100-62030 Vendor: Verizon Verizon Wireless Check Sequence: 32 ACH Enabled: False 9949157382 Monthly Cell Phone Service 330.11 11/30/2023 010141200-62030 9949157382 Monthly Cell Phone Service 162.48 11/30/2023 010142300-62030 9949157382 Monthly Cell Phone Service 293.38 11/30/2023 2130-44000-62030 9949157382 Monthly Cell Phone Service 52.63 11/30/2023 010141500-62030 9949157382 Monthly Cell Phone Service 296.79 11/30/2023 010141600-62030 9949157382 Monthly Cell Phone Service 57.63 11/30/2023 010141400-62030 9949157382 Monthly Cell Phone Service 832.72 11/30/2023 0101-42200-62030 9949157382 Monthly Cell Phone Service 88.45 11/302023 010141420-62030 9949157382 Monthly Cell Phone Service 491.66 11/30/2023 010145000-62030 9949157382 Monthly Cell Phone Service 204.93 11/30/2023 520048200-62030 9949157382 Monthly Cell Phone Service 81.24 11/30/2023 010143300-62030 9949157382 Monthly Cell Phone Service 377.06 11/30/2023 010143100-62030 9949157382 Monthly Cell Phone Service 130.94 11/30/2023 610048800-62030 9949157382 Monthly Cell Phone Service 311.27 11/30/2023 510048100-62030 9949157382 Monthly Cell Phone Service 46.23 11/302023 010141910-62030 Check Total: 3,757.52 Vendor: WellsFar Wells Fargo Bank Check Sequence: 33 ACH Enabled: False AP -Computer Check Proof List by Vendor (11/30/2023 - 1:56 PM) Page 5 Invoice No Description Amount Payment Date Acct Number Reference Council Workshop 83.96 11/30/2023 0101-41100-61310 Laptop Software 21.61 11/30/2023 0101-41200-61325 Carpet Adhesive & Econ Trowel 43.23 11/30/2023 0101-41910-61120 Lodging for Conference 594.22 11/30/2023 0101-42200-61310 Certified Phenix TL2 Helmet 1,270.45 11/30/2023 0101-42200-61305 Meals for Conference 59.28 11/30/2023 0101-42200-61310 Coat & Bibs 263.49 11/30/2023 5200-48200-61005 Misc. Supplies 891.78 11/30/2023 0101-42200-61020 Meals for Conference/Meeting & Logding for G 862.97 11/30/2023 0101-42200-61310 Misc. Supplies 518.37 11/30/2023 2130-44000-61020 Misc. Supplies 74.37 11/302023 2130-44400-61020 CALL -EM -ALL Subscription 39.00 11/30/2023 0101-43200-61325 Pop 77.76 11/30/2023 7100-00000-24208 Membership Dues 299.00 11/30/2023 010141420-61320 Dell Desktop Computer 729.99 11/30/2023 010141420-61210 All Staff Meeting 51.96 11/302023 0101-41200-61310 Misc. Supplies 1,573.00 11/30/2023 213044400-61020 Misc. Supplies 790.90 11/30/2023 2130-44000-61020 WHENIWORK Dues 70.00 11/302023 2130-44000-61320 Registration for Conference 549.00 11/30/2023 0101-43100-61315 Misc. Supplies 410.95 11/30/2023 010143100-61020 Tools 80.58 11/302023 0101-41600-61205 Registration for Conference 130.00 11/302023 010141600-61315 Lunch Meeting 51.24 11/30/2023 0101-41600-61310 Lodging -15.46 11/30/2023 010141600-61310 Lodging -15.46 11/30/2023 5100-48100-61310 Check Total: 9,506.19 Total for Check Run: 45,541.80 Total of Number of Checks: 33 AP -Computer Check Proof List by Vendor (11/30/2023 - 1:56 PM) Page 6 Accounts Payable Bolton & Menk, Inc. Vendor: CDI Computer Check Proof List by Vendor Check Sequence: 1 ACH Enabled: False ?CN66WR User: Brenda0 p-3 12/05/2023 Printed: 11/30/2023 - 2:42PM 0324593 Red Oaks War Cont flea 2149 Batch: 00405.12.2023 12/05/2023 4110-49300-63005 Invoice No Description Amount Payment Date Acct Number Reference Vendor: Bolton Bolton & Menk, Inc. Vendor: CDI CDI Check Sequence: 1 ACH Enabled: False 0324589 AM Improve - Crosstown Blvd 609.50 12/05/2023 4110-49300-63005 0324593 Red Oaks War Cont flea 2149 21,006.50 12/05/2023 4110-49300-63005 0324595 WM Improve - Crosstown Blvd 11,464.50 12/05/2023 4110-49300-63005 Check Total: Vendor: MNDOH Minnesota Department of Health 1020034 2023 4th Qtr Connection Fee 33,080.50 Check Sequence: 2 ACH Enabled: False 15,980.00 12/05/2023 010141420-62305 15,980.00 Check Sequence: 3 ACH Enabled: False 11,033.16 12/05/2023 0101-43200-61105 11,033.16 Check Total: Vendor: CDI CDI 58702 Laserfiche Support & Updates Final Traf Sign Check Total: Vendor: HopeHave Hope Haven, Inc. CI -007685 48" Lath -Painted Check Total: Vendor: MNDOH Minnesota Department of Health 1020034 2023 4th Qtr Connection Fee 33,080.50 Check Sequence: 2 ACH Enabled: False 15,980.00 12/05/2023 010141420-62305 15,980.00 Check Sequence: 3 ACH Enabled: False 11,033.16 12/05/2023 0101-43200-61105 11,033.16 Check Total: Vendor: LGAAnd LGA Andover LLC Final Traf Sign FinalTraffic Signal - 7th & 143rd Ave Final Traf Sign FinalTraffic Signal - 7th & 143rd Ave Final Traf Sign FinalTraffic Signal - 7th & 143rd Ave Final Tmf Sign FinalTraffic Signal - 7th & 143rd Ave Final Traf Sign FinalTraffic Signal - 7th & 143rd Ave Check Total: Vendor: MNDOH Minnesota Department of Health 1020034 2023 4th Qtr Connection Fee 33,080.50 Check Sequence: 2 ACH Enabled: False 15,980.00 12/05/2023 010141420-62305 15,980.00 Check Sequence: 3 ACH Enabled: False 11,033.16 12/05/2023 0101-43200-61105 11,033.16 Check Total: 17,279.00 Vendor: NoValley Check Sequence: 4 ACH Enabled: False 1,250.00 12/05/2023 7200-00000-24203 876.50 12/05/2023 7200-00000-24209 -33,921.18 12/05/2023 4140-00000-24203 5,363.05 12/05/2023 4140-49300-63010 101,249.24 12/05/2023 4140-00000-23201 74,817.61 Check Sequence: 5 ACH Enabled: False 17,279.00 12/05/2023 510048100-63050 AP -Computer Check Proof List by Vendor (11/30/2023 - 2:42 PM) Page I Check Total: 17,279.00 Vendor: NoValley North Valley, Inc. Check Sequence: 6 ACH Enabled: False Final Payment 2023 Street Reconstruction 8,901.61 12/05/2023 4703-49300-63010 Final Payment 2023 Full Depth Reclamation 31,973.51 12/05/2023 4703-49300-63010 AP -Computer Check Proof List by Vendor (11/30/2023 - 2:42 PM) Page I Invoice No Final Payment Description Amount 2023 Curb/Sidewalk/Ped Ramps 606.37 Check Total: 41,481.49 Total for Check Run: 193,671.76 Total of Number of Checks: Payment Date Acct Number 12/05/2023 4140-49300-63010 Reference AP -Computer Check Proof List by Vendor (11/30/2023 - 2:42 PM) Page 2 "-' 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Councilmembers CC: Jim Dickinson, City Admini FROM: Lee Brezinka, Finance Manager SUBJECT: Order Replacement Rooftop Units at City Hall DATE: December 5, 2023 INTRODUCTION As part of the 2024 — 2028 Capital Improvement Plan, the second half of the roof top units at City Hall are planned for replacement in 2024. DISCUSSION These rooftop units are scheduled for replacement in 2024. Over the last two years there have been numerous breakdowns. Budget for the replacement in 2024 is $112,000 and bids are: UHL Company $83,335 Riccar $89,800 Corval declined BUDGETIMPACT Staff is recommending using UHL Company, our HVAC preventative maintenance contractor, to replace the existing units. Funds are available for this project in the Building Capital Projects Fund. ACTION REQUESTED The Andover City Council is requested to approve ordering the replacement units in 2023 with replacement in 2024 by UHL Company. Respectfully submitted, /ol� Lee Brezink A W^�(Dq ,Lb 6 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Council Members CC: Jim Dickinson, City Administraua r David Berkowitz, Director of P 'lic orks/City Engineer -1511-1 FROM: Jason Law, Assistant City Engineer SUBJECT: Approve Change Order 41 / 23-23, Fire Station #2 Parking Lot Reconstruction — Engineering DATE: December 5, 2023 INTRODUCTION The City Council is requested to approve Change Order #1 for Project 23-23, Fire Station #2 Parking Lot Reconstruction. DISCUSSION To correct an existing drainage issue in the Fire Station #2 driveway entrance, modifications were made to the construction plans. This included elimination of a culvert replacement under the driveway and incorporation of a concrete valley gutter and associated grading north of the driveway. BUDGETIMPACT The modifications to the plans as described above resulted in a net increase of $2,950.41 to the original contract amount. COUNCIL ACTION The City Council is requested to approve Change Order 91 for Project 23-23, Fire Station 42 Parking Lot Reconstruction. Respectfully submitted, &onJ. aw, P.E. Attach: Resolution & Change Order #1✓ CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. MOTION by Councilmember to adopt the following: A RESOLUTION APPROVING CHANGE ORDER #1 TO PROJECT NO. 23-23, FIRE STATION #2 PARKING LOT RECONSTRUCTION. WHEREAS, the City of Andover has a contract for Project No. 23-23, Fire Station #2 Parking Lot Reconstruction with Douglas -Kerr Underground, LLC of Mora. MN. NOW THEREFORE, BE IT RESOLVED by the City Council of Andover to hereby approve the change order #1 to Project No. 23-23. Adopted by the City Council of the City of Andover this 5'h day of December .2023. CITY OF ANDOVER ATTEST: Sheri Bukkila - Mayor Michelle Hartner — Deputy City Clerk Change Order No.: C l "1' ]' O 1' NDOVE CHANGE ORDER Date: 11/20/23 Project Name: Fire Station #2 Parking Lot Reconstruction Project No.: 23_23 Contractor: Douglas -Kerr Underground, Inc. Sheet: I of 2 You are hereby directed to make the following change to your contract dated June 6th, 2023. The change and the work affected thereby is subject to all contract stipulations and covenants. This change order will (increase) (deerease) (He- shange) the contract sum by _one thousand nine hundred forty eight and 11/100_ Dollars ($1,948.11). This change order included eliminating from the original contract replacement of a storm sewer culvert and catch basin and instead constructing a concrete valley gutter at the north driveway entrance, along with associated ditch grading and excavation work. Refer to the attached spreadsheet for a breakdown of eliminated and added pay items and quantities. This Change Order provides for the following extra work with associated revised contract amount: Description Increase'^-----` Eliminate 18" HDPE culvert, CS Safety Apron, and Drainage Structure ($15,469.00) Add 8" concrete valley gutter, Common Exc, Topsoil, Blanket, Seed, Fert. $18,419.41 Total Amount of Change Order $2,950.41 Amount of Original Contract $456,899.95 Additions Approved to Date (Change Order $0.00 Deductions Approved to Date (Chage Order # $0.00 Contract Amount to Date $456,899.95 Amount of this Change Order (Add"Peduet` Pie Change) $2,950.41 Revised Contract Amount $459,850.36 Approval: City of Andover Approval: Douglas -Kerr Underground, Inc. By. David D. Berkowitz Name Director of PW / City Engineer Title Signature Date 23-23 Change Orderl-DRAFT By: �e n:F Lowe ldr Name �f�4nw NY/ Title /I �-f• J� Signature Date Fire Station 92 Parking Lot Reconstruction CHANGE ORDER #1 Fire Station #2 Parking Lot Reconstruction (C.P. 23-23) - CHANGE IN CONTRACT PRICE CO #1 Line Item Item Code Item Description UofM Quantity Douglas -Kerr Underground Unit Price Extension 109 2105.607 Common Excavation (EV) - Exported CY 238.86 $42.80 $10,223.21 116 2501.502 18" CS Safety Apr & Grate Des 3128 EA (1) $3,454.00 ($3,454.00) 117 2503.603 18" HDPE Pipe Sewer LF (160) $51.40 ($8,224.00) 119 2506.602 Construct Drainage Structure, Nyloplast EA (1) $3,791.00 ($3,791.00) 124 2531.504 8" Concrete Driveway Pavement Sy 16.1 $142.00 $2,286.20 2574.507 Loam Topsoil Borrow(LV) CY 90.0 $39.00 $3,510.00 2575.504 Erosion Control Prevention Cat 20 w/Seed &Fertilizer SY 800 $3.00 $2,400.00 C.P. 23-23 Totals - CO #1 $2,950.41 Fire Station #2 Parking Lot Reconstruction (C.P. 23-23) - PAYMENT CO #1 Line Item Item Code Item Description UofM Quantity Douglas -Kerr Underground Unit Price Extension 109 2105.607 Common Excavation(EV)- Exported CY 238.86 $42.80 $10,223.21 124 2531.504 8" Concrete Driveway Pavement Sy 16.1 $142.00 $2,286.20 C01-1 2574.507 Loam Topsoil Borrow (LV) CY 90 $39.00 $3,510.00 COI -2 2575.504 Erosion Control Prevention Cat 20 w/Seed & Fertilizer SY 800 $3.00 $2,400.00 C.P. 23-23 Totals - CO #1 $18,419.41 Notes: 109 Added S7.50/CY to original bid price of $35.30 / CY to export material and dispose of off-site. C01-1 $39/ CY 0) Per Douglas -Kerr email 9/25/23 COI -2 $3/SY Per Douglas -Kerr email 9/25/23 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.AN DOVE RM N. GOV 0 TO: Mayor and Council Members CC: Jim Dickinson, City Administrator FROM: David D. Berkowitz, Director of ublic rks/City Engineer SUBJECT: Approve Purchase Agreement & E nt/23-13, WM Improvements - Crosstown Blvd. NW (RR Tracks to 15 th Ave. NW) - Andover Blvd. NW (Vale St. NW to Prairie Rd. NW) - Prairie Rd. NW (Andover Blvd. NW to 157`h Ave. NW) & 23-12A, Crosstown Blvd. NW Trail - Xeon St. NW to Prairie Rd. NW - Engineering DATE: December 5, 2023 The City Council is requested to approve the attached purchase agreements & roadway, trail and drainage and utility easements for Projects 23-13, WM Improvements - Crosstown Blvd. NW (RR Tracks to 158`h Ave. NW) - Andover Blvd. NW (Vale St. NW to Prairie Rd. NW) - Prairie Rd. NW (Andover Blvd. NW to 157`h Ave. NW) & 23-12A, Crosstown Blvd. NW Trail - Xeon St. NW to Prairie Rd. NW. DISCUSSION As part of a proposed sanitary sewer, water main extension and future trail that is identified for construction in 2024 and 2025 respectfully, easements have been secured along the corridor as part of the project development process and with the approval of the attached purchase agreements and easements at 888, 928 and 968 Crosstown Blvd. NW the projects can be designed for construction. BUDGETIMPACT The purchase of the roadway, trail and drainage and utility trail easements (Total for all 3 easements $89,660.00) will be funded by the City's Sanitary Sewer and Water Trunk Funds. ACTION REQUIRED The City Council is requested to approve the purchase agreement & roadway, trail and drainage and utility easements for Projects 23-13, WM Improvements - Crosstown Blvd. NW (RR Tracks to 1581h Ave. NW) - Andover Blvd. NW (Vale St. NW to Prairie Rd. NW) - Prairie Rd. NW (Andover Blvd. NW to 157`h Ave. NW) & 23-12A, Crosstown Blvd. NW Trail - Xeon St. NW to Prairie Rd. NW. Respectfully submitted, David D. Berkowitz / Attachments: Location Map, Purchar"greements & Permanent Roadway, Trail and Drainage and Utility Easements N bu VE O 4 0'�. t O f>• i,-- 157TH AVE 1 i 888 1 % CROSSTOWN — _ 928 BLVD fit, r CROSSTOWN IPJ BLVD 4LLJ f 968 'z CROSSTOWN �`--�} ` -jfY BLVD i w ,r; T �. ♦fly{ - � f � d ♦ �• ry� -4 _ -D AN F saTH i_n lila. �.� 01 R3 R1, MP O at-IComnm W rrap.maenaca f«mQhWe a..o &thed mapgnh9raae 0 Parcels Waterbody c i t r o r 6a notmMeaab.WecmmWm A.Easement DOVER does not n claim Mat the .; ® Park aep rre«e ly-`eekic-la a .eamao 1iabi1iry�` 0 250 500 Feet Acquisition Incorporated 1974 1 i 1 Pa M: H:�GISSWoMnglPmje %Engine ngIMetin9MapslM..UMM805.a0n, paw Exported: 11139/202312:59 PM Andover GIS PURCHASE AGREEMENT 1. PARTIES. This Purchase Agreement (this "Agreement") is made by and between Zachary Akers, a single individual ("Seller"), having an address for notices of 888 Crosstown Boulevard NW, Andover, MN 55304, and the City of Andover ("Buyer"), a Minnesota municipal corporation having an address for notices of 1685 Crosstown Boulevard, N.W., Andover, MN 55304, and is effective as of the date last signed by a parry to this Agreement. 2. OFFER/ACCEPTANCE. Subject to the terms and conditions of this Agreement, Buyer agrees to purchase and Seller agrees to sell a permanent easement for roadway, trail, drainage and utility purposes including, without limitation, the construction, maintenance, and repair thereof, and uses incident thereto, in, under, over and upon the real property, in Anoka County, Minnesota described as set forth in Exhibit A attached hereto which is incorporated herein by reference. Total area of easement = 22,145 square feet (the "Property") Total area of compensable easement = 14,332 square feet ("Compensable Easement Area") 3. PRICE AND TERMS. Buyer shall acquire the Property from Seller, the price of which shall be based upon the Compensable Easement Area multiplied by $2.50/sq. ft. for a total Purchase Price of Thirty -Five Thousand Eight Hundred Thirty and 00/100 Dollars ($35,830.00) (the "Purchase Price"), which Buyer shall pay in cash or other immediately available funds on the "Document Execution Date" (defined below). 4. CONTINGENCIES TO BUYER'S OBLIGATION TO PURCHASE THE PROPERTY. Buyer's obligation to purchase the Property is contingent upon satisfaction, or waiver by Buyer, of each of the following conditions. If Buyer so notifies Seller that any such contingency to Buyer's obligation to purchase the Property has not been satisfied, Buyer may cancel this Agreement and neither Seller nor Buyer shall have any further rights or obligations under this Agreement except for obligations (the "Surviving Obligations") which expressly survive the termination of this Agreement or the Document Execution Date. (a) Seller shall provide a marketable title to the Buyer, lien, judgment and mortgage free. (b) Seller hereby authorizes Buyer, at Buyer's sole risk, to enter the Property to determine the adequacy of the Property for its intended uses. (c) Buyer shall be satisfied with the matters disclosed by any survey of the Property obtained by Buyer at Buyer's expense. (d) Seller shall execute and deliver to Buyer, no later than the Document Execution Date, a Permanent Roadway, Trail, Drainage & Utility Easement in substantial conformity with that attached hereto as Exhibit B. (e) The representations and warranties made by Seller in Section 8 shall be correct as of the Document Execution Date with the same force and effect as if such representations were made at such time. (f) Formal approval of this transaction by the Andover City Council at a scheduled Andover City Council meeting. 5. EXECUTION OF DOCUMENTS. Except as otherwise expressly provided in this Agreement, execution of the documents contemplated by this Agreement shall occur at Andover City Hall on-:rNovember Z�€' 2023 at f :vo �.m., or such other date and time as shall be mutually accept le to Seller and Buyer ("Document Execution Date"). Seller shall execute in recordable form and deliver a Permanent Roadway, Trail, Drainage & Utility Easement (collectively the "Easement'), conveying a permanent easement, and shall execute and deliver such other and fiu-ther documents as reasonably shall be required to consummate the transaction contemplated by this Agreement. At the execution of the documents, Buyer shall pay the Purchase Price in cash or other immediately available funds and shall execute and deliver such documents as reasonably shall be required to consummate the transaction contemplated by this Agreement. Buyer shall pay all costs associated with recording of the documents contemplated by this Agreement. 6. CONDITION OF PROPERTY. Seller shall remove from the Property before the completion of the Document Execution Date all debris and personal property not included in the purchase of the Property. 7. BROKERAGE. Buyer and Seller represent that neither party is represented by a real estate agent or broker and no brokerage commissions are due any third parties as a result of this transaction. 91 REPRESENTATIONS AND WARRANTIES OF SELLER. Seller represents and warrants to and covenants with Buyer that: (a) Seller is the owner of fee simple title to the Property; Seller has the power and authority to enter into and perform the terms and conditions of this Agreement, and such performance will not conflict with or result in a breach of any of the terms, conditions or provisions of any agreement or instrument to which Seller is a parry or by which it is bound, or constitute a default under any of the foregoing; and this Agreement is valid, binding and enforceable against Seller in accordance with its terms. (b) Seller has not received any notice of, and Seller is not aware of, any violation of any law, municipal ordinance or other governmental requirement affecting the Property, including without limitation any notice of any fire, health, safety, building, pollution, environmental or zoning violation, but specifically excluding any such ordinance of Buyer, as to which Buyer has knowledge at least equal to that of Seller. (c) Seller has not received any written notice of any condemnation or eminent domain proceedings, or negotiations for purchase in lieu of condemnation, relating to the Property, or any portion thereof; and Seller has no actual knowledge that any condemnation or eminent domain proceedings have been commenced or threatened in connection with the Property or any portion thereof. (d) (1) To Seller's knowledge, the Property (A) is not subject to any private or governmental lien or judicial or administrative notice, order or action relating to Hazardous Substances or environmental problems, impairments or liabilities with respect to the Property, and (B) to Seller's knowledge, neither Seller nor the Property is in, or with any applicable notice and/or lapse of time, and/or failure to take certain curative or remedial actions, will be in, violation of any Environmental Laws (as herein defined). (2) Seller shall not, prior to the Document Execution Date, cause or acquiesce in any Hazardous Substances to exist or be stored, generated, used, located, discharged, released, possessed, managed, processed or otherwise handled on the Property in violation of any Environmental Laws, and shall comply with all Environmental Laws affecting the Property. (3) Seller shall promptly notify Buyer should Seller become aware of (A) any environmental problem or liability with respect to the Property, (B) any lien, order, action or notice of the nature described in subparagraph (1) above, or (C) any litigation or threat of litigation relating to any alleged unauthorized release, discharge, generation, use, storage or processing of any Hazardous Substance or the existence of any Hazardous Substance or other environmental contamination, liability or problem with respect to or arising out of or in connection with the Property. As used herein, "Hazardous Substances" means any matter giving rise to liability under the Resource Conservation and Recovery Act, 42 U.S.C. Section 6901 et sea., the Comprehensive Environmental Response, Compensation and Liability Act, 42 U.S.C. Sections 9601 et sea. (including the so-called "Superfund" amendments thereto), or other applicable federal, state or local statute, law, ordinance, rule or regulation governing or pertaining to any hazardous substances, hazardous wastes, chemicals or other materials, including without limitation asbestos, polychlorinated biphenyls, radon, petroleum and any derivative thereof, or any common law theory based on nuisance or strict liability (all of the foregoing statutes, laws, ordinances, rules, regulations and common law theories are sometimes collectively referred to as "Environmental Laws"). (e) No litigation or proceedings are pending or, to Seller's knowledge, contemplated, threatened or anticipated, relating to the Property or any portion thereof. (f) Seller has no knowledge of any unrecorded agreements, undertakings or restrictions which affect the Property. There are no other tenants, persons or entities occupying any portion of the Property, and to Seller's knowledge no claim exists against any portion of the Property by reason of adverse possession or prescription. 3 (g) Seller warrants that there has been no labor or material furnished to the Property on behalf of or at the request of Seller in the past 120 days for which payment has not been made. Seller warrants that there are no present violations of any private contractual restrictions relating to the use or improvement of the Property. If, prior to the Document Execution Date, Seller obtains knowledge of a fact or circumstance the existence of which would constitute a breach by Seller of its representations and warranties hereunder or would render any such representations and warranties materially untrue or incorrect, Seller shall promptly notify Buyer in writing of the same. Under said circumstances, and in addition to any other right or remedy that may be available to Buyer, Buyer, at its option, may terminate this Agreement by notice to Seller prior to completion of the Document Execution Date. If Buyer timely gives such notice, neither Seller nor Buyer shall have any further rights or obligations under this Agreement except for the Surviving Obligations, and the earnest money paid herein shall be refunded to Buyer. All representations, warranties, covenants, indemnities and undertakings made herein shall be deemed remade as of the Document Execution Date, shall be true and correct as of the Document Execution Date, shall be deemed to be material and to have been relied upon by Buyer notwithstanding any investigation or other act of Buyer heretofore or hereafter made, and shall survive for a period of twelve (12) months after the Document Execution Date. 9. REPRESENTATIONS OF BUYER. Buyer represents and warrants to and covenants with Seller that: (a) Subsequent to conveyance of the Property from Seller to Buyer, Buyer shall remove up to five (5) dead trees that are within five (5) feet south of the Property. (b) Plant up to five (5), two (2) inch in diameter by six (6) foot in height trees, with the species and placement in locations mutually agreeable to the parties. 10. POSSESSION. Seller shall deliver possession of the Property not later than the Document Execution Date. 11. EXANUNATION OF TITLE. Title examination will be conducted as follows: A. Seller's Title Evidence. Buyer shall have the right, at its sole expense, to obtain a commitment (the "Title Commitment") for an ALTA Form B Owner's Policy of Title Insurance, certified to date to include proper searches covering bankruptcies, State and Federal judgments and liens, issued by a title insurance company acceptable to Buyer in its reasonable judgment, committing the title insurer to insure Buyer's title to the Property deleting standard exceptions and including affirmative insurance regarding zoning, contiguity, appurtenant easements and such other matters as may be identified by Buyer, with policy limits in the amount of the Purchase Price. 10 B. Buyer's Objections. Buyer shall be allowed thirty (30) business days after receipt of the Title Commitment for examination of title and making any objections, which shall be made in writing or deemed waived. 12. TITLE CORRECTIONS AND REMEDIES. Within five (5) business days after its receipt of Buyer's written title objections, Seller shall notify Buyer of Seller's intention as to making the title marketable. Liens or encumbrances for liquidated amounts which can be released by payment or escrow from the sale proceeds shall not delay the Document Execution Date and need not be timely objected to by Buyer. Cure of the defects by Seller shall be reasonable, diligent, and prompt. Pending correction of title, all payments required herein and the Document Execution Date shall be postponed. A. If notice is given and Seller elects not to make the title marketable, Seller shall so notify Buyer of its intention. Upon receipt by Buyer of Seller's notification that it has elected not to make title marketable, Buyer shall have the right to waive its objections to title or make the title marketable, at its sole cost, and shall notify Seller of its intentions within ten (10) days of receipt of Seller's notification. Upon Buyer making title marketable, the Document Execution Date shall proceed on a date subsequent to title being made marketable by Buyer and mutually agreed to between the parties. If neither party elects to make title marketable, this Agreement shall immediately and automatically terminate. B. If notice is given and Seller makes title marketable within thirty (30) days after Seller's receipt of Buyer's title objections, then upon presentation to Buyer of documentation establishing that title has been made marketable, and if not objected to in the same time and manner as the original title objections, the Document Execution Date shall take place within ten (10) business days or on the scheduled Document Execution Date, whichever is later. C. If title is marketable, or is made marketable as provided herein, and Buyer defaults in any of the agreements herein, Seller may, as its sole remedy, cancel this Agreement. D. If title is marketable, or is made marketable as provided herein, and Seller defaults in any of the agreements herein, Buyer may cancel this Agreement, or may sue Seller for specific performance or for damages for breach of this Agreement and its costs and reasonable attorneys' fees provided such action is commenced not later than six (6) months after such cause of action arose. TIME IS OF THE ESSENCE FOR ALL PROVISIONS OF THIS CONTRACT. 13. NOTICES. All communications, demands, notices or objections permitted or required to be given or served under this Agreement shall be in writing and, except as otherwise expressly provided in this Agreement, shall be deemed to have been duly given or served on the earliest to occur of. when delivered in person to the other party or its duly authorized agent; or one (1) business day after delivery to a same-day or overnight prepaid courier service; or two (2) business days after deposit with the United States Postal Service, postage prepaid, certified or registered mail, return receipt requested, in each case addressed to the other parry at the address set forth at the beginning of this Agreement. Either party may change its address by giving at least ten (10) days' notice of such change to the other parry. 14. AMENDMENT. The parties may amend this Agreement only by a written agreement of the parties that identifies itself as an amendment to this Agreement. 15. SELLER'S DISCLOSURES. Buyer hereby acknowledges that the sale and purchase contemplated by this Agreement is exempt from the disclosure requirements of Minnesota Statutes Sections 513.52 to 513.60. 16. SUCCESSORS OR ASSIGNS. The terms, conditions, covenants, and agreements of this Agreement extend to and are binding upon Seller, Buyer, and their respective heirs, administrators, executors, legal representatives and permitted successors, subtenants, and assigns, if any, and upon any person or entity coming into ownership or possession of any interest in the Property by operation of law or otherwise. 17. THIRD -PARTY BENEFICIARIES. This Agreement does not and is not intended to confer any rights or remedies upon any person or legal entity other than the signatories. 18. WAIVER OF JURY TRIAL. EACH PARTY KNOWINGLY, VOLUNTARILY, AND INTENTIONALLY WAIVES ITS RIGHT TO A TRIAL BY JURY TO THE EXTENT PERMITTED BY LAW IN ANY ACTION OR OTHER LEGAL PROCEEDING ARISING OUT OF OR RELATING TO THIS AGREEMENT AND THE TRANSACTIONS IT CONTEMPLATES. THIS WAIVER APPLIES TO ANY ACTION OR OTHER LEGAL PROCEEDING, WHETHER SOUNDING IN CONTRACT, TORT, OR OTHERWISE. EACH PARTY ACKNOWLEDGES THAT IT HAS RECEIVED, OR HAS HAD THE OPPORTUNITY TO RECEIVE THE ADVICE OF COMPETENT COUNSEL RELATIVE TO THIS TRANSACTION. 19. MINNESOTA LAW. This contract shall be governed by the laws of the State of Minnesota. The undersigned agrees to sell the Property for the Purchase Price and on the terms and conditions set forth above. SELLER: Date: C ( Z� ZQZ3" Zachary Akers Date: Date: The City of Andover agrees to buy the Property for the Purchase Price and on the terms and conditions set forth above THE CITY OF ANDOVER By: Sheri Bukkila Its: Mayor By: Michelle Hartner Its: Deputy City Clerk EXHIBIT A (to Purchase Agreement) r' r" FXHIRIT A NORTHEAST SECTION 23-32-24 of 3 eF"G o 0 563$ S64 0", r r r t rL 00 O 6JPP��Q- 0 60 SURVEYOR'S NOTES: SCALE IN FEET 1. This survey was performed, and the survey map prepared, without benefit of either a title \ insurance commitment or an attorney's title opinion. The record boundary and easement information (if any) shown hereon is based on information provided by the client. Research of documents affecting title to the property surveyed or adjoining properties has been limited to a cursory review of record information and it is recommended that all title matters affecting this property and survey be reviewed by an attorney or other title professional. 2. Bearings shown on this survey assume the east line of the Northeast Quarter of the Northeast Quarter bears South 00 degrees 03 minutes 26 seconds West. 3. Distances are in feet. ©Bolton & Menk, Inc. 2023, All Rights Reserved AREA Ll LNORTHWESTERLY OF LINE ACONTAICONTAINING EASEMENT EXHIBIT APPROXIMATELY 7,813 SQ. FT.+/- 888 CROSSTOWN BOULEVARD NW, ANDOVER AREA LYING SOUTHEASTERLY OF I ® BOLTON LINE A CONTAINING APPROXIMATELY 14,332 SQ. FT. +/- & MEN K PROPOSED DESCRIPTION: A perpetual roadway, trail, drainage and utility easement over, under and across that part of the Northeast Quarter of the Northeast Quarter of Section 23, Township 32, Range 24, Anoka County, Minnesota described as follows: Commencing at the Northeast corner of said Section 23; thence South 58 degrees 52 minutes 30 seconds West along the approximate centerline of County State Aid Highway No. 18 a distance of 983.77 feet to the actual point of beginning of the tract of land to be hereby described; thence North 58 degrees 52 minutes 30 seconds East along said Centerline a distance of 369.91 feet; thence South 31 degrees 07 minutes 30 seconds East a distance of 268.49 feet; thence South on a line having a bearing of North and South a distance of 373.35 feet and being parallel with the East line; thence West on a line having a bearing of East and West a distance of 206.67 feet, more or less, to the point of intersection with a line drawn South 31 degrees 07 minutes 30 seconds East from the point of beginning; thence North along said line to the point of beginning a distance of 481.26 feet, lying northwesterly of the following described line: Commencing at the northeast corner of said Northeast Quarter of the Northeast Quarter; thence on an assumed bearing of South 00 degrees 03 minutes 26 seconds West, along the east line of said Northeast Quarter of the Northeast Quarter, a distance of 70.08 feet; thence South 58 degrees 56 minutes 38 seconds West, a distance of 572.59 feet to the point of beginning of the line to be described; thence continuing South 58 degrees 56 minutes 38 seconds West, a distance of 380.00 feet and there terminating. SURVEYOR'S CERTIFICATION I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that I am a duly Licensed Lan urveyor under the laws of the State of Minn 11/29/2023 esot. ndrew Hill Date License Number 57632 MN 55304 SUITE 206 RAMSEY, MN 55303 (763) 433-2851 NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 23, TOWNSHIP 32, RANGE 24, ANOKA COUNTY, MINNESOTA FOR: CITYOFANDOVER JOB NUMBER: OR1.132023 FIELD BOOK: DRAWN BY: FRD EXHIBIT B (to Purchase Agreement) PERMANENT ROADWAY, TRAIL, DRAINAGE & UTILITY EASEMENT KNOW ALL MEN BY THESE PRESENTS, for valuable consideration, Zachary Akers, an individual, referred to herein as Grantor, hereby grants, sells, and conveys to the City of Andover, a Minnesota municipal corporation, Grantee, a permanent Roadway, Trail, Drainage & Utility Easement (collectively the "Easement") including, without limitation, the construction, maintenance, and repair thereof, and uses incident thereto, in, under, over and upon the real property, in Anoka County, Minnesota described as set forth in Exhibit A attached hereto and incorporated herein by reference (the "Easement Area"). Further, the right is hereby granted to the Grantee to remove trees, brush, undergrowth and other obstructions interfering with the location, construction and maintenance of the Easement Area. Grantor covenants that it is the owner of the property upon which the Easement Area is located (the "Property") and has the right, title, capacity and authority to grant the Easement Area described above and enter into this Easement Agreement. Grantor and future owners of the Property will not be responsible for any costs associated with the Easement Area. With the exception of those visitors, invitees and guests of Grantor and future owners of the Property, Grantor and future owners of the Property shall be free from liability and claims for damages by reason of injuries occurring on or after the date of the conveyance of this easement to any person or persons or property while on or about the Easement Area. Grantee shall defend and indemnify Grantor and future owners of the Property from all liability, loss, cost, and obligations, including reasonable attorneys' fees, on account of or arising out of any such injuries. However, Grantee shall have no liability or obligation to Grantor or future owners of the Property for such injuries which are caused by the negligence or intentional wrongful acts or omissions of Grantor or future owners of the Property. IN WITNESS WHEREOF, the parties have hereunto set their hands as of the date opposite their signatures below. Dated: Total Consideration: State Deed Tax Due: None 2023 STATE OF MINNESOTA ) ) ss. COUNTY OF ANOKA ) Zachary Akers The foregoing instrument was acknowledged before me this _ day of 2023, by Zachary Akers, a single individual, who has caused these presents to be executed or has set his hand the day and year first above written. Notary Public NOTICE IS HEREBY GIVEN that the City of Andover, a Minnesota municipal corporation, has accepted on 2023, the above-described easement in this document. Dated: 2023 Dated: 2023 THIS INSTRUMENT WAS DRAFTED BY: Berglund, Baumgartner & Glaser, LLC 2140 Fourth Avenue North Anoka, Minnesota 55303 Telephone: (763) 427-8877 10 am CITY OF ANDOVER Sheri Bukkila, Mayor Michelle Harmer, Deputy City Clerk EXHIBIT A (to Roadway, Trail, Drainage & Utility Easement) 11 FXHIRIT A NORTHEAST QUARTER CORNER SECTION 23-32-24 of 3 1?011 >1 0F'G o 0 Zb \ ss$ s1ti59 \� SURVEYOR'S NOTES: SCALE IN FEET 1. This survey was performed, and the survey map prepared, without benefit of either a title \ insurance commitment or an attorney's title opinion. The record boundary and easement information (if any) shown hereon is based on information provided by the client. Research of documents affecting title to the property surveyed or adjoining properties has been limited to a cursory review of record information and it is recommended that all title matters affecting this property and survey be reviewed by an attorney or other title professional. 2. Bearings shown on this survey assume the east line of the Northeast Quarter of the Northeast Quarter bears South 00 degrees 03 minutes 26 seconds West. 3. Distances are in feet. OBolton & Menk, Inc. 2023, All Rights Reserved AREA LYING NORTHWESTERLY OF Ll LINE ACONTAINING EASEMENT EXHIBIT APPROXIMATELY 7,813 SQ. FT.+/- 888 CROSSTOWN BOULEVARD NW, ANDOVER AREA LYING SOUTHEASTERLY OF I® BOLTON LINE A CONTAINING APPROXIMATELY 14,332 SQ. FT. +/- & MEN K PROPOSED DESCRIPTION: A perpetual roadway, trail, drainage and utility easement over, under and across that part of the Northeast Quarter of the Northeast Quarter of Section 23, Township 32, Range 24, Anoka County, Minnesota described as follows: Commencing at the Northeast corner of said Section 23; thence South 58 degrees 52 minutes 30 seconds West along the approximate centerline of County State Aid Highway No. 18 a distance of 983.77 feet to the actual point of beginning of the tract of land to be hereby described; thence North 58 degrees 52 minutes 30 seconds East along said Centerline a distance of 369.91 feet; thence South 31 degrees 07 minutes 30 seconds East a distance of 268.49 feet; thence South on a line having a bearing of North and South a distance of 373.35 feet and being parallel with the East line; thence West on a line having a bearing of East and West a distance of 206.67 feet, more or less, to the point of intersection with a line drawn South 31 degrees 07 minutes 30 seconds East from the point of beginning; thence North along said line to the point of beginning a distance of 481.26 feet, lying northwesterly of the following described line: Commencing at the northeast corner of said Northeast Quarter of the Northeast Quarter; thence on an assumed bearing of South 00 degrees 03 minutes 26 seconds West, along the east line of said Northeast Quarter of the Northeast Quarter, a distance of 70.08 feet; thence South 58 degrees 56 minutes 38 seconds West, a distance of 572.59 feet to the point of beginning of the line to be described; thence continuing South 58 degrees 56 minutes 38 seconds West, a distance of 380.00 feet and there terminating. SURVEYOR'S CERTIFICATION I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that I am a duly Licensed Lan urveyor under the laws of the State of Minnesot . 11/29/2023 'drew Hill Date License Number 57632 MN 55304 SUITE 206 RAMSEY, MN 55303 (763) 433-2851 NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 23, TOWNSHIP 32, RANGE 24, ANOKA COUNTY, MINNESOTA FOR: CITYOFANDOVER JOB NUMBER: OR1.132023 FIELD BOOK: DRAWN BY: FRO yoS I oo / !r o� A c. PQ-� 0 60 0.V \r \� SURVEYOR'S NOTES: SCALE IN FEET 1. This survey was performed, and the survey map prepared, without benefit of either a title \ insurance commitment or an attorney's title opinion. The record boundary and easement information (if any) shown hereon is based on information provided by the client. Research of documents affecting title to the property surveyed or adjoining properties has been limited to a cursory review of record information and it is recommended that all title matters affecting this property and survey be reviewed by an attorney or other title professional. 2. Bearings shown on this survey assume the east line of the Northeast Quarter of the Northeast Quarter bears South 00 degrees 03 minutes 26 seconds West. 3. Distances are in feet. OBolton & Menk, Inc. 2023, All Rights Reserved AREA LYING NORTHWESTERLY OF Ll LINE ACONTAINING EASEMENT EXHIBIT APPROXIMATELY 7,813 SQ. FT.+/- 888 CROSSTOWN BOULEVARD NW, ANDOVER AREA LYING SOUTHEASTERLY OF I® BOLTON LINE A CONTAINING APPROXIMATELY 14,332 SQ. FT. +/- & MEN K PROPOSED DESCRIPTION: A perpetual roadway, trail, drainage and utility easement over, under and across that part of the Northeast Quarter of the Northeast Quarter of Section 23, Township 32, Range 24, Anoka County, Minnesota described as follows: Commencing at the Northeast corner of said Section 23; thence South 58 degrees 52 minutes 30 seconds West along the approximate centerline of County State Aid Highway No. 18 a distance of 983.77 feet to the actual point of beginning of the tract of land to be hereby described; thence North 58 degrees 52 minutes 30 seconds East along said Centerline a distance of 369.91 feet; thence South 31 degrees 07 minutes 30 seconds East a distance of 268.49 feet; thence South on a line having a bearing of North and South a distance of 373.35 feet and being parallel with the East line; thence West on a line having a bearing of East and West a distance of 206.67 feet, more or less, to the point of intersection with a line drawn South 31 degrees 07 minutes 30 seconds East from the point of beginning; thence North along said line to the point of beginning a distance of 481.26 feet, lying northwesterly of the following described line: Commencing at the northeast corner of said Northeast Quarter of the Northeast Quarter; thence on an assumed bearing of South 00 degrees 03 minutes 26 seconds West, along the east line of said Northeast Quarter of the Northeast Quarter, a distance of 70.08 feet; thence South 58 degrees 56 minutes 38 seconds West, a distance of 572.59 feet to the point of beginning of the line to be described; thence continuing South 58 degrees 56 minutes 38 seconds West, a distance of 380.00 feet and there terminating. SURVEYOR'S CERTIFICATION I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that I am a duly Licensed Lan urveyor under the laws of the State of Minnesot . 11/29/2023 'drew Hill Date License Number 57632 MN 55304 SUITE 206 RAMSEY, MN 55303 (763) 433-2851 NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 23, TOWNSHIP 32, RANGE 24, ANOKA COUNTY, MINNESOTA FOR: CITYOFANDOVER JOB NUMBER: OR1.132023 FIELD BOOK: DRAWN BY: FRO PERMANENT ROADWAY, TRAIL, DRAINAGE & UTILITY EASEMENT KNOW ALL MEN BY THESE PRESENTS, for valuable consideration, Zachary Akers, an individual, referred to herein as Grantor, hereby grants, sells, and conveys to the City of Andover, a Minnesota municipal corporation, Grantee, a permanent Roadway, Trail, Drainage & Utility Easement (collectively the "Easement") including, without limitation, the construction, maintenance, and repair thereof, and uses incident thereto, in, under, over and upon the real property, in Anoka County, Minnesota described as set forth in Exhibit A attached hereto and incorporated herein by reference (the "Easement Area"). Further, the right is hereby granted to the Grantee to remove trees, brush, undergrowth and other obstructions interfering with the location, construction and maintenance of the Easement Area. Grantor covenants that it is the owner of the property upon which the Easement Area is located (the "Property") and has the right, title, capacity and authority to grant the Easement Area described above and enter into this Easement Agreement. Grantor and future owners of the Property will not be responsible for any costs associated with the Easement Area. With the exception of those visitors, invitees and guests of Grantor and future owners of the Property, Grantor and future owners of the Property shall be free from liability and claims for damages by reason of injuries occurring on or after the date of the conveyance of this easement to any person or persons or property while on or about the Easement Area. Grantee shall defend and indemnify Grantor and future owners of the Property from all liability, loss, cost, and. obligations, including reasonable attorneys' fees, on account of or arising out of any such injuries. However, Grantee shall have no liability or obligation to Grantor or future owners of the Property for such injuries which are caused by the negligence or intentional wrongful acts or omissions of Grantor or future owners of the Property. IN WITNESS WHEREOF, the parties have hereunto set their hands as of the date opposite their signatures below. Dated: / / Z� 2023 Total Consideration: State Deed Tax Due: ILS" STATE OF MINNESOTA ) ) ss. COUNTY OF ANOKA ) ' ._L 1 C W� y Akers The foregoing instrument was acknowledged before me this day of AW4� 2023, by Zachary Akers, a single individual, who has caused these presents to be executed or has set his hand the day and year first above written. a°' MICHELLE L HARTNER V, Notary Public Is Ilk ' Minnesota !!! b fdyrpmni�ionFxpiresJ�u�y31,2025 of Public NOTICE IS HEREBY GIVEN that the City of Andover, a Minnesota municipal corporation, has accepted on 2023, the above-described easement in this document. CITY OF ANDOVER Dated: 12023 By: Sheri Bukkila, Mayor Dated: 2023 By: Michelle Harmer, Deputy City Clerk THIS INSTRUMENT WAS DRAFTED BY: Berglund, Baumgartner & Glaser, LLC 2140 Fourth Avenue North Anoka, Minnesota 55303 Telephone: (763) 427-8877 FXHIRIT A CORNER SECTION 23-32-24 , of 3 o� 0 $58�1ti59 5 PROPOSED DESCRIPTION: A perpetual roadway, trail, drainage and utility easement over, under and across that part of the Northeast Quarter of the Northeast Quarter of Section 23, Township 32, Range 24, Anoka County, Minnesota described as follows: Commencing at the Northeast corner of said Section 23; thence South 58 degrees 52 minutes 30 seconds West along the approximate centerline of County State Aid Highway No. 18 a distance of 983.77 feet to the actual point of beginning of the tract of land to be hereby described; thence North 58 degrees 52 minutes 30 seconds East along said Centerline a distance of 369.91 feet; thence South 31 degrees 07 minutes 30 seconds East a distance of 268.49 feet; thence South on a line having a bearing of North and South a distance of 373.35 feet and being parallel with the East line; thence West on a line having a bearing of East and West a distance of 206.67 feet, more or less, to the point of intersection with a line drawn South 31 degrees 07 minutes 30 seconds East from the point of beginning; thence North along said line to the point of beginning a distance of 481.26 feet, lying northwesterly of the following described line: 0 60 r' OJ ' r" SURVEYOR'S NOTES: SCALE IN FEET 1. This survey was performed, and the survey map prepared, without benefit of either a title \ insurance commitment or an attorney's title opinion. The record boundary and easement information (if any) shown hereon is based on information provided by the client. Research of documents affecting title to the property surveyed or adjoining properties has been limited to a cursory review of record information and it is recommended that all title matters affecting this property and survey be reviewed by an attorney or other title professional. 2. Bearings shown on this survey assume the east line of the Northeast Quarter of the Northeast Quarter bears South 00 degrees 03 minutes 26 seconds West. 3. Distances are in feet. ©Bolton & Mark, Inc. 2023, All Rights Reserved AREA LYING NORTHWESTERLY OF L LINE ACONTAINING EASEMENT EXHIBIT APPROXIMATELY 7,813 SQ. FT.+/- 888 CROSSTOWN BOULEVARD NW, ANDOVER, MN 5 AREA LYING SOUTHEASTERLY OF 7533 SUNWOOD DR NW LINE A CONTAINING BOLTON SUITE 206 APPROXIMATELY 14,332 SQ. FT.+/- & M E N K RAMSE , MN 55303 Commencing at the northeast corner of said Northeast Quarter of the Northeast Quarter; thence on an assumed bearing of South 00 degrees 03 minutes 26 seconds West, along the east line of said Northeast Quarter of the Northeast Quarter, a distance of 70.08 feet; thence South 58 degrees 56 minutes 38 seconds West, a distance of 572.59 feet to the point of beginning of the line to be described; thence continuing South 58 degrees 56 minutes 38 seconds West, a distance of 380.00 feet and there terminating. SURVEYOR'S CERTIFICATION I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that I am a duly Licensed Lan urveyor under the laws of the State of Minnesot . 11/29/2023 ,drew Hill Date License Number 57632 NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 23, TOWNSHIP 32, RANGE 24, ANOKA COUNTY, MINNESOTA FOR: CITY OF ANDOVER JOB NUMBER: OR1.132023 FIELD BOOK: DRAWN BY: FRD PURCHASE AGREEMENT 1. PARTIES. This Purchase Agreement (this "Agreement") is made by and between Brandon Riedel, a single individual and Tamera Peterson, a single individual (collectively "Seller"), having an address for notices of 928 Crosstown Boulevard NW, Andover, MN 55304, and the City of Andover ("Buyer"), a Minnesota municipal corporation having an address for notices of 1685 Crosstown Boulevard, N.W., Andover, MN 55304, and is effective as of the date last signed by a parry to this Agreement. 2. OFFER/ACCEPTANCE. Subject to the terms and conditions of this Agreement, Buyer agrees to purchase and Seller agrees to sell a permanent easement for roadway, trail, drainage and utility purposes including, without limitation, the construction, maintenance, and repair thereof, and uses incident thereto, in, under, over and upon the real property, in Anoka County, Minnesota described as set forth in Exhibit A attached hereto which is incorporated herein by reference. Total area of easement = 17,680 square feet (the "Property") Total area of compensable easement = 11,360 square feet ("Compensable Easement Area") 3. PRICE AND TERMS. Buyer shall acquire the Property from Seller, the price of which shall be based upon the Compensable Easement Area multiplied by $2.50/sq. ft. for a total Purchase Price of Twenty -Eight Thousand Four Hundred and 00/100 Dollars ($28,400.00) (the "Purchase Price"), which Buyer shall pay in cash or other immediately available funds on the "Document Execution Date" (defined below). 4. CONTINGENCIES TO BUYER'S OBLIGATION TO PURCHASE THE PROPERTY. Buyer's obligation to purchase the Property is contingent upon satisfaction, or waiver by Buyer, of each of the following conditions. If Buyer so notifies Seller that any such contingency to Buyer's obligation to purchase the Property has not been satisfied, Buyer may cancel this Agreement and neither Seller nor Buyer shall have any further rights or obligations under this Agreement except for obligations (the "Surviving Obligations") which expressly survive the termination of this Agreement or the Document Execution Date. (a) Seller shall provide a marketable title to the Buyer, lien, judgment and mortgage free. (b) Seller hereby authorizes Buyer, at Buyer's sole risk, to enter the Property to determine the adequacy of the Property for its intended uses. (c) Buyer shall be satisfied with the matters disclosed by any survey of the Property obtained by Buyer at Buyer's expense. (d) Seller shall execute and deliver to Buyer, no later than the Document Execution Date, a Permanent Roadway, Trail, Drainage & Utility Easement in substantial conformity with that attached hereto as Exhibit B. (e) The representations and warranties made by Seller in Section 8 shall be correct as of the Document Execution Date with the same force and effect as if such representations were made at such time. (f) Formal approval of this transaction by the Andover City Council at a scheduled Andover City Council meeting. 5. EXECUTION OF DOCUMENTS. Except as otherwise expressly provided in this Agreement, execution of the documents contemplated by this Agreement shall occur at Andover City Hall on iM ti d November.2 2023 at 0,3a a..m., or such other date and time as shall be mutually accepta le to Seller and Buyer ("Document Execution Date"). Seller shall execute in recordable form and deliver a Permanent Roadway, Trail, Drainage & Utility Easement (collectively the `Basement'), conveying a permanent easement, and shall execute and deliver such other and further documents as reasonably shall be required to consummate the transaction contemplated by this Agreement. At the execution of the documents, Buyer shall pay the Purchase Price in cash or other immediately available funds and shall execute and deliver such documents as reasonably shall be required to consummate the transaction contemplated by this Agreement. Buyer shall pay all costs associated with recording of the documents contemplated by this Agreement. 6. CONDITION OF PROPERTY. Seller shall remove from the Property before the completion of the Document Execution Date all debris and personal property not included in the purchase of the Property. 7. BROKERAGE. Buyer and Seller represent that neither party is represented by a real estate agent or broker and no brokerage commissions are due any third parties as a result of this transaction. 8. REPRESENTATIONS AND WARRANTIES OF SELLER. Seller represents and warrants to and covenants with Buyer that: (a) Seller is the owner of fee simple title to the Property; Seller has the power and authority to enter into and perform the terms and conditions of this Agreement, and such performance will not conflict with or result in a breach of any of the terms, conditions or provisions of any agreement or instrument to which Seller is a party or by which it is bound, or constitute a default under any of the foregoing; and this Agreement is valid, binding and enforceable against Seller in accordance with its terms. (b) Seller has not received any notice of, and Seller is not aware of, any violation of any law, municipal ordinance or other governmental requirement affecting the Property, including without limitation any notice of any fire, health, safety, building, pollution, environmental or zoning violation, but specifically excluding any such ordinance of Buyer, as to which Buyer has knowledge at least equal to that of Seller. (c) Seller has not received any written notice of any condemnation or eminent domain proceedings, or negotiations for purchase in lieu of condemnation, relating to the Property, or any portion thereof; and Seller has no actual knowledge that any condemnation or eminent domain proceedings have been commenced or threatened in connection with the Property or any portion thereof. (d) (1) To Seller's knowledge, the Property (A) is not subject to any private or governmental lien or judicial or administrative notice, order or action relating to Hazardous Substances or environmental problems, impairments or liabilities with respect to the Property, and (B) to Seller's knowledge, neither Seller nor the Property is in, or with any applicable notice and/or lapse of time, and/or failure to take certain curative or remedial actions, will be in, violation of any Environmental Laws (as herein defined). (2) Seller shall not, prior to the Document Execution Date, cause or acquiesce in any Hazardous Substances to exist or be stored, generated, used, located, discharged, released, possessed, managed, processed or otherwise handled on the Property in violation of any Environmental Laws, and shall comply with all Environmental Laws affecting the Property. (3) Seller shall promptly notify Buyer should Seller become aware of (A) any environmental problem or liability with respect to the Property, (B) any lien, order, action or notice of the nature described in subparagraph (1) above, or (C) any litigation or threat of litigation relating to any alleged unauthorized release, discharge, generation, use, storage or processing of any Hazardous Substance or the existence of any Hazardous Substance or other environmental contamination, liability or problem with respect to or arising out of or in connection with the Property. As used herein, "Hazardous Substances" means any matter giving rise to liability under the Resource Conservation and Recovery Act, 42 U.S.C. Section 6901 et sea., the Comprehensive Environmental Response, Compensation and Liability Act, 42 U.S.C. Sections 9601 et sea. (including the so-called "Superfund" amendments thereto), or other applicable federal, state or local statute, law, ordinance, rule or regulation governing or pertaining to any hazardous substances, hazardous wastes, chemicals or other materials, including without limitation asbestos, polychlorinated biphenyls, radon, petroleum and any derivative thereof, or any common law theory based on nuisance or strict liability (all of the foregoing statutes, laws, ordinances, rules, regulations and common law theories are sometimes collectively referred to as "Environmental Laws"). (e) No litigation or proceedings are pending or, to Seller's knowledge, contemplated, threatened or anticipated, relating to the Property or any portion thereof. (f) Seller has no knowledge of any unrecorded agreements, undertakings or restrictions which affect the Property. There are no other tenants, persons or entities occupying any portion of the Property, and to Seller's knowledge no claim exists against any portion of the Property by reason of adverse possession or prescription. 3 (g) Seller warrants that there has been no labor or material furnished to the Property on behalf of or at the request of Seller in the past 120 days for which payment has not been made. Seller warrants that there are no present violations of any private contractual restrictions relating to the use or improvement of the Property. If, prior to the Document Execution Date, Seller obtains knowledge of a fact or circumstance the existence of which would constitute a breach by Seller of its representations and warranties hereunder or would render any such representations and warranties materially untrue or incorrect, Seller shall promptly notify Buyer in writing of the same. Under said circumstances, and in addition to any other right or remedy that may be available to Buyer, Buyer, at its option, may terminate this Agreement by notice to Seller prior to completion of the Document Execution Date. If Buyer timely gives such notice, neither Seller nor Buyer shall have any further rights or obligations under this Agreement except for the Surviving Obligations, and the earnest money paid herein shall be refunded to Buyer. All representations, warranties, covenants, indemnities and undertakings made herein shall be deemed remade as of the Document Execution Date, shall be true and correct as of the Document Execution Date, shall be deemed to be material and to have been relied upon by Buyer notwithstanding any investigation or other act of Buyer heretofore or hereafter made, and shall survive for a period of twelve (12) months after the Document Execution Date. 9. REPRESENTATIONS OF BUYER. Buyer represents and warrants to and covenants with Seller that: (a) Subsequent to conveyance of the Property from Seller to Buyer, Buyer shall remove up to five (5) dead trees that are within five (5) feet south of the Property. (b) Plant up to five (5), two (2) inch in diameter by six (6) foot in height trees, with the species and placement in locations mutually agreeable to the parties. 10. POSSESSION. Seller shall deliver possession of the Property not later than the Document Execution Date. 11. EXAMINATION OF TITLE. Title examination will be conducted as follows: A. Seller's Title Evidence. Buyer shall have the right, at its sole expense, to obtain a commitment (the "Title Commitment") for an ALTA Form B Owner's Policy of Title Insurance, certified to date to include proper searches covering bankruptcies, State and Federal judgments and liens, issued by a title insurance company acceptable to Buyer in its reasonable judgment, committing the title insurer to insure Buyer's title to the Property deleting standard exceptions and including affirmative insurance regarding zoning, contiguity, appurtenant easements and such other matters as may be identified by Buyer, with policy limits in the amount of the Purchase Price. B. Buyer's Objections. Buyer shall be allowed thirty (30) business days after receipt of the Title Commitment for examination of title and making any objections, which shall be made in writing or deemed waived. 12. TITLE CORRECTIONS AND REMEDIES. Within five (5) business days after its receipt of Buyer's written title objections, Seller shall notify Buyer of Seller's intention as to making the title marketable. Liens or encumbrances for liquidated amounts which can be released by payment or escrow from the sale proceeds shall not delay the Document Execution Date and need not be timely objected to by Buyer. Cure of the defects by Seller shall be reasonable, diligent, and prompt. Pending correction of title, all payments required herein and the Document Execution Date shall be postponed. A. If notice is given and Seller elects not to make the title marketable, Seller shall so notify Buyer of its intention. Upon receipt by Buyer of Seller's notification that it has elected not to make title marketable, Buyer shall have the right to waive its objections to title or make the title marketable, at its sole cost, and shall notify Seller of its intentions within ten (10) days of receipt of Seller's notification. Upon Buyer making title marketable, the Document Execution Date shall proceed on a date subsequent to title being made marketable by Buyer and mutually agreed to between the parties. If neither party elects to make title marketable, this Agreement shall immediately and automatically terminate. B. If notice is given and Seller makes title marketable within thirty (30) days after Seller's receipt of Buyer's title objections, then upon presentation to Buyer of documentation establishing that title has been made marketable, and if not objected to in the same time and manner as the original title objections, the Document Execution Date shall take place within ten (10) business days or on the scheduled Document Execution Date, whichever is later. C. If title is marketable, or is made marketable as provided herein, and Buyer defaults in any of the agreements herein, Seller may, as its sole remedy, cancel this Agreement. D. If title is marketable, or is made marketable as provided herein, and Seller defaults in any of the agreements herein, Buyer may cancel this Agreement, or may sue Seller for specific performance or for damages for breach of this Agreement and its costs and reasonable attorneys' fees provided such action is commenced not later than six (6) months after such cause of action arose. TIME IS OF THE ESSENCE FOR ALL PROVISIONS OF THIS CONTRACT. 13. NOTICES. All communications, demands, notices or objections permitted or required to be given or served under this Agreement shall be in writing and, except as otherwise expressly provided in this Agreement, shall be deemed to have been duly given or served on the earliest to occur of. when delivered in person to the other party or its duly authorized agent; or one (1) business day after delivery to a same-day or overnight prepaid courier service; or two (2) business days after deposit with the United States Postal Service, postage prepaid, certified or registered mail, return receipt requested, in each case addressed to the other parry at the address set forth at the beginning of this Agreement. Either party may change its address by giving at least ten (10) days' notice of such change to the other party. 14. AMENDMENT. The parties may amend this Agreement only by a written agreement of the parties that identifies itself as an amendment to this Agreement. 15. SELLER'S DISCLOSURES. Buyer hereby acknowledges that the sale and purchase contemplated by this Agreement is exempt from the disclosure requirements of Minnesota Statutes Sections 513.52 to 513.60. 16. SUCCESSORS OR ASSIGNS. The terms, conditions, covenants, and agreements of this Agreement extend to and are binding upon Seller, Buyer, and their respective heirs, administrators, executors, legal representatives and permitted successors, subtenants, and assigns, if any, and upon any person or entity coming into ownership or possession of any interest in the Property by operation of law or otherwise. 17. THIRD -PARTY BENEFICIARIES. This Agreement does not and is not intended to confer any rights or remedies upon any person or legal entity other than the signatories. 18. WAIVER OF JURY TRIAL. EACH PARTY KNOWINGLY, VOLUNTARILY, AND INTENTIONALLY WAIVES ITS RIGHT TO A TRIAL BY JURY TO THE EXTENT PERMITTED BY LAW IN ANY ACTION OR OTHER LEGAL PROCEEDING ARISING OUT OF OR RELATING TO THIS AGREEMENT AND THE TRANSACTIONS IT CONTEMPLATES. THIS WAIVER APPLIES TO ANY ACTION OR OTHER LEGAL PROCEEDING, WHETHER SOUNDING IN CONTRACT, TORT, OR OTHERWISE. EACH PARTY ACKNOWLEDGES THAT IT HAS RECEIVED, OR HAS HAD THE OPPORTUNITY TO RECEIVE THE ADVICE OF COMPETENT COUNSEL RELATIVE TO THIS TRANSACTION. 19. MINNESOTA LAW. This contract shall be governed by the laws of the State of Minnesota. Date:)0�7/ ,�o a3 Date: 2 7 / 20Z 3 The undersigned agrees to sell the Property for the Purchase Price and on the terms and conditions set forth above. SELLER: F,� Ni�a,-A Brandon Riedel 6aLa�//kv� Tamera Peterson The City of Andover agrees to buy the Property for the Purchase Price and on the terms and conditions set forth above THE CITY OF ANDOVER By: Sheri Bukkila Its: Mayor By: Michelle Hartner Its: Deputy City Clerk EXHIRIT A \UnineAsi QUAKltK PROPOSED DESCRIPTION: CORNER A perpetual roadway, trail, drainage and utility easement over, under ^ r A SECTION 23-32-2 3 and across that part of the Northeast Quarter of the Northeast Quarter m o NE 1/4 of NE 1/4) of Section Twenty-three (23), TownshipThirty-two A` o r? (32), Range Twenty-four (24), Anoka County, Minnesota described as C3 follows: Commencing at the Northeast corner of said Section 23; thence South 58° 52'30" West along the approximate centerline of County `\ 563a State Aid Highway No. 18 a distance of 983.77 feet to the actual point of beginning of the tract of land to be hereby described; A� thence continuing South 58° 52'30" West along said Centerline a distance of 277.11 feet thence South 0` 04' 12" West and parallel O with the West line of said NE 1/4 of NE 1/4 a distance of 100 feet; �( thence North 58' 52' 30" East and parallel with said centerline a SS ` P01 NT OF \ distance of 315.88 feet, more or less, to its inter -section with a line BEGINNING \ having a bearing of South 31" 07' 30" East and drawn from the Gactual point of beginning; thence North 31' 07' 30" West a distance 0 \ of 257.09 feet to the actual point of beginning, 0 lying northwesterly of the following described line: y634 EAST LINE OF THE NORTHEAST- -- Commencing at the northeast corner of said Northeast Quarter of Sg0 QUARTER OF THE NORTHEAST QUARTER the Northeast Quarter; thence on an assumed bearing of South 00 degrees 03 minutes 26 seconds West, along the east line of said Northeast Quarter of the Northeast Quarter, a distance of 70.08 feet; thence South 58 degrees 56 minutes 38 seconds West, a distance of 944.26 feet to the point of beginning of the line to be _ described; thence continuing South 58 degrees 56 minutes 38 e i Air'-; �_ �� �' seconds West, a distance of 320.00 feet and there terminating. SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATION 1. This survey was performed, and the survey map prepared, without benefit of either a title I hereby certify that this survey, plan, or report was prepared ® insurance commitment or an attorney's title opinion. The record boundary and easement by me or under my direct supervision and that I am a duly information (if any) shown hereon is based on information provided by the client. Research Licensed Lan Surveyor under the laws of the State of of documents affecting title to the property surveyed or adjoining properties has been Minnesot . limited to a cursory review of record information and it is recommended that all title matters 0 50 affecting this property and survey be reviewed by an attorney or other title professional. ® 2. Bearings shown on this survey assume the east line of the Northeast Quarter of the 11/29/2023 Northeast Quarter bears South 00 degrees 03 minutes 26 seconds West. n rew Hill Date SCALE IN FEET 3. Distances are in feet. ©Bolton & Menk, Inc. 2023, All Rights Reserved License Number 57632 L L�� AREA LYING NORTHWESTERLY OF Ll LINE ACONTAINING EASEMENT EXHIBIT NORTHEAST QUARTER OF THE NORTHEAST APPROXIMATELY 6,320 SQ. FT.+/- 928 CROSSTOWN BOULEVARD NW, ANDOVER, MN 55304 QUARTER OF SECTION 23, TOWNSHIP 32, PROPOSED PERPETUAL 7533 SUNWOOD DR NW RANGE 24, ANOKA COUNTY, MINNESOTA ® EASEMENT CONTAINING BOLTON SUITE 206 APPROXIMATELY 11,360 SQ. FT. +/-& M E N K RAMSE , MN 55303 FOR: CITY OFANDOVER 5 JOB NUMBER: 0111.132023 FIELD BOOK: DRAWN BY: FRO EXHIBIT B (to Purchase Agreement) PERMANENT ROADWAY, TRAIL, DRAINAGE & UTILITY EASEMENT KNOW ALL MEN BY THESE PRESENTS, for valuable consideration, Brandon Riedel, an individual, and Tamera Peterson, an individual, collectively referred to herein as Grantor, hereby grants, sells, and conveys to the City of Andover, a Minnesota municipal corporation, Grantee, a permanent Roadway, Trail, Drainage & Utility Easement (collectively the "Easement") including, without limitation, the construction, maintenance, and repair thereof, and uses incident thereto, in, under, over and upon the real property, in Anoka County, Minnesota described as set forth in Exhibit A attached hereto and incorporated herein by reference (the "Easement Area"). Further, the right is hereby granted to the Grantee to remove trees, brush, undergrowth and other obstructions interfering with the location, construction and maintenance of the Easement Area. Grantor covenants that it is the owner of the property upon which the Easement Area is located (the "Property") and has the right, title, capacity and authority to grant the Easement Area described above and enter into this Easement Agreement. Grantor and future owners of the Property will not be responsible for any costs associated with the Easement Area. With the exception of those visitors, invitees and guests of Grantor and future owners of the Property, Grantor and future owners of the Property shall be free from liability and claims for damages by reason of injuries occurring on or after the date of the conveyance of this easement to any person or persons or property while on or about the Easement Area. Grantee shall defend and indemnify Grantor and future owners of the Property from all liability, loss, cost, and obligations, including reasonable attorneys' fees, on account of or arising out of any such injuries. However, Grantee shall have no liability or obligation to Grantor or future owners of the Property for such injuries which are caused by the negligence or intentional wrongful acts or omissions of Grantor or future owners of the Property. IN WITNESS WHEREOF, the parties have hereunto set their hands as of the date opposite their signatures below. Dated: , 2023 Dated: 2023 Total Consideration: State Deed Tax Due: None STATE OF MINNESOTA ) ) ss. COUNTY OF ANOKA ) GRANTOR Brandon Riedel Tamera Peterson The foregoing instrument was acknowledged before me this _ day of , 2023, by Brandon Riedel, a single individual, and Tamera Peterson, a single individual, who have caused these presents to be executed or have set their hands the day and year first above written. Notary Public NOTICE IS HEREBY GIVEN that the City of Andover, a Minnesota municipal corporation, has accepted on , 2023, the above-described easement in this document. Dated: 2023 Dated: 2023 THIS INSTRUMENT WAS DRAFTED BY: Berglund, Baumgartner & Glaser, LLC 2140 Fourth Avenue North Anoka, Minnesota 55303 Telephone: (763) 427-8877 10 0 CITY OF ANDOVER Sheri Bukkila, Mayor Michelle Hartner, Deputy City Clerk EXHIBIT A (to Roadway, Trail, Drainage & Utility Easement) 11 - n - FXHIRIT A 'n' ncr"' """""" PROPOSED DESCRIPTION: CORNER 23-32-2 A perpetual roadway, trail, drainage and utility easement over, under \ECTION 3 0 and across that part of the Northeast Quarter of the Northeast Quarter � o (NE 1/4 of NE 1/4) of Section Twenty-three (23), Township Thirty-two o r? (32), Range Twenty-four (24), Anoka County, Minnesota described as jo follows: C" 16 9bp POINT OF \ BEGINNING \ 5 EAST LINE OF THE NORTHEAST QUARTER OF THE NORTHEAST QUARTER SURVEYOR'S NOTES: C1. This survey was performed, and the survey map prepared, without benefit of either a title ® insurance commitment or an attorney's title opinion. The record boundary and easement information (if any) shown hereon is based on information provided by the client. Research of documents affecting title to the property surveyed or adjoining properties has been limited to a cursory review of record information and it is recommended that all title matters 0 50 affecting this property and survey be reviewed by an attorney or other title professional. ® 2. Bearings shown on this survey assume the east line of the Northeast Quarter of the SCALE IN FEET Northeast Quarter bears South 00 degrees 03 minutes 26 seconds West. 3. Distances are in feet. ©Bolton & Menk, Inc. 2023, All Rights Reserved L1= AREA LYING NORTHWESTERLY OF Ll LINE ACONTAINING EASEMENT EXHIBIT APPROXIMATELY 6,320 SQ. FT.+/- 928 CROSSTOWN BOULEVARD NW. ANDOVER PROPOSED PERPETUAL IS BOLTON EASEMENT CONTAINING APPROXIMATELY 11,360 SQ. FT. +/-& MEN K Commencing at the Northeast corner of said Section 23; thence South 58° 52' 30" West along the approximate centerline of County State Aid Highway No. 18 a distance of 983.77 feet to the actual point of beginning of the tract of land to be hereby described; thence continuing South 58° 52'30" West along said Centerline a distance of 277.11 feet thence South 0° 04' 12" West and parallel with the West line of said NE 1/4 of NE 1/4 a distance of 100 feet; thence North 58° 52' 30" East and parallel with said centerline a distance of 315.88 feet, more or less, to its inter -section with a line having a bearing of South 31' 07' 30" East and drawn from the actual point of beginning; thence North 31° 07' 30" West a distance of 257.09 feet to the actual point of beginning, lying northwesterly of the following described line: Commencing at the northeast corner of said Northeast Quarter of the Northeast Quarter; thence on an assumed bearing of South 00 degrees 03 minutes 26 seconds West, along the east line of said Northeast Quarter of the Northeast Quarter, a distance of 70.08 feet; thence South 58 degrees 56 minutes 38 seconds West, a distance of 944.26 feet to the point of beginning of the line to be described; thence continuing South 58 degrees 56 minutes 38 seconds West, a distance of 320.00 feet and there terminating. SURVEYOR'S CERTIFICATION I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that I am a duly Licensed Lan Surveyor under the laws of the State of Minnesot . 11/29/2023 n rew Hill Date License Number 57632 MN 55304 SUITE 206 RAMSEY, MN 55303 (763) 433-2851 NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 23, TOWNSHIP 32, RANGE 24, ANOKA COUNTY, MINNESOTA FOR: CITYOFANDOVER JOB NUMBER: OR1.132023 FIELD BOOK: DRAWN BY: FRD PERMANENT ROADWAY, TRAIL, DRAINAGE & UTILITY EASEMENT KNOW ALL MEN BY THESE PRESENTS, for valuable consideration, Brandon Riedel, an individual, and Tamera Peterson, an individual, collectively referred to herein as Grantor, hereby grants, sells, and conveys to the City of Andover, a Minnesota municipal corporation, Grantee, a permanent Roadway, Trail, Drainage & Utility Easement (collectively the "Easement") including, without limitation, the construction, maintenance, and repair thereof, and uses incident thereto, in, under, over and upon the real property, in Anoka County, Minnesota described as set forth in Exhibit A attached hereto and incorporated herein by reference (the "Easement Area"). Further, the right is hereby granted to the Grantee to remove trees, brush, undergrowth and other obstructions interfering with the location, construction and maintenance of the Easement Area. Grantor covenants that it is the owner of the property upon which the Easement Area is located (the "Property") and has the right, title, capacity and authority to grant the Easement Area described above and enter into this Easement Agreement. Grantor and future owners of the Property will not be responsible for any costs associated with the Easement Area. With the exception of those visitors, invitees and guests of Grantor and future owners of the Property, Grantor and future owners of the Property shall be free from liability and claims for damages by reason of injuries occurring on or after the date of the conveyance of this easement to any person or persons or property while on or about the Easement Area. Grantee shall defend and indemnify Grantor and future owners of the Property from all liability, loss, cost, and obligations, including reasonable attorneys' fees, on account of or arising out of any such injuries. However, Grantee shall have no liability or obligation to Grantor or future owners of the Property for such injuries which are caused by the negligence or intentional wrongful acts or omissions of Grantor or future owners of the Property. IN WITNESS WHEREOF, the parties have hereunto set their hands as of the date opposite their signatures below. Dated: 1 1/� 17- � 2023 Dated: 7 2023 Total Consideration: State Deed Tax Due: None GRANTOR Brandon Riedel as �Q1�eJla'Y Tamera Peterson STATE OF MINNESOTA ) ALExl38 D THUNSTROA4 Not Pubic SS. � .: fvlm ij -sota COUNTY OFANOKA ) u: td�caadssm, rau:kmay3t.2V21 The foregoing instrument was acknowledged before me this a._1 day of ve rnber 2023, by Brandon Riedel, a single individual, and Tamera Peterson, a single individual, who have caused these presents to be executed or have set their IjaAds the day r first above written. Notary Public NOTICE IS HEREBY GIVEN that the City of Andover, a Minnesota municipal corporation, has accepted on , 2023, the above-described easement in this document. Dated: 2023 Dated: 2023 THIS INSTRUMENT WAS DRAFTED BY: Berglund, Baumgartner & Glaser, LLC 2140 Fourth Avenue North Anoka, Minnesota 55303 Telephone: (763) 427-8877 Un La CITY OF ANDOVER Sheri Bukkila, Mayor Michelle Harmer, Deputy City Clerk FXHIRIT A In i FICA31 �urn i cn PROPOSED DESCRIPTION: CORNER 23-32-2 3 A perpetual roadway, trail, drainage and utility easement over, under SECTION 0 and across that part of the Northeast Quarter of the Northeast Quarter ON o (NE 1/4 of NE 1/4) of Section Twenty-three (23), Township Thirty-two P (32), Range Twenty-four (24), Anoka County, Minnesota described as o follows: r ,LG 1 0 POINT OF BEGINNING \ 0 F3,L00 b EAST LINE OF THE NORTHEAST - --- QUARTER OF THE NORTHEAST QUARTER - -r SURVEYOR'S NOTES: 1. This survey was performed, and the survey map prepared, without benefit of either a title ® insurance commitment or an attorney's title opinion. The record boundary and easement information (if any) shown hereon is based on information provided by the client. Research of documents affecting title to the property surveyed or adjoining properties has been limited to a cursory review of record information and it is recommended that all title matters 0 50 affecting this property and survey be reviewed by an attorney or other title professional. ® 2. Bearings shown on this survey assume the east line of the Northeast Quarter of the SCALE IN FEET Northeast Quarter bears South 00 degrees 03 minutes 26 seconds West. 3. Distances are in feet. ©Bolton & Menk, Inc. 2023, All Rights Reserved —/^Ll _= AREA LYING NORTHWESTERLY OF EZLINE ACONTAINING EASEMENT EXHIBIT APPROXIMATELY 6,320 SQ. FT.+/- 928 CROSSTOWN BOULEVARD NW. ANDOVER PROPOSED PERPETUAL I © BOLTON EASEMENT CONTAINING APPROXIMATELY 11,360 SQ. FT. +/- & MEN K Commencing at the Northeast corner of said Section 23; thence South 58° 52'30" West along the approximate centerline of County State Aid Highway No. 18 a distance of 983.77 feet to the actual point of beginning of the tract of land to be hereby described; thence continuing South 58° 52'30" West along said Centerline a distance of 277.11 feet thence South 0" 04' 12" West and parallel with the West line of said NE 1/4 of NE 1/4 a distance of 100 feet; thence North 58' 52' 30" East and parallel with said centerline a distance of 315.88 feet, more or less, to its inter -section with a line having a bearing of South 31° 07' 30" East and drawn from the actual point of beginning; thence North 31° 07'30" West a distance of 257.09 feet to the actual point of beginning, lying northwesterly of the following described line: Commencing at the northeast corner of said Northeast Quarter of the Northeast Quarter; thence on an assumed bearing of South 00 degrees 03 minutes 26 seconds West, along the east line of said Northeast Quarter of the Northeast Quarter, a distance of 70.08 feet; thence South 58 degrees 56 minutes 38 seconds West, a distance of 944.26 feet to the point of beginning of the line to be described; thence continuing South 58 degrees 56 minutes 38 seconds West, a distance of 320.00 feet and there terminating. SURVEYOR'S CERTIFICATION I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that I am a duly Licensed Lan urveyor under the laws of the State of Minnesot . 11/29/2023 n rew Hill Date License Number 57632 MN 55304 DR NOW SUITE 206 RAMSEY, MN 55303 (763)433-2851 NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 23, TOWNSHIP 32, RANGE 24, ANOKA COUNTY, MINNESOTA FOR: CITY OF ANDOVER JOB NUMBER: OR1.132023 FIELD BOOK: DRAWN BY: FRO PURCHASE AGREEMENT 1. PARTIES. This Purchase Agreement (this "Agreement") is made by and between Alice Stephens, a single individual ("Seller"), having an address for notices of 968 Crosstown Boulevard NW, Andover, MN 55304, and the City of Andover ("Buyer"), a Minnesota municipal corporation having an address for notices of 1685 Crosstown Boulevard, N.W., Andover, MN 55304, and is effective as of the date last signed by a parry to this Agreement. 2. OFFER/ACCEPTANCE. Subject to the terms and conditions of this Agreement, Buyer agrees to purchase and Seller agrees to sell a permanent easement for roadway, trail, drainage and utility purposes including, without limitation, the construction, maintenance, and repair thereof, and uses incident thereto, in, under, over and upon the real property, in Anoka County, Minnesota described as set forth in Exhibit A attached hereto which is incorporated herein by reference. Total area of easement = 16,821 square feet (the "Property") Total area of compensable easement = 10,172 square feet ("Compensable Easement Area") 3. PRICE AND TERMS. Buyer shall acquire the Property from Seller, the price of which shall be based upon the Compensable Easement Area multiplied by $2.50/sq. ft. for a total Purchase Price of Twenty -Five Thousand Four Hundred Thirty and 00/100 Dollars ($25,430.00) (the "Purchase Price"), which Buyer shall pay in cash or other immediately available funds on the "Document Execution Date" (defined below). 4. CONTINGENCIES TO BUYER'S OBLIGATION TO PURCHASE THE PROPERTY. Buyer's obligation to purchase the Property is contingent upon satisfaction, or waiver by Buyer, of each of the following conditions. If Buyer so notifies Seller that any such contingency to Buyer's obligation to purchase the Property has not been satisfied, Buyer may cancel this Agreement and neither Seller nor Buyer shall have any further rights or obligations under this Agreement except for obligations (the "Surviving Obligations") which expressly survive the termination of this Agreement or the Document Execution Date. (a) Seller shall provide a marketable title to the Buyer, lien, judgment and mortgage free. (b) Seller hereby authorizes Buyer, at Buyer's sole risk, to enter the Property to determine the adequacy of the Property for its intended uses. (c) Buyer shall be satisfied with the matters disclosed by any survey of the Property obtained by Buyer at Buyer's expense. (d) Seller shall execute and deliver to Buyer, no later than the Document Execution Date, a Permanent Roadway, Trail, Drainage & Utility Easement in substantial conformity with that attached hereto as Exhibit B. (e) The representations and warranties made by Seller in Section 8 shall be correct as of the Document Execution Date with the same force and effect as if such representations were made at such time. (f) Formal approval of this transaction by the Andover City Council at a scheduled Andover City Council meeting. 5. EXECUTION OF DOCUMENTS. Except as otherwise expressly provided in this Agreement, execution of the documents contemplated by this Agreement shall occur at Andover City Hall on:,,xsda �, November Ze" 2023 at 3 30 •m., or such other date and time as shall be mutually acceptal6le to Seller and Buyer ("Documen Execution Date"). Seller shall execute in recordable form and deliver a Permanent Roadway, Trail, Drainage & Utility Easement (collectively the "Easement'), conveying a permanent easement, and shall execute and deliver such other and further documents as reasonably shall be required to consummate the transaction contemplated by this Agreement. At the execution of the documents, Buyer shall pay the Purchase Price in cash or other immediately available funds and shall execute and deliver such documents as reasonably shall be required to consummate the transaction contemplated by this Agreement. Buyer shall pay all costs associated with recording of the documents contemplated by this Agreement. 6. CONDITION OF PROPERTY. Seller shall remove from the Property before the completion of the Document Execution Date all debris and personal property not included in the purchase of the Property. 7. BROKERAGE. Buyer and Seller represent that neither party is represented by a real estate agent or broker and no brokerage commissions are due any third parties as a result of this transaction. 8. REPRESENTATIONS AND WARRANTIES OF SELLER. Seller represents and warrants to and covenants with Buyer that: (a) Seller is the owner of fee simple title to the Property; Seller has the power and authority to enter into and perform the terms and conditions of this Agreement, and such performance will not conflict with or result in a breach of any of the terms, conditions or provisions of any agreement or instrument to which Seller is a party or by which it is bound, or constitute a default under any of the foregoing; and this Agreement is valid, binding and enforceable against Seller in accordance with its terms. (b) Seller has not received any notice of, and Seller is not aware of, any violation of any law, municipal ordinance or other governmental requirement affecting the Property, including without limitation any notice of any fire, health, safety, building, pollution, environmental or zoning violation, but specifically excluding any such ordinance of Buyer, as to which Buyer has knowledge at least equal to that of Seller. 2 (c) Seller has not received any written notice of any condemnation or eminent domain proceedings, or negotiations for purchase in lieu of condemnation, relating to the Property, or any portion thereof; and Seller has no actual knowledge that any condemnation or eminent domain proceedings have been commenced or threatened in connection with the Property or any portion thereof. (d) (1) To Seller's knowledge, the Property (A) is not subject to any private or governmental lien or judicial or administrative notice, order or action relating to Hazardous Substances or environmental problems, impairments or liabilities with respect to the Property, and (B) to Seller's knowledge, neither Seller nor the Property is in, or with any applicable notice and/or lapse of time, and/or failure to take certain curative or remedial actions, will be in, violation of any Environmental Laws (as herein defined). (2) Seller shall not, prior to the Document Execution Date, cause or acquiesce in any Hazardous Substances to exist or be stored, generated, used, located, discharged, released, possessed, managed, processed or otherwise handled on the Property in violation of any Environmental Laws, and shall comply with all Environmental Laws affecting the Property. (3) Seller shall promptly notify Buyer should Seller become aware of (A) any environmental problem or liability with respect to the Property, (B) any lien, order, action or notice of the nature described in subparagraph (1) above, or (C) any litigation or threat of litigation relating to any alleged unauthorized release, discharge, generation, use, storage or processing of any Hazardous Substance or the existence of any Hazardous Substance or other environmental contamination, liability or problem with respect to or arising out of or in connection with the Property. As used herein, "Hazardous Substances" means any matter giving rise to liability under the Resource Conservation and Recovery Act, 42 U.S.C. Section 6901 et sea., the Comprehensive Environmental Response, Compensation and Liability Act, 42 U.S.C. Sections 9601 et sea. (including the so-called "Superfund" amendments thereto), or other applicable federal, state or local statute, law, ordinance, rule or regulation governing or pertaining to any hazardous substances, hazardous wastes, chemicals or other materials, including without limitation asbestos, polychlorinated biphenyls, radon, petroleum and any derivative thereof, or any common law theory based on nuisance or strict liability (all of the foregoing statutes, laws, ordinances, rules, regulations and common law theories are sometimes collectively referred to as "Environmental Laws"). (e) No litigation or proceedings are pending or, to Seller's knowledge, contemplated, threatened or anticipated, relating to the Property or any portion thereof. (f) Seller has no knowledge of any unrecorded agreements, undertakings or restrictions which affect the Property. There are no other tenants, persons or entities occupying any portion of the Property, and to Seller's knowledge no claim exists against any portion of the Property by reason of adverse possession or prescription. 3 (g) Seller warrants that there has been no labor or material furnished to the Property on behalf of or at the request of Seller in the past 120 days for which payment has not been made. Seller warrants that there are no present violations of any private contractual restrictions relating to the use or improvement of the Property. If, prior to the Document Execution Date, Seller obtains knowledge of a fact or circumstance the existence of which would constitute a breach by Seller of its representations and warranties hereunder or would render any such representations and warranties materially untrue or incorrect, Seller shall promptly notify Buyer in writing of the same. Under said circumstances, and in addition to any other right or remedy that may be available to Buyer, Buyer, at its option, may terminate this Agreement by notice to Seller prior to completion of the Document Execution Date. If Buyer timely gives such notice, neither Seller nor Buyer shall have any further rights or obligations under this Agreement except for the Surviving Obligations, and the earnest money paid herein shall be refunded to Buyer. All representations, warranties, covenants, indemnities and undertakings made herein shall be deemed remade as of the Document Execution Date, shall be true and correct as of the Document Execution Date, shall be deemed to be material and to have been relied upon by Buyer notwithstanding any investigation or other act of Buyer heretofore or hereafter made, and shall survive for a period of twelve (12) months after the Document Execution Date. 9. REPRESENTATIONS OF BUYER. Buyer represents and warrants to and covenants with Seller that: (a) Subsequent to conveyance of the Property from Seller to Buyer, Buyer shall remove up to five (5) dead trees that are within five (5) feet south of the Property. (b) Plant up to five (5), two (2) inch in diameter by six (6) foot in height trees, with the species and placement in locations mutually agreeable to the parties. 10. POSSESSION. Seller shall deliver possession of the Property not later than the Document Execution Date. 11. EXANUNATION OF TITLE. Title examination will be conducted as follows: A. Seller's Title Evidence. Buyer shall have the right, at its sole expense, to obtain a commitment (the "Title Commitment") for an ALTA Form B Owner's Policy of Title Insurance, certified to date to include proper searches covering bankruptcies, State and Federal judgments and liens, issued by a title insurance company acceptable to Buyer in its reasonable judgment, committing the title insurer to insure Buyer's title to the Property deleting standard exceptions and including affirmative insurance regarding zoning, contiguity, appurtenant easements and such other matters as may be identified by Buyer, with policy limits in the amount of the Purchase Price. 13 B. Buyer's Objections. Buyer shall be allowed thirty (30) business days after receipt of the Title Commitment for examination of title and making any objections, which shall be made in writing or deemed waived. 12. TITLE CORRECTIONS AND REMEDIES. Within five (5) business days after its receipt of Buyer's written title objections, Seller shall notify Buyer of Seller's intention as to making the title marketable. Liens or encumbrances for liquidated amounts which can be released by payment or escrow from the sale proceeds shall not delay the Document Execution Date and need not be timely objected to by Buyer. Cure of the defects by Seller shall be reasonable, diligent, and prompt. Pending correction of title, all payments required herein and the Document Execution Date shall be postponed. A. If notice is given and Seller elects not to make the title marketable, Seller shall so notify Buyer of its intention. Upon receipt by Buyer of Seller's notification that it has elected not to make title marketable, Buyer shall have the right to waive its objections to title or make the title marketable, at its sole cost, and shall notify Seller of its intentions within ten (10) days of receipt of Seller's notification. Upon Buyer making title marketable, the Document Execution Date shall proceed on a date subsequent to title being made marketable by Buyer and mutually agreed to between the parties. If neither party elects to make title marketable, this Agreement shall immediately and automatically terminate. B. If notice is given and Seller makes title marketable within thirty (30) days after Seller's receipt of Buyer's title objections, then upon presentation to Buyer of documentation establishing that title has been made marketable, and if not objected to in the same time and manner as the original title objections, the Document Execution Date shall take place within ten (10) business days or on the scheduled Document Execution Date, whichever is later. C. If title is marketable, or is made marketable as provided herein, and Buyer defaults in any of the agreements herein, Seller may, as its sole remedy, cancel this Agreement. D. If title is marketable, or is made marketable as provided herein, and Seller defaults in any of the agreements herein, Buyer may cancel this Agreement, or may sue Seller for specific performance or for damages for breach of this Agreement and its costs and reasonable attorneys' fees provided such action is commenced not later than six (6) months after such cause of action arose. TIME IS OF THE ESSENCE FOR ALL PROVISIONS OF THIS CONTRACT. 13. NOTICES. All communications, demands, notices or objections permitted or required to be given or served under this Agreement shall be in writing and, except as otherwise expressly provided in this Agreement, shall be deemed to have been duly given or served on the earliest to occur of. when delivered in person to the other party or its duly authorized agent; or one (1) business day after delivery to a same-day or overnight prepaid courier service; or two (2) business days after deposit with the United States Postal Service, postage prepaid, certified or registered mail, return receipt requested, in each case addressed to the other party at the address set forth at the beginning of this Agreement. Either party may change its address by giving at least ten (10) days' notice of such change to the other party. 14. AMENDMENT. The parties may amend this Agreement only by a written agreement of the parties that identifies itself as an amendment to this Agreement. 15. SELLER'S DISCLOSURES. Buyer hereby acknowledges that the sale and purchase contemplated by this Agreement is exempt from the disclosure requirements of Minnesota Statutes Sections 513.52 to 513.60. 16. SUCCESSORS OR ASSIGNS. The terms, conditions, covenants, and agreements of this Agreement extend to and are binding upon Seller, Buyer, and their respective heirs, administrators, executors, legal representatives and permitted successors, subtenants, and assigns, if any, and upon any person or entity coming into ownership or possession of any interest in the Property by operation of law or otherwise. 17. THIRD -PARTY BENEFICIARIES. This Agreement does not and is not intended to confer any rights or remedies upon any person or legal entity other than the signatories. 18. WAIVER OF JURY TRIAL. EACH PARTY KNOWINGLY, VOLUNTARILY, AND INTENTIONALLY WAIVES ITS RIGHT TO A TRIAL BY JURY TO THE EXTENT PERMITTED BY LAW IN ANY ACTION OR OTHER LEGAL PROCEEDING ARISING OUT OF OR RELATING TO THIS AGREEMENT AND THE TRANSACTIONS IT CONTEMPLATES. THIS WAIVER APPLIES TO ANY ACTION OR OTHER LEGAL PROCEEDING, WHETHER SOUNDING IN CONTRACT, TORT, OR OTHERWISE. EACH PARTY ACKNOWLEDGES THAT IT HAS RECEIVED, OR HAS HAD THE OPPORTUNITY TO RECEIVE THE ADVICE OF COMPETENT COUNSEL RELATIVE TO THIS TRANSACTION. 19. MINNESOTA LAW. This contract shall be governed by the laws of the State of Minnesota. Date: I f 00 0 The undersigned agrees to sell the Property for the Purchase Price and on the terms and conditions set forth above. SELLER: Alice Stephens Date: Date: The City of Andover agrees to buy the Property for the Purchase Price and on the terms and conditions set forth above THE CITY OF ANDOVER By: Sheri Bukkila Its: Mayor By: Michelle Hartner Its: Deputy City Clerk EXHIBIT A (to Purchase Agreement) NORTHEAST / 'RIP V 'V4 oSS�O co� �/ EXHIBIT A SECTION 1 PO I NT O F --'- BEGINNING EAST LINE OF THE NORTHEAST QUARTER OF THE NORTHEAST QUARTER WEST LINE OF THE NORTHEAST QUARTER OF THE NORTHEAST QUARTER 151. PROPOSED DESCRIPTION: A perpetual roadway, trail, drainage and utility easement over, under and across that partof the Northeast 1/4 of the Northeast 1/4 of Section 23, Township 32, Range 24, Anoka County, Minnesota described as follows: Commencing at the Northeast corner of said Section 23; thence South 58° 52' 30" West along the approximate centerline of County State Aid Highway No. 18 a distance of 1260.88 feet to the actual point of beginning of the tract of land to be hereby described; thence South 0° 04' 12" West and parallel with the West line of said Northeast 1/4 of Northeast 1/4 a distance of 623.71 feet, more or less, to the South line of said Northeast 1/4 of Northeast 1/4; thence North 88° 25'49" West along the South line of said Northeast 1/4 of the Northeast 1/4 a distance of 240.08 feet to the Southwest corner of said Northeast 1/4 of the Northeast 1/4; thence North 0' 04' 12" East along the West line of said Northeast 1/4 of the Northeast 1/4 a distance of 472.14 feet to the approximate centerline of County State Aid Highway No. 18; thence North 58° 52'30" East along said centerline a distance of 280.55 feet to the actual point of beginning, lying northwesterly of the following described line: I0 Y 50 SURVEYOR'S NOTES: SCALE IN FEET 1. This survey was performed, and the survey map prepared, without benefit of either a title insurance commitment or an attorney's title opinion. The record boundary and easement information (if any) shown hereon is based on information provided by the client. Research of documents affecting title to the property surveyed or adjoining properties has been limited to a cursory review of record information and it is recommended that all title matters affecting this property and survey be reviewed by an attorney or other title professional. 2. Bearings shown on this survey assume the east line of the Northeast Quarter of the Northeast Quarter bears South 00 degrees 03 minutes 26 seconds West. 3. Distances are in feet. ©Bolton & Menk, Inc. 2023, All Rights Reserved LINORTHWESTERLY OF INE ACONTAINING LEASEMENT EXHIBIT APPROXIMATELY 6,649 SQ. FT.+/- 968 CROSSTOWN BOULEVARD NW, ANDOVER Commencing at the northeast corner of said Northeast Quarter of the Northeast Quarter; thence on an assumed bearing of South 00 degrees 03 minutes 26 seconds West, along the east line of said Northeast Quarter of the Northeast Quarter, a distance of 70.08 feet; thence South 58 degrees 56 minutes 38 seconds West, a distance of 1251.32 feet to the point of beginning of the line to be described; thence continuing South 58 degrees 56 minutes 38 seconds West, a distance of 290.00 feet, to the west line of said Northeast Quarter of the Northeast Quarter and there terminating. PROPOSED PERPETUAL 7533 SUNWOOD DR NW EASEMENT CONTAINING BOLTON SUITE 206 APPROXIMATELY 10,172 SQ. FT.+/_ & M E N K RAM63), MIN255303 SURVEYOR'S CERTIFICATION I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that I am a duly Licensed Lan Surveyor under the I ws of the State of Minneso 11/29/2023 n rew Hill Date License Number 57632 NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 23, TOWNSHIP 32, RANGE 24, ANOKA COUNTY, MINNESOTA FOR: CITY OF ANDOVER JOB NUMBER: OR1.132023 FIELD BOOK: DRAWN BY: FRD EXHIBIT B (to Purchase Agreement) PERMANENT ROADWAY, TRAIL, DRAINAGE & UTILITY EASEMENT KNOW ALL MEN BY THESE PRESENTS, for valuable consideration, Alice Stephens, an individual, referred to herein as Grantor, hereby grants, sells, and conveys to the City of Andover, a Minnesota municipal corporation, Grantee, a permanent Roadway, Trail, Drainage & Utility Easement (collectively the "Easement") including, without limitation, the construction, maintenance, and repair thereof, and uses incident thereto, in, under, over and upon the real property, in Anoka County, Minnesota described as set forth in Exhibit A attached hereto and incorporated herein by reference (the "Easement Area"). Further, the right is hereby granted to the Grantee to remove trees, brush, undergrowth and other obstructions interfering with the location, construction and maintenance of the Easement Area. Grantor covenants that it is the owner of the property upon which the Easement Area is located (the "Property") and has the right, title, capacity and authority to grant the Easement Area described above and enter into this Easement Agreement. Grantor and future owners of the Property will not be responsible for any costs associated with the Easement Area. With the exception of those visitors, invitees and guests of Grantor and future owners of the Property, Grantor and future owners of the Property shall be free from liability and claims for damages by reason of injuries occurring on or after the date of the conveyance of this easement to any person or persons or property while on or about the Easement Area. Grantee shall defend and indemnify Grantor and future owners of the Property from all liability, loss, cost, and obligations, including reasonable attorneys' fees, on account of or arising out of any such injuries. However, Grantee shall have no liability or obligation to Grantor or future owners of the Properly for such injuries which are caused by the negligence or intentional wrongful acts or omissions of Grantor or future owners of the Property. IN WITNESS WHEREOF, the parties have hereunto set their hands as of the date opposite their signatures below. Dated: Total Consideration: State Deed Tax Due: None 2023 STATE OF MINNESOTA ) ) ss. COUNTY OF ANOKA ) GRANTOR Alice Stephens The foregoing instrument was acknowledged before me this _ day of 2023, by Alice Stephens, a single individual, who has caused these presents to be executed or has set his hand the day and year first above written. Notary Public NOTICE IS HEREBY GIVEN that the City of Andover, a Minnesota municipal corporation, has accepted on , 2023, the above-described easement in this document. Dated: Dated: 2023 2023 THIS INSTRUMENT WAS DRAFTED BY: Berglund, Baumgartner & Glaser, LLC 2140 Fourth Avenue North Anoka, Minnesota 55303 Telephone: (763) 427-8877 10 go LN CITY OF ANDOVER Sheri Bukkila, Mayor Michelle Harmer, Deputy City Clerk EXHIBIT A (to Roadway, Trail, Drainage & Utility Easement) 11 'l. FXHIRIT A NORTHEAST QUARTER CORNER SECTION 23-32-24 POO ®DINT OF.. BEGINNING I , EAST LINE OF THE NORTHEAST QUARTER OF THE NORTHEAST QUARTER WEST LINE OF THE NORTHEAST QUARTER OF THE NORTHEAST QUARTER Sn 3ti 151. A perpetual roadway, trail, drainage and utility easement over, under and across that part of the Northeast 1/4 of the Northeast 1/4 of Section 23, Township 32, Range 24, Anoka County, Minnesota described as follows: Commencing at the Northeast corner of said Section 23; thence South 58° 52'30" West along the approximate centerline of County State Aid Highway No. 18 a distance of 1260.88 feet to the actual point of beginning of the tract of land to be hereby described; thence South 0° 04' 12" West and parallel with the West line of said Northeast 1/4 of Northeast 1/4 a distance of 623.71 feet, more or less, to the South line of said Northeast 1/4 of Northeast 1/4; thence North 88° 25'49" West along the South line of said Northeast 1/4 of the Northeast 1/4 a distance of 240.08 feet to the Southwest corner of said Northeast 1/4 of the Northeast 1/4; thence North 0' 04' 12" East along the West line of said Northeast 1/4 of the Northeast 1/4 a distance of 472.14 feet to the approximate centerline of County State Aid Highway No. 18; thence North 58' 52'30" East along said centerline a distance of 280.55 feet to the actual point of beginning, lying northwesterly of the following described line: SURVEYOR'S NOTES: SCALE IN FEET 1. This survey was performed, and the survey map prepared, without benefit of either a title insurance commitment or an attorney's title opinion. The record boundary and easement information (if any) shown hereon is based on information provided by the client. Research of documents affecting title to the property surveyed or adjoining properties has been limited to a cursory review of record information and it is recommended that all title matters affecting this property and survey be reviewed by an attorney or other title professional. 2. Bearings shown on this survey assume the east line of the Northeast Quarter of the Northeast Quarter bears South 00 degrees 03 minutes 26 seconds West. 3. Distances are in feet. ©Bolton & Menk, Inc. 2023, All Rights Reserved AREA LYING NORTHWESTERLY OF LINE ACONTAINING EASEMENT EXHIBIT APPROXIMATELY 6,649 SQ. FT.+/- 968 CROSSTOWN BOULEVARD NW. ANDOVER PROPOSED PERPETUAL © BOLTON EASEMENT CONTAINING APPROXIMATELY 10,172 SQ. FT. +/- & MEN K Commencing at the northeast corner of said Northeast Quarter of the Northeast Quarter; thence on an assumed bearing of South 00 degrees 03 minutes 26 seconds West, along the east line of said Northeast Quarter of the Northeast Quarter, a distance of 70.08 feet; thence South 58 degrees 56 minutes 38 seconds West, a distance of 1251.32 feet to the point of beginning of the line to be described; thence continuing South 58 degrees 56 minutes 38 seconds West, a distance of 290.00 feet, to the west line of said Northeast Quarter of the Northeast Quarter and there terminating. SURVEYOR'S CERTIFICATION I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that I am a duly Licensed Lan Surveyor under the I ws of the State of Minneso 11/29/2023 An rew Hill Date License Number 57632 MN 55304 i33 SUN WOOD DR NW SUITE 206 RAMSEY, MN 55303 (763)433-2851 NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 23, TOWNSHIP 32, RANGE 24, ANOKA COUNTY, MINNESOTA FOR: CITYOFANDOVER JOB NUMBER: OR1.132023 FIELD BOOK: DRAWN BY: FRO PERMANENT ROADWAY, TRAIL, DRAINAGE & UTILITY EASEMENT KNOW ALL MEN BY THESE PRESENTS, for valuable consideration, Alice Stephens, an individual, referred to herein as Grantor, hereby grants, sells, and conveys to the City of Andover, a Minnesota municipal corporation, Grantee, a permanent Roadway, Trail, Drainage & Utility Easement (collectively the "Easement") including, without limitation, the construction, maintenance, and repair thereof, and uses incident thereto, in, under, over and upon the real property, in Anoka County, Minnesota described as set forth in Exhibit A attached hereto and incorporated herein by reference (the "Easement Area"). Further, the right is hereby granted to the Grantee to remove trees, brush, undergrowth and other obstructions interfering with the location, construction and maintenance of the Easement Area. Grantor covenants that it is the owner of the property upon which the Easement Area is located (the "Property") and has the right, title, capacity and authority to grant the Easement Area described above and enter into this Easement Agreement. Grantor and future owners of the Property will not be responsible for any costs associated with the Easement Area. With the exception of those visitors, invitees and guests of Grantor and future owners of the Property, Grantor and future owners of the Property shall be free from liability and claims for damages by reason of injuries occurring on or after the date of the conveyance of this easement to any person or persons or property while on or about the Easement Area. Grantee shall defend and indemnify Grantor and future owners of the Property from all liability, loss, cost, and obligations, including reasonable attorneys' fees, on account of or arising out of any such injuries. However, Grantee shall have no liability or obligation to Grantor or future owners of the Property for such injuries which are caused by the negligence or intentional wrongful acts or omissions of Grantor or future owners of the Property. IN WITNESS WHEREOF, the parties have hereunto set their hands as of the date opposite their signatures below. Dated: / I — A S� 2023 Total Consideration: State Deed Tax Due: None STATE OF M NTNESOTA ) ) ss. COUNTY OF ANOKA ) GRANTOR Alice Stephens ($ 2s�).00 The foregoing instrument was acknowledged before me this!S day of W-Cwtht-t-3 2023, by Alice Stephens, a single individual, who has caused these presents to be executed or has set,� trLA � XMA sl ve written. szi �•• Notary Public Minnesota � At/Camm�onE�piresJanGay31.2025 cx—e.c-�--rt No&ry Public NOTICE IS HEREBY GIVEN that the City of Andover, a Minnesota municipal corporation, has accepted on 2023, the above-described easement in this document. CITY OF ANDOVER Dated: 2023 By: Sheri Bukkila, Mayor Dated: 12023 By: Michelle Harmer, Deputy City Clerk THIS INSTRUMENT WAS DRAFTED BY: Berglund, Baumgartner & Glaser, LLC 2140 Fourth Avenue North Anoka, Minnesota 55303 Telephone: (763) 427-8877 \"N `-%I �-z-= �GJ gO��V FXNIRIT A NORTHEAST QUARTER CORNER O` PROPOSED DESCRIPTION: SECTION 23-32-24 A perpetual roadway, trail, drainage and utility easement over, under and across that part of the Northeast 1/4 of the Northeast 1/4 of Section 23, Township 32, Range 24, Anoka County, Minnesota described as follows: N o C; _ Commencing at the Northeast corner of said Section 23; thence South 58° 0 52' 30" West along the approximate centerline of County State Aid Highway No. 18 a distance of 1260.88 feet to the actual point of beginning of the tract of land to be hereby described; thence South 0° 04' 12" West and parallel with the West line of said Northeast 1/4 of Northeast 1/4 a distance of y63$ 623.71 feet, more or less, to the South line of said Northeast 1/4 of Northeast 1/4; thence North 88° 25' 49" West along the South line of said I' Northeast 1/4 of the Northeast 1/4 a distance of 240.08 feet to the Southwest corner of said Northeast 1/4 of the Northeast 1/4; thence North 0° 04' 12" East along the West line of said Northeast 1/4 of the Northeast , 1/4 a distance of 472.14 feet to the approximate centerline of County State POINT OF --' Aid Highway No. 18; thence North 58° 52' 30" East along said centerline a BEGINNING distance of 280.55feetto the actual pointof beginning, PIP" P-1-e EAST LINE OF THE NORTHEAST-' QUARTER OF THE NORTHEAST QUARTER WEST LINE OF THE NORTHEAST QUARTER OF THE NORTHEAST QUARTER lying northwesterly of the following described line: IO V 50 SURVEYOR'S NOTES: I SCALE 1. This survey was performed, and the survey map prepared, without benefit of either a title insurance commitment or an attorney's title opinion. The record boundary and easement information (if any) shown hereon is based on information provided by the client. Research of documents affecting title to the property surveyed or adjoining properties has been limited to a cursory review of record information and it is recommended that all title matters affecting this property and survey be reviewed by an attorney or other title professional. 2. Bearings shown on this survey assume the east line of the Northeast Quarter of the Northeast Quarter bears South 00 degrees 03 minutes 26 seconds West. 3. Distances are in feet. ©Bolton & Menk, Inc. 2023, All Rights Reserved ALYING REA OF LINEA CONTAINING EASEMENT EXHIBIT APPROXIMATELY 6,649 SQ. FT.+/- 968 CROSSTOWN BOULEVARD NW. ANDOVER. fv PROPOSED PERPETUAL © BOLTON EASEMENT CONTAINING APPROXIMATELY 10,172 SQ. FT. +/- & MEN K Commencing at the northeast corner of said Northeast Quarter of the Northeast Quarter; thence on an assumed bearing of South 00 degrees 03 minutes 26 seconds West, along the east line of said Northeast Quarter of the Northeast Quarter, a distance of 70.08 feet; thence South 58 degrees 56 minutes 38 seconds West, a distance of 1251.32 feet to the point of beginning of the line to be described; thence continuing South 58 degrees 56 minutes 38 seconds West, a distance of 290.00 feet, to the west line of said Northeast Quarter of the Northeast Quarter and there terminating. 7533 SUNWOOD DR NW SUITE 206 RAMSEY, MN 55303 (763) 433-2851 SURVEYOR'S CERTIFICATION I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that I am a duly Licensed La Surveyor under the Jpws of the State of ZrewlHd�l 11/29/2023 Date License Number 57632 NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 23, TOWNSHIP 32, RANGE 24, ANOKA COUNTY, MINNESOTA FOR: CITY OF ANDOVER JOB NUMBER: OR1.132023 FIELD BOOK: DRAWN BY: FRD ND OVEI�a 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Council Members M CC: Jim Dickinson, City Administrator '� David Berkowitz, Director of Pu is s/City Engineer ��� FROM: Jason Law, Assistant City Engineer SUBJECT: Approve Green Acres Assessment Deferral Request / 21-39,16151 Avenue & Tulip Street Reconstruction — Engineering DATE: December 5, 2023 INTRODUCTION The City Council is requested to approve a Green Acres Assessment Deferral Request for Project 21- 39, 1615 Avenue & Tulip Street Reconstruction. DISCUSSION During the summer of 2023, 1615 Avenue and Tulip Street were reconstructed. In accordance with the City's Assessment Manual, assessment amounts were determined for properties fronting along the improvements and were formally approved by the City Council at the November 8, 2023 City Council meeting. Two parcels within the project limits are designated as "Green Acres" agricultural property. Per the City's Assessment Manual, properties meeting the "Green Acres" designation are eligible for consideration by the City Council for deferral of their assessments. See attached section from the City's Assessment Manual regarding this process. Per the City's Assessment Manual, deferral of assessments can be approved by the City Council for up to 15 years without interest, and if the property has not been subdivided for improvements constructed thereon within that period of time, the assessment shall be cancelled. Should parcels granted this deferred assessment subdivide or have improvements constructed thereon prior to expiration of the deferral, the assessment becomes due payable over a five year period with interest. The property owners at 15890 Tulip Street NW (PID's 17-32-24-34-0001 & 17-32-24-34-0006) have submitted a letter dated November 29, 2023 requesting deferral of their assessments under the Green Acres exclusion. The assessment amount for each parcel is $8,365.50 for a total of $16,731.00. Should the City Council approve this request, a revised assessment roll will be prepared for City Project 21-39 noting the deferral. BUDGETIMPACT The deferred assessment amount would be funded through the City's Road and Bridge Fund. Should either of the properties subdivide or develop prior to the deferment sunset date the assessments would be due over a five year period with no interest accrued up to that time, but with interest added in over the five year annual payments. Mayor and Council Members December 5, 2023 Page 2 of 2 COUNCIL ACTION The City Council is requested to approve the request to defer assessments from City Project 21-39 for PID's 17-32-24-34-0001 & 17-32-24-34-0006 under the "Green Acres" agricultural property exclusion in the City's Assessment Manual. Re ectfully submitted, Jason Attach: .Resolution, Excerpt from City's Assessment Manual, Resident Deferral Request, Location Map CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. MOTION by Councilmember to adopt the following: A RESOLUTION APPROVING REQUEST FOR GREEN ACRES DEFERRAL OF SPECIAL ASSESSMENTS TO PROJECT NO. 21-39. 161sT AVENUE NW & TULIP STREET NW RECONSTRUCTION. WHEREAS, the City of Andover has a completed street improvements under City Project 21-39 in the summer of 2023, and WHEREAS, said improvement project incorporated special assessments to benefitting properties fronting said improvements, and WHEREAS, the owners of properties PID # 17-32-24-34-0001 and PID # 17-32-24-34-0006 have submitted a request to defer their special assessments per the Green Acres agricultural property exclusion as identified in the City's Assessment Manual, and WHEREAS, said special assessments of $8,365.50 for each parcel, for a combined total of $16,731.00, are to be deferred interest free for a period of 15 years starting on the date of this resolution, and WHEREAS, should either of said parcels subdivide for improvements constructed thereon within that 15 year period of time, said assessment amounts shall be due and payable annually over a five (5) year period with interest thereon at the maximum rate allowable by Minnesota law in effect at that time, and NOW THEREFORE, BE IT RESOLVED by the City Council of Andover to hereby approve the request for deferral of special assessments for City Project 21- 39 under the Green Acres agricultural exemption for PID # 17-32-24-34-0001 and PID # 17-32-24-34-0006. Adopted by the City Council of the City of Andover this 5t" day of December .2023. CITY OF ANDOVER ATTEST: Sheri Bukkila - Mayor Michelle Hartner— Deputy City Clerk ASSESSMENT MANUAL POLICIES AND PROCEDURES GUIDE THE LAW. M.S.A. 429,059 The cost of any improvement, or any part thereof may be assessed upon property benefited by the improvement, based upon the benefits received. Adopted by the City Council of the City of Andover this 19th day of August , 2014. CITY OF ANDOVER ATTEST: 'chael R. Gamache —Mayor k1, ` CVCLAk+YU x Miclielle Hartner — Deputy City Clerk -1- included in the Appendix which identifies the process in more detail for reconstruction projects. Deferred Assessments At the discretion of the City Council assessments can be deferred for special circumstances. A deferred assessment would include a sunset date (which assessment would become active and assessed over an 8 year period), interest charged and/or an ENR cost index that shall be identified on the assessment roll. A deferred assessment shall be identified on the assessment roll as being subordinate to all present and future encumbrances or financing associated with the property. The assessment roll shall also identify details such as interest rate, sunset date and other improvements as approved by the City Council. Senior citizens or retired individuals by virtue of permanent and total disability are eligible for a deferred assessment as described by State Statute 435.193 if they meet the requirements set by City Ordinance No. 101 & No. 101A (see Appendix) and income limits set by City Council resolution. Refer to the Appendix for the City Council resolution. Deferred Assessment for Agricultural Properties Assessments to active agricultural properties (properties which meet the requirements of "Green Acres" designation) may be deferred by the City Council until a designated future year or until the subdivision of the property occurs or construction of improvements thereon which shall require street access. The deferment shall be identified on the assessment roll as being subordinate to all present and future encumbrances or financing associated with property. The deferment shall include assessments for streets, water main, sanitary sewer and storm sewer. In the event that such construction of improvements is only upon a portion of the property for which the assessment is deferred, such deferral shall be terminated against that portion of the property where the improvement is located in an area equal to the minimum lot size established for the zoning district within which it is located. Such deferral can be on such terms and conditions and based upon such standards and criteria as provided by Council resolution. Such assessments can be deferred for up to 15 years without interest and if the property has not been subdivided for improvements constructed thereon within that period of time, the assessment shall be canceled. All active agricultural property with deferred assessments that are subsequently subdivided or have improvements constructed thereon which have access to the improvement shall require the payment of such assessments in five equal annual installments with interest thereon at the maximum rate allowed by Minnesota law in effect at that time on unpaid special assessments. Note: This was approved November 19, 1996 and not added to the written policy until now. Streets: M.S.A. / County Roads Costs for Municipal State Aid (M.S.A.) streets shall be assessed to the -12- November 29, 2023 Atten: Andover City Council Please consider a 15 year Green Acres deferral of our Tulip Street re -construction project costs. My husband & I have farmed this land since 1979 and want to continue to work this land and raise livestock, corn, rye, oats, & more for several years to come. We take great pride in our field crops, and the animals. The property has been taxed Green Acres for all our years living here. (as well as the years my parents farmed it prior to our purchase from them) Our farm consists of 2 adjoining 10 -acre parcels on Tulip Street: PID's # 17-32-24-34-0001 & # 17-32-24-34-0006 Your sincere consideration will be greatly appreciated. William & Janet Steffes 15890 Tulip St NW Andover MN 55304 N CAPITAL IMPROVEMENT PLAN (2023) PROJECT NAME: MUNICIPAL STATE AID ROUTES / NEW & RECONSTRUCT LOCATION: TULIP STREET (157TH AVE TO 161ST AVE &400' S OF 169TH LN TO VALLEY OR); 161ST AVE (ROUND LAKE BLVD TO TULIP STREET) I. s68TI I `. — �� ''` ( • , 0'� Y �/ ley j o- -165TH,: AVE I .&,. 'a.:. 0 I;, •r J, f HIL 1 • t C I r � PID 17-32-24-34-0006 i< �1. t I IU I I-JLYY-JY-VVV I .,/ •N - "•CC' _ - Is Tr I. AVE my 61 , FS 1, M Geo50 al c moron V _! 0 Soo 1 OOD Feel III II Q Project Location Assessed Parcels C I T Y O IF n+maos�w•nm m, mama Parcel Boundary QCity Limits NDOVER �•ama.,ne�M«�I�I� Incorporated 1974 ,.W�aMv°a� EXHIBIT 1 NM: 10/YZOz: I:u en AC I T Y 0 F NLbD 0 V E 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Councilmembers ,i COPY: Jim Dickinson, City Administr �7-----�' Joe Janish, Community Develop ent erector FROM: Peter Hellegers, City Planner SUBJECT: Approve Variance Resolution with Findings of Fact for 2274 164`h Avenue NW Planning DATE: December 5, 2023 DISCUSSION The property at 2274 164`h Avenue NW (PID 15-32-24-22-0015) applied for a variance to the width of the access drive that would be required from the street to the proposed single family home site on the property at 2274 164`h Avenue Northwest. At their November 21, 2023, meeting the City Council considered the application and recommended approval of the variance and directed City staff to provide the findings of fact from the variance discussion and bring the resolution back for Council approval. The updated resolution is attached for the Council's consideration. ACTION REQUIRED The City Council is requested to act on the variance resolution with the added findings of fact. Attachments Resolution of Approval Location Map RefHetted, Pet City Planner CC: Shawn Mars, Applicant (via email) CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. A RESOLUTION APPROVING A VARIANCE FOR THE PROPERTY LOCATED AT 2274 164TH AVENUE NW; PID# 15-32-24-22-0015 LEGALLY DESCRIBED AS FOLLOWS: THE NW/40F NW % OF SEC 15 TWP 32 RGE 24, EX S 16.5 FT THEREOF, ALSO EX PRT PLATTED AS KIMBERLY OAKS, EX RD, SUBJ TO EASE OF REC WHEREAS, Shawn and Stephanie Mars ("Applicants") are the owners of a parcel of land located at 2274 164a' Avenue NW, Andover, Minnesota with Parcel ID Number 15-32-24-22- 0015 (the "Property"); and, WHEREAS, Applicants have applied to the City for a variance to the Property's access drive width requirement; and, WHEREAS, the proposal would vary from City Code 12-4-2: Lot Provisions in that it would decrease the access drive width from 20 feet to 12 feet, and provide an upland passing area section that is 20 -feet -wide, as shown on Exhibit A; and, WHEREAS, the Andover Review Committee has reviewed the variance request; and, WHEREAS, pursuant to published and mailed notice thereof, the Planning and Zoning Commission held a public hearing on November 14, 2023 to consider the variance request; WHEREAS, following the public hearing on November 14, 2023, the Planning and Zoning Commission recommended to the City Council approval of the variance request; and, WHEREAS, at its regularly scheduled City Council meeting on November 21, 2023, the City Council completed a review of the variance request along with the recommendation of the Planning and Zoning Commission; and, WHEREAS, the City Council agrees with the recommendation of the Planning and Zoning Commission and approves the variance request to reduce the access drive width from 20 feet to 12 feet, and provide a 20 -foot -wide upland passing area, as shown on Exhibit A; and, WHEREAS, based on the foregoing, information contained within the City Packet regarding the matter presented at the November 21, 2023 City Council meeting, presentation from the Applicants, and the criteria for granting a variance under City Code 12-15-9, the City Council adopts the following findings of fact to support the approval of the variance request: 1. The property owner proposes to use the property in a reasonable manner not permitted by an official control. The Applicants seek to use the Property for a single-family residential use which is consistent with the way the Property is currently guided. A 20 -foot -wide access drive would be required for principal structures located 300 feet or more from the roadway. However, the construction of that 20 -foot -wide access drive would have more wetland impacts than a standard 12 foot access drive. The Applicants have proposed an upland passing area in a section that is not wetland and accommodates the wider access drive width. 2. The plight of the landowner is due to circumstances unique to their property not created by the landowner. The front 350 plus feet of the Property has wetland separating the area for the home from the street, making it unique from other properties, in that a long driveway through the wetland area would be required to access the upland area of the parcel. 3. The variance, if granted, will not alter the essential character of the locality. The surrounding properties are single-family residential uses, consistent with the proposed use of the subject Property. The City Code would currently allow an access drive of 20 feet wide or more to be built to reach the proposed home. The proposed variance would decrease the amount of wetland that would be impacted by constructing the narrower access drive. 4. Economic considerations alone do not constitute practical difficulties. The practical difficulties are not due to economic considerations alone, but rather, are due to the location of the wetlands across the front of the Property that require the long access drive, as well as the wetland regulatory agency requirements that the landowner minimize impacts on those wetlands. NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of Andover hereby approves the variance request with the following conditions: 1. All necessary permits shall be obtained from any agency having an interest in improvements constructed on the Property. 2. The Applicants shall provide a 20 -foot -wide section of access drive on both the "upland passing area" and on the upland area near the house. 3. The Applicants shall provide the city with drainage and utility easements of 10 -feet along all Property lines and over areas below the 100 -year high-water level. 4. Park / Trail dedication fees may be required at the time of the Building Permit. 5. Applicants will still need to provide lot buildability information at the time of building permit, including geotechnical report, soil boring, septic, and similar information. 6. Access drive/driveway shall be consistent with Exhibit A, including wider `Upland Passing Area' portion of the access drive. 7. Pursuant to City Code 12-15-9-E-6, if the City Council determines that no significant progress has been made within the first twelve (12) months after the approval of the variance, the variance will be null and void. Adopted by the City Council of the City of Andover this 5th day of December 2023. CITY OF ANDOVER CITY OF ANDOVER Michelle Hartner, City Clerk Sheri Bukkila, Mayor NDOVE 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: COPY: FROM: SUBJECT: DATE: Mayor and Councilmembers Jim Dickinson, City Administrator Joe Janish, Community Developme t trector,4� Peter Hellegers, City Planner Encroachment Agreement for Fields of Winslow Cove Monument Sign December 5, 2023 INTRODUCTION The City Council is requested to approve the Declaration of Encroachment Conditions and Covenants for a monument sign to be located on Outlot D in the Fields of Winslow Cove, located at the SE corner of Prairie Road and 151st Lane NW. 0 DISCUSSION The applicant has proposed a monument sign for the southeast corner of Prairie Road and 1511 Lane NW for the Fields of Winslow Cove development. While the developer is the owner of that property, the City has a drainage and utility easement over Outlot D, and the proposed sign and plantings would encroach into that easement area. City staff have reviewed the proposed monument sign plans and have confirmed that it would be located the required distance from city utilities and would not impede the sight triangle at that corner (as shown on Exhibit B – Layout of Entrance Monument - 11/21/23). The proposed monument sign would also require a sign permit and a building permit, both of which would be handled administratively. ACTION REQUIRED The City Council is requested to approve the Declaration of Encroachment Conditions and Covenants for the unaddressed Outlot D in the Fields of Winslow Cove, located at the SE corner of 151st Lane NW and Prairie Road Respeclf4lly Sub fitted, Pete4–V s,— City lann Attachments Declaration of Encroachment Conditions and Covenants Exhibit A – Location Map Exhibit B - Layout of Entrance Monument- Revised 11/21 Landscaping Plan and Entry Monuments Plan – Revised 11/21 (pp. 8, 18, and 19) CC: Josh Metzer, Lennar - Applicant (via email) DECLARATION OF ENCROACHMENT CONDITIONS AND COVENANTS THIS AGREEMENT, entered into and made effective as of the date executed by all parties, is by and between, U.S. Home, LLC, a Delaware Limited Liability Company, with its local principal place of business located at 16305 36th Ave. N, Plymouth, MN 55446, owners of said property noted below (hereinafter the "Owner"), and the City of Andover, a Minnesota Municipal Corporation with its principal place of business located at 1685 Crosstown Boulevard NW, Andover, MN 55304 (hereinafter the "City"). WHEREAS, Owner is the fee owner of Outlot D, Fields of Winslow Cove as platted and filed the 141h day of June 2022 in Anoka County as Document Number 602106.003; and WHEREAS, the City has a drainage and utility easement that currently exists on the Property as shown on Exhibit A attached hereto and made a part hereof (hereinafter "Drainage and Utility Easement"); and WHEREAS, Owner wishes to install an entrance monument and landscaping as approved bythe City (hereinafter "Improvements") as shown on Exhibit B, within the existing Drainage and Utility easement; and WHEREAS, the City is willing to acknowledge and agree to an encroachment of the Drainage and Utility Easement for said improvements contingent upon Owner agreeing to abide by certain conditions; and WHEREAS, Owner is aware the area is for drainage and utility purposes and that the City access and/or utility repair may be required in said easement, resulting in the requested removal of the Improvements. NOW, THEREFORE, in consideration of the foregoing and the City's consent and approval to the encroachment into the Drainage and Utility Easement, Owner hereby agrees as follows: 1. To hold the City harmless and indemnify the City from any and all liabilities, and defend against lawsuits, expenses, damages, acts or failure to act, attorney's fees and court costs, which may arise as a result of Owner, or its successors in interest, constructing and maintaining said Improvements upon, in, or around the Drainage and Utility Easement of the City. 2. With the exception of willful misconduct or gross negligence, the City shall not be held responsible for any damage to said Improvements whatsoever as a result of the City exercising its right to access, excavate, repair, construct or maintain any public improvements within said Drainage and Utility Easement. 3. Any additional cost to maintain, repair or replace the public infrastructure within the Drainage and Utility Easement due to the Owner's encroachment within said Drainage and Utility Easement shall be the sole responsibility of Owner or its successors in interest to the extent the cost exceeds the costs the City would incur if the Improvements did not encroach into the Drainage and Utility Easement. 4. In the event the Property is abandoned or vacated, the City may terminate this Agreement upon ten (10) days written notice to Owner or its successors in interest. Owner hereby covenants and agrees that Owner will not permit or allow any mechanic or materialman's liens to be placed on or affect the Drainage and Utility Easement. Notwithstanding the previous sentence, however, in the event any such lien shall be so placed on the Drainage and Utility Easement, Owner shall take all steps necessary to see that it is removed within thirty (30) days of its being filed. 6. The City may require evidence of insurance from Owner, in amount the City deems reasonable and necessary in its sole discretion, to cover the indemnification required herein, naming the City as an additional insured. 7. The parties hereto represent, warrant and agree that each has been represented by their own counsel, or has had the right to be so represented but declined any such representation; that they have thoroughly read and understand the terms of this Agreement; that they have conferred with their respective attorneys on any such questions in regard to this Agreement, or had the right to confer with an attorney but have declined to do so; and have voluntarily entered into this Agreement. 8. This Agreement shall not be construed more strictly against one party than against any other party by virtue of the fact that the Agreement may have been drafted or prepared by counsel for one of the parties, it being recognized that all parties to this Agreement have contributed substantially and materially to the negotiations and/or preparation of this Agreement. 9. This Agreement shall be construed under and enforced in accordance with the laws of the State of Minnesota. 10. If any provision of this Agreement shall be determined by any court or governmental agency to be invalid or unenforceable, the remainder of this Agreement and the application of such provision to other persons or circumstances shall not be affected thereby and shall remain enforceable to the greatest extent permitted by law. 11. Any notice required or permitted to be given in accordance with the terms of this Agreement may be given by first class U.S. Mail, postage prepaid, overnight courier or by personal service, to the other party at the address set forth in the first paragraph of this Agreement, or at such other address as either party, or their successors or assigns, may hereafter designate to the other party in writing. IN WITNESS WHEREOF, the parties have hereunto set their hands as of the date opposite their signatures. Dated: Dated: STATE OF MINNESOTA CITY OF ANDOVER By: Its: Mayor By: Its: Deputy City Clerk ) SS. COUNTY OF ANOKA On this day of 2023, before me, a notary public within and for said county, personally appeared Sheri Bukkila and Michelle Hartner to me known to be respectively the Mayor and Deputy City Clerk of the City of Andover, and who executed the foregoing instrument and acknowledge that they executed the same on behalf of said City. Notary Public Dated: STATE OF MINNESOTA ) SS. COUNTY OF HENNEPIN OWNER: U.S. HOME, LLC M Its: Senior Vice President On this day of . 2023, before me, a notary public within and for said county, personally appeared Jon Aune, to me known to be the Senior Vice President of U.S. Home, LLC, a Delaware limited liability company and who executed the foregoing instrument and acknowledged that he executed the foregoing instrument and acknowledged that he executed the same on behalf of said company. Notary Public This instrument was originally drafted by: Berglund, Baumgartner, Kimball & Glaser, LLC 2140 411 Avenue N. Anoka, MN 55303 Re -typed and edited by: U.S. Home, LLC/DH 1630536 th Ave. N, Suite 600 Plymouth, MN 55446 Flrcpcsc FIELDS OF WINSLOW COVE `as \ CITY OF ANDOVER COUNTY OF ANOKA SEC. 23 h 24, T 32, R. 24 EXHIBIT "A" Exhibit_ highlighting Outlot D, Fields of Winslow Cove showing the location of the proposed entrance monument and associated monument and associated landscaping L 811 or NOTFORCONSTRUCTION i aou I Q`� IPxePzeforox w..ww..w..wo.u«. ��.Bw�l I�/WOOC�g I EXHIBITS - O LENNAR HOMES FIELDS OF WINSLOW COVE LAYOUT OF ENTRANCE o nuo ANoovERMN MONUMENT O1 PROIER NUMBER W8734 11/21/23 JiIL .Ji'L ilt 5 `, •\ \ , � ''\` to `� , to �_ � U _,�Z ,� ��L" 811 or� II81 ��+ "', \ ��,su °�S- ' '�• _ �� `� � \„�� 1U';� �li Landscape Legend s l'yW ca8Q xrrumnn Native Seeding end lid 9 Le 9 vw m....uoorRsnr Y ' ✓\\ , \ 'xu1•. v _ � � � �'�� v�YJ� / �� � � ! Vis/ ,.�, �� � CSA\ .r \ ., 1\ I I mm nsimzx W0. An.00w.Mw.eor. a M ••••w•• I S FIELDS OF WINSLOW COVE LANDSCAPE PLAN 8 LENNAR NOME I VIIEStWOOfI d. fin sln. ANoovER MN 20 �' PRWERNUMBERCO28"/3d COl °" -r-- 1/211/2023 I /z \y I .� wnsrzozz .LENNAR HOMES %t -i -i... 7n� nN,a I y Wd ENTRY MONUMENT PLANT SCHEDULE (X2) �$ Iw Mta°f 20I „2,/2023 I 53P. a. / r♦ ,r a \ o o p a c El ♦ avomuuw` v,\\ /z \y I .� wnsrzozz .LENNAR HOMES %t -i -i... 7n� nN,a I y Wd ENTRY MONUMENT PLANT SCHEDULE (X2) �$ Iw Mta°f 20I „2,/2023 I 53P. a. Ic o o p a c I .� wnsrzozz .LENNAR HOMES %t -i -i... 7n� nN,a I FIELDS OF COVE ANCbVER MN I Wd I ENTRY MONUMENTS PLAN GROIER NUMBF0. CO20IN.00 �$ Iw Mta°f 20I „2,/2023 I 53P. a. 811 or callettcom STEEL SIGN PANEL FENCE & COLUMN LAYOUT OVERALL MONUMENT LAYOUT xo1.-1 xo. muse - SECONDARY COLUMN • METAL PLAQUES COLUMN FOOTING DETAIL 161, �cowxoorn..w,,.wrnrwP,w.m.�x ,an.w.w.,,rm•rw,.xrech, se,x,«ivN U,w<„lu re«wlwar,,:x rn,� Wn rwwmneedu,ewe„mm Poll s, 1m /� 16w orve, "�C}t � RlWSco: m I O ELEMENTS, INC. 2016 TO OF PROPOSAL iNIS OESIG INCN IS iNE 9MAYN TDE BE SIGNEDAPPROVAL REPRODUCED WITHOUT NOTEN Elements lrc. EN1VIaMen CINE, /IMMinneapdi�MN 55449 PERMISSION WITHOVi WPITTEN I I�3QD�D88�MbD IIOJ>9M1EPXO6l1l10dIS0�elemenulncm PERMISSIUN. I.M. N,R LD" Westwood LENNAR HOMES tl'e FIELDS OF WINSLOW COVE nrmom'.uwxm..ssu¢ unLLmw»a s ANpOyER MN r'�x""^" ENTRY MONUMENTS 9 DETAILS 20 PROIECI NUMBER 0028734.00 wre 112ln023 �e IM rvnMM Ynrim.�v f ' SECONDARY COLUMN • METAL PLAQUES COLUMN FOOTING DETAIL 161, �cowxoorn..w,,.wrnrwP,w.m.�x ,an.w.w.,,rm•rw,.xrech, se,x,«ivN U,w<„lu re«wlwar,,:x rn,� Wn rwwmneedu,ewe„mm Poll s, 1m /� 16w orve, "�C}t � RlWSco: m I O ELEMENTS, INC. 2016 TO OF PROPOSAL iNIS OESIG INCN IS iNE 9MAYN TDE BE SIGNEDAPPROVAL REPRODUCED WITHOUT NOTEN Elements lrc. EN1VIaMen CINE, /IMMinneapdi�MN 55449 PERMISSION WITHOVi WPITTEN I I�3QD�D88�MbD IIOJ>9M1EPXO6l1l10dIS0�elemenulncm PERMISSIUN. I.M. N,R LD" Westwood LENNAR HOMES tl'e FIELDS OF WINSLOW COVE nrmom'.uwxm..ssu¢ unLLmw»a s ANpOyER MN r'�x""^" ENTRY MONUMENTS 9 DETAILS 20 PROIECI NUMBER 0028734.00 wre 112ln023 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Councilmembers CC: James Dickinson, City Administrator FROM: Dana Makinen, Human Resources Manag SUBJECT: Approve City Administrator Review DATE: December 5, 2023 0 INTRODUCTION The City Council held a special executive session on November 28', 2023, to evaluate the performance of the City Administrator James Dickinson. DISCUSSION The evaluation of the City Administrator, James Dickinson, was conducted in an executive session by the City Council as permitted by state open meeting laws. In a summary review of the Council's discussion with the City Administrator, it was determined that City Administrator Dickinson exceeds the expectations of the City Council. The City Administrator was evaluated in the areas of Council relations, fiscal management, personnel, supervision, leadership, intergovernmental relations, and community relations. The City Council has authorized a one-time payout of City Administrator Dickinson's Annual Leave of 120 hours, with the expectation that he will use his Annual Leave in the future. In addition, Mr. Dickinson's contract was changed under Section 4 Termination to reflect a severance of 6 months payout instead of 4 months payout, which is consistent with other City Administrator's contracts. The full contract is available for review in the Human Resources Office. BUDGET IMPACT The 2023 Budget will need to be amended to reflect the additional pay that City Administrator Dickinson will receive. ACTION REQUESTED The City Council is requested to approve the results of City Administrator Dickinson's performance review as satisfactory, approve the one-time payout of Annual Leave & Budget Amendment, and the change in the City Administrator Contract for 2024 with the extension of additional severance. Respectfully submitted, Dana Makinen 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council CC: Jim Dickinson, City FROM: Michelle Harmer, Deputy City SUBJECT: Approve 2024 Massage Therapy Licenses DATE: December 5, 2023 INTRODUCTION Massage Therapist/Establishment licenses expire on December 31, 2023. DISCUSSION The following has applied for renewal of their license, paid the appropriate fee and been approved by the Sheriff's Office. • Renee Palluck, Health & Healing Family Chiropractic — 2705 Bunker Lake Blvd., Suite 100 • Christine Finnamore, Health & Healing Family Chiropractic — 2705 Bunker Lake Blvd., Suite 100 • Karrie Lehn, Health & Healing Family Chiropractic — 2705 Bunker Lake Blvd., Suite 100 • Sara Johnson, Sapphire Massage — 14405 Osage Street • Anthony Lawther, Essentials of Life Chiropractic —1777 Bunker Lake Blvd., Suite 200 • Kristine Maravelas, A Healthier You Massage Therapy — 13847 Raven Street • Lisa Scholl, Olive Branch Massage Therapy — 15824 Olive Street • Briana Moore, Healthyself Therapeutic Massage —15190 Bluebird St. #108 • Leigh Welch, Healthyself Therapeutic Massage —15190 Bluebird St. #108 • Mary Wagner, Healthyself Therapeutic Massage — 15190 Bluebird St. #108 • Kraig Wheeler, Healthyself Therapeutic Massage -15190 Bluebird St. #108 ACTION REQUIRED The City Council is requested to approve the licenses for the period of January 1, 2024 through December 31, 2024. Respectfully submitted, Michelle Harmer Deputy City Clerk Attach: License Applications 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 . WWW.ANDOVERMN.GOV Therapeutic Massage Therapist License Application Pursuant to City Code 3-6 the following information must be provided prior to approval: 1. Name of Applicant T ca ff'V First Middle Last 2. Applicant's Date of Birth (must be 13 years old) _ 3. Telephone Number of Applicant_ _ 4. Email Address of Applicant _ 5. Home Address of Applicant_ rn 6. I will be working as a massage therapist at: a Residential Home. Provide address & legal description of home X a Business. Provide address of business �?70s >e117 �h or'6V e. , /??/V SS 3o�f 7. Number of years experience as a massage therapist /3 8. Previous employment as a massage therapist (list name, address and position held: �a<5<Ta-�_ CPi2vy � f'�ad�L Crd�� �GUT"y4s�-. -1/'. / 9. Description of any crime or other offense, including the time, place, date, and disposition for which the applicant has been arrested and convicted: 02 On Z Provide a statement as to whether the applicant has had any license denied, revoked or suspended in the City of Andover or the State of Minnesota, the reason therefore, and the business activity or occupation of the applicant subsequent to such suspension, revocation or denial. (Attach separate sheet) Prior to consideration of the application an investigation shall be made by the county sheriff's department of all persons listed on the Iicense applications. ?lease a tach cagy arf yoiea ¢laver s license: Licenses expire on December 31a1 of each year. Lack of payment of annual l ce . - -g fee.shall be c shall of.Iicense.. _ signature of Applicant Date •vv umv evvvuvevevv evm•mvvvee •vvvvvvvvvvvvevv vvevevvvvevavu vmvmvmvvn 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Therapeutic Massage Therapist License Application Pursuant to City Code 3-6 the following information must be provided prior to approval: 1. Name of Applicant_ (167510L �, poq First Mid e Last 1 , 2. Applicant's Date of Birth (must be 18 years old) 3. Telephone Number of Applicant_ 4. Email Address of Applicant, A 5. Home Address of Applicant_ ; 1 / - 6. I will be working as a massage therapist at: a Residential Home. Provide address & legal description of home a Business. Provide address of business A { Ki- and 7. Number of years experience as a massage therapist 8. Previous employment as a massage therapist (list name, address and position held: �rLc� 9. Description'of any crime or other offense, inaludIn the tithe, place, date, and disposition for which the applicant has been arrested and convicted-, .r^ Provide a statement as to whether the applicant has had any license denied, revolted or suspended in the City of Andover or the State of Mitnlesota, the reason therefore, and the business activity of occupation of the applicant subsequent to such suspensiotl, revocation rn: denial. (Attach separate sheet) Prior to consideration of the application act investigation shall be made by the county shetIff .s department of all persona listed on the license applieatlons, Licensee ettpire on DecetI�ar 31�t of enc11 yeaar:�k of payment of annual :..._licen$ixig. ee l..be auaefarxevocatlottofdieenae, of -...-. . Atgnn ue ofApplicnnt "�� 4Yp PN NN PbYI YYbMYYYXtlMAYYpbXYp PNNYpM YYptlYpbYPXYb YYYYb YA XA qNX Np pRpAtlpNXI 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Kerrt` A-i\v\ Nvrv('& THERAPEUTIC MASSAGE ESTABLISHMENT LICENSE APPLICATION 1. Name of Applicant First Middll Inst 2. Applicant's Date of Birth (must be is yrs old) 3. Telephone Number of Applicant_ 4. Email Address of Applicant _ 5. Home Address of Applicant _ I 6. Address of Business/Premises to be Licensed Health and 2705 Bunker Lake 'Ivd Suite 100 7. Name of Business/Premises Andover, INN 55,304 t 8. Telephone Number for Business/Premises 9. Legal Description of Business/Premises to be Licensed 10. Name of Ogmer of Premises to be Licensed 11. Address of Owner of Premises to be Licensed 12. Within the preceding five years has the applicant or spouse been convrcteu ut ally felony, crime or violation of any ordinance other than traffic. If so, provide the state or county of conviction, the date of conviction and the specific crime so committed. Y1nVIP 13. If the applicant is a corporation list the names, addresses and dates of birth of all persons having a beneficialinterest therein (i.e. officers, directors, stockholders). IC2.r Y 1 1 Q r r?:LL J 14. Description of services to be provided. The information requested in items 1,2,3 and 9 must be provided for all owners, lessees, operators and massage therapists of the proposed therapeutic massage establishment. anise tas Each applicant for a license shall file with the city a public liability insurance policy or certificate of insurauce.from a company authorized to do business in the state of Minnesota, insuring the applicant against any and all loss arising out of the use, operation or maintenance of the therapeutic massage establishment. The policy of insurance shall be in limits of not less than five hundred thousand dollars ($500,000.00). Failure to keep in full force and effect the insurance required herein is grounds for revocation. Prior to consideration of the application by City Council,, an investigation shall be made by the code enforcement officer and the building official to determine compliance with this chapter of all premises proposed to be licensed, and by the County Sheriff's Department of all persons listed on the license application. Tease attachea mf your�I verts01e9flse Applicant and associates in this application. will strictly comply with all ordinances of __.._ the City, i hereby certify--.that-I.ha_ve.read.the foregoing questions -and that the answers are true of my own knowledge. Licenses expire on December 31st of each year. Lack of payment of amn al licenshig fee shall be caul or revocation of license. � is/tm/zs X0//6 /Z3 SI Mtlaa of Applicant Date 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THERAPEUTIC MASSAGE ESTABLISHMENT LICENSE APPLICATION 1. Name of Applicant J) alga La vel s e. -To koS' First _ Middle _ _ Last 2. Applicant's Date of Birth (must be is yrs old) 3. Telephone Number of Applicant 4. Email Address of Applicant 5. Home Address of Applicant 6. Address to be Licensed 53o 7. Name of Business/Premises3ore, ,k1n�0nLLC 0'64 '>oKt�k I 8. Telephone Number for Business/Premises 7 —j 9. Legal to be Licensed 10. Name of Owner of Premises to be Licensed 11. Address of Owner of Premises to be Licensed 1 `i o S C1 QQ, e St, ML-) 8frtr, ye.r , MAJ 55 3 (�"! 12. Within the preceding five years has the applicant or spouse been convicted of any felony, crime or violation of any ordinance other than traffic. If so, provide the state or county of conviction, the date of conviction and the specific crime so committed. 'J O 13. If the applicant is a corporation list the names, addresses and dates of birth of all persons ha" a beneficial interest therein (i.e. officers, directors, stockholders). 14. Description of services to be provided. The information requested in items 1,2,3 slid 9 must be provided for all owners, lessees, operators and massage therapists of the proposed therapeutic massage establishment. ecra4VV Each applicant for a license shall file with the city a public liability insurance policy or certificate of insurance fi-om a company authorized to do business in the state of Minnesota, insuring the applicant against any and all loss arising out of the use, operation or maintenance of the therapeutic massage establishment. The policy of insurance shall be in limits of not less than five hundred thousand dollars ($500,000.00). Failure to keep in full force mid effect the insurance required herein is grounds for revocation. Prior to consideration. of the application by City Council, an investigation shall be made by the code enforcement officer and the building official to determine compliance with this chapter of all premises proposed to be licensed, and by the County Sheriffs Department of all persons listed on the license application.neas lit)�eh a eopy arf y®uc �Iv_ver's lre�gse Applicant and associates in this application will strictly comply with all. ordinances of the City, I hereby 9ertifythat T haveead_the.foregoing questions-and_that the answors are true of my own knowledge. Licenses expire on December 31st of each year, Lack of payment of annual licensing fee shall be cause for revocation of license. Signature orAppaeant Date ; M, �vr + 1 S rgl@ ip tic On, $2 0'610: : TtCakpoiaEb AcatigS.$ 90 00 ,1 , I " ei's?7i Oda i $30q d� 9l J fl F i (" J (1 3 k`t` V Resr$enttljpirca%ioli` Conditional (re�er�b [ee gctu�u�e fd1 {ee) ' �; , �:f�e�eyq��I(iri�lpudQQe``r�?ye�h�atzbn�ee� `rl'"' YYW i�`w�5()"0o Y ( .. 4 b enei Fe } 1 y tY LYcense t��/EjrnotYttt Paid Dy. ( Rs n AppYov� Deny - J Ci{y Cler�<� �pprove Deny City Councils Approve �TD�ny * Coiiticii heeds to approve Condrhonal Use T'erriut t<eques`{s only 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THERAPEUTIC MASSAGE ESTABLISHMENT LICENSE APPLICATION 1. Name of Applicant { �( "F,. ( ��3® (La,t FicstT— -[vli4d , _ Last 2. Applicant's Date of Birth (must be is Yrs old)_ 3. Telephone Number of Applicant_ 4. Email Address of Applicant 5. Home Address of Applicant _ y-- I — , , 6. Address of B siness/Premises to b Lic sed 7. Name of Business/Premises_IN;Y��C 8. Telephone Number for Business/Premises 093y 9. Legal escription of Business/Premises to be Licensed 10. 11. Name of Owner of PrerA,ses to b Licensed d�(P,trn��tr AdN 31,o 40 1�UAhje'v AdCJ�Y� I�glS a rc dress of O of Premises to be Licensed 12. Within the preceding five years has the applicant or spouse been convicted of any felony, crime or violation of any ordinance other than traffic. If so, provide the state or county of co viction, the date of conviction and the specific crime so committed. 13. If the applicant is a corporation list the names, addresses and dates of birth of all persojj having a beneficial iRtfrest therein (i.e, officers, directors, stockholders). 14. Description of serviced to be The information requested in items 1,2,3 and 9 must be provided for all owners, lessees, operators and massage therapists of the proposed therapeutic massage establishment. Ss�aiq Each applicant for a license shall file with the city a public liability insurance policy or certificate of insurance from a company authorized to do business in the state of Minnesota, insuring the applicant against any and all loss arising out of the use, operation or maintenance of the therapeutic massage establishment, The policy of insurance shall be in limits of not less than five hundred thousand dollars ($500,000.00). Failure to keep in full force and effect the insurance required herein is grounds for revocation. Prior to consideration of the application by City Council, an investigation shall be made by the code enforcement officer and the building official to .determine compliance with this chapter of all premises proposed to be licensed, and by the County Sheriff's Department of all persons listed on the license application. �'leaa t€acir a eopy asfy®o- &r en'S lsee � and associates in Me city. l hereby certify that 1 have read the foregoing questions and that the answers are true of niy own lmowledge. Licenses expire on December 3151 of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. Signatu-dApplwint Data 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER,, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THERAPEUTIC MASSAGE ESTABLISHMENT LICENSE APPLICATION 1. Name of Applicant ry,(; The information requested in items 1,2,3 and 9 must be provided for all owners, lessees, operators and massage therapists of the proposed therapeutic massage establishment. setsau? Each applicant for a license shall file with the city a public liability insurance policy or certificate of insurance from a company authorized to do business in the state of Minnesota, insuring the applicant against any and all loss arising out of the use, operation or maintenance of the therapeutic massage establishment, The Policy of insurance shall be in limits of not less than five hundred thousand dollars ($500,000.00). Failure to keep in frill force and effect the insurance required herein is grounds for revocation. Prior to consideration of the application by City Council, an hrvest gation shall be made by the code enforcement officer and the building official to determine compliance with this chapter of all premises proposed to be licensed, and by the County Sheriff's Department of all persons listed on the license application,'lhease �tfiacU a copy m€yoxlr.drlver's incense; Applicant and associates in this application will strictly comply with all ordinances of _ the City. I herft certify that I�iave read. the-foregoing.questions and.that.the answers - are true of my own knowledge. Licenses expire on December 3181 of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. Signnhoe ofAppLcrmt Ih-- 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THERAPEUTIC MASSAGE ESTABLISHMENT LICENSE APPLICATION 1. Name of Applicant First Middle 2. Applicant's Date of Birth (must be is Yrs olds 3. Telephone Number of Applicant 4. Email Address of Applicant _ " " 5. Home Address of Applicant _ ..n 6. Address of Business/Premises to be Licensed 15824 o u v -c St fy w 827& v r-, MA) 5✓304 7. Name of Business/Premises LISG{ cSGIl0/ 1 J`VI/1 �I���/� /{ f OU �( j"% T assa�e�GC� 8. Telephone Number for Business/Premises 9. Legal Description of Business/Premises to be Licensed / n4! R IQ 1,7 ",v I Oil ,'l/cv'� 1AIni711C -7 nd 10. Name of Owner of Premises to be 11. Address of Owner of Premises to be Licensed 15h'Z4 014y,& i� /U0 eller, M AJ 12. Within the preceding five years has the applicant or spouse been convicted of any felony, crime or violation of any ordinance other than traffic. If so, provide the state or county of conviction, the date of conviction and the specific crime so committed. /UQ 13. If the applicant is a corporation list the names, addresses and dates of birth of all persons having a beneficial interest therein (i.e. officers, directors, stockholders). ..,,, 14. Description of services to be provided. The information requested in items 1,2,3 and 9 must be provided for all owners, lessees, operators and massage therapists of the proposed therapeutic massage establishment. P2suro an Each applicant for a license shall file with the city a public liability insurance policy or certificate of insurance from a company authorized to do business in the state of Minnesota, insmin he applicant agdwt� atid.all loss Mising4ut os the use, operation or maintenance of the therapeutic massage establishment. The policy of insurance shall be in limits of not less than five hundred thousand dollars ($500,000.00), Failure to keep in full force and effect the insurance required herein is grounds for revocation. Prior to consideration of the application by City Council, an investigation shall be made by the code enforcement officer and the building official to determine compliance with this chapter of all premises proposed to be licensed, and by the County Sheriffs Department of all persons listed on the license application.ai¢ase eaeh a s�>y crl'q®ria ��nver°s taiv�nse! pplicanY_aud assaciatesin this_applicatiou yvill shictly_cQrnply_with all ordinances=of— the City. I hereby certify that I have read the foreeoine anestions and that the, answers are true of my own knowledge. Licenses expire on December 31" of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. PU SlgnatUM of Ap�l4 cant Date ANLb 6V 9 ��. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Therapeutic Massage Therapist License Application Pursuant to City Code 3-6 the following information must be provided prior to approval: 1. Name of Applicant Pari�ILIo.. L& Fust Middle Last 2. Applicant's Date of Birth (mmt be 18 years old) 3. Telephone Number of Applicant 4. Email Address of Applicant 5. Home Address of Applicant_ 6. I will be working as a massage therapist at: a Residential Home. Provide address & legal description of home X_ a Business. Provide address of business i S L g o fAi r Number of years experience as a massage therapist 4* t ;? 8. Previous employment as a massage therapist (list name, address and position held: Is as acid Ccscx, Ye.o-{a wis X2 1-IL0 Lln-4 -Q. �)fwe, —mili a 1,,�V cA.a Utv ') �t rk-t tti a 9. Description o� ffaally crime or o to o#fense�n te�line, place, date, and disposition for which the applicant has been arrested and convicted:_ ha L A Provide a statement as to whether the applicant has had any license denied, revoked or suspended in the City of Andover or the State of Minnesota, the reason therefore, and the business activity or occupation of the applicant subsequent to such suspension, revocation or denial. (Attach separate sheet) Prior to consideration of the application an investigation shall be made by the county sheriff's department of all persons listed on the license applications, I'➢ease ie�tac➢r a Q�ETi' c7f yorsri alu nwga's ➢n:¢rys Licenses expire on December 3181 of each year, Lack of payment of annual licensing fee shall be cause for revocation of license., 4 ��a Signature of Applicant Date •O vov evv vav YYYYYtivYYVY VYYYYtlaYvvYYvv Ya YY vveYSYY YYe vYe PYtiv/vvvetltl vavv Yl 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 . WWW.ANDOVERMN.GOV THERAPEUTIC MASSAGE ESTABLISHMENT LICENSE APPLICATION 1 1. Name of Applicant a LLJl M RATA I �i ao 2. Applicant's Date of Birth (must be 18 Yrs old) 3. Telephone Number of Applican I i 4. Email Address of Applicant 5. Home Address of Applicant �� n... 6. 7. 8. 9. 10. J 7I 11. Address of Owner of Premises to be Licensed 12. Within the preceding five years has the applicant or spouse been convicted of any felony, crime or violation of any ordinance other than traffic. If so, provide the state or county conviction, th committed. e date of conviction and the specific crime so 13. If the applicant is a corporation list the names, addresses and dates of birth of all per ons having a beneficial ' t therein (i.e. officers, directors. stnckhnldarsl 14. I The information requested in items 1,2,3 and 9 must be provided for all owners, lessees, operators and massage therapists of the proposed therapeutic massage establishment, �IIWMec Each applicant for a license shall file with the city a public liability insurance policy or certificate of insurance from a company authorized to do business in the state of Minnesota, insuring the applicant against any and all loss arising out of the use, operation or maintenance of the therapeutic massage establishment. The policy of insurance shall be in limits of not less than five hundred thousand dollars ($500,000.00). Failure to keep in. full force and effect the insurance required herein is grounds for revocation. Prior to consideration of the application by City Council, an investigation shall be made by the code enforcement officer and the building official to determine compliance with this chapter of all premises proposed to be licensed, and by the County Sheriff's Department of all persons listed on the license application. '3ease, mfyanur ¢6caves's Ricetosc mach a copy Applicant and associates in this application will strictly comply with all ordinances of the City,.I hereby certif --y_thatl have read..the-foregoing questions and.tbat the answers -- are hue of my own knowledge. Licenses expire on December 31St of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. Y 0m F O ` t E 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Therapeutic Massage Therapist License Agplication Pursuant to City Code 3-6 the following information must be provided prior to approval: 1. Name of Middle 2. Applicant's Date of Birth (must be 18yem old) 3. Telephone Number of Applicant - 4. Email Address of Applican' 5. Home Address of Applicar n 6. I will be working as a massage therapist at: a Residential Home. Provide address & legal description of home a Business. Provide address of business � Sl (k () L4)0,a. Ali c (andbVtr mr !��-CA 0% r— aovr�� . 7. Number of years experience as a massage therapis 8. Previous employment as a massage therapist (list name, address and position held: M%� fah 9. Description of any crime or other offense, including the time, place, date, and disposition for which the applicant has been arrested and Provide a statement as to whether the applicant has had any license denied, revoked or suspended in the City of Andover or the State of Minnesota, the reason therefore, and the business activity or occupation of the applicant subsequent to such suspension, revocation or denial. (Attach separate sheet) Prior to consideration of the application an investigation shall be made by the county sheriffs department of all persons listed on the license applications. 171 YRTz ease atta�lu a Qargy o$ yrm�r IT. s heemsg� Licenses expire on December 3161 of each year. Lacic of payment of annual --11e-e ift-g fee slmlt=be caix�oz revocatiori of license Signahme of Applicant Date ..NY. ... a.YVYYYYYYYSYY..YYYYYYV YYY YYYI1YRYpY Y,IYYf POY YYYYYYYMYYY YYYY MYI 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Therapeutic Massage Therapist License Application Pursuant to City Code 3-6 the following information must be provided prior to approval: 1. Name of First Middle Last 2. Applicant's Date of Birth (must be 18 years old) 3. Telephone Number of Applicant_ I 4. Email Address of Applicant 5. Home Address of Applicant- _ In 6. I will be working as a massage therapist at: a Residential Home. Provide address & legal description of home a Business. Provide address of business ] 5 ! q1) f Ge 6I rr f si 7. Number of years experience as a massage therapist 16 8. Previous employment as a massage therapist (list name, address and position held: 0 Su)4 9. Description of any crime or other offense, including the tine, place, date, and disposition for which the applicant has been arrested and Provide a statement as to whether the applicant has had any license denied, revoked or suspended in the City of Andover or the State of Minnesota, the reason therefore, and the business activity or occupation of the applicant subsequent to such suspension, revocation or denial. (Attach separate sheet) Prior to consideration of the application an investigation shall be made by the county sheriff's department of all persons listed on the license applications. '�ease.RtaeBx xy copy o£ yuir drfyer"snsense' Licenses expire on December 316t of each year. Lack of payment of —IYc� g fee shah e cause for revocation of i�se. L`?il' 'G✓2X� � 3 V Signatue of Applicant Date •YYYYYYYIIYtYYYY YIIYt YY YYYe YYYY viPVYt YY VYYY YY YY YYYYYYYYYYY YY YYYVYYYV YYYI C I T Y 0 F^ NDOVE 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council CC: Jim Dickinson, City Admimstrato FROM: Michelle Hartner, Deputy City Clerk SUBJECT: Approve 2024 Used Vehicle Sales Business Licenses DATE: December 5, 2023 INTRODUCTION Used Vehicle Sales Business licenses expire on December 31, 2023. The following have applied for renewal of their Used Vehicle Sales License and paid the appropriate fee. Burton Auto Sales LLC — 3138 162nd Lane, Suite 3 Prime Auto Group LLC — 3138 162nd Lane, Suite B ACTION REQUIRED The City Council is requested to approve the above licenses for the period January 1, 2024 through December 31, 2024. Resppectfully submitted, L" Michelle Harmer Deputy City Clerk Attach: License applications Y0FF o `` Y E 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Used Vehicle Sales Business License Renewal Application Required Documents: • Completed Application Form • Vehicle Sales License Fee: $105.00 • Copy of State Dealers License • State Workers Compensation Form • State Verification of Property Lease Form Person Applying For License: First Nametix/y �- Middle Name Business Name Z Business Address Home Address Home Pho- Email Address Last Name , Phone n Fax - ---T� - ZJ �- I (We) agree to operate such business in accordance with the laws of Minnesota and the ordinances of the City of Andover. Information in this application is classified as public data and will be provided to the public upon request. Licenses expire on December 31" of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. i Signature Ddte— License Renewal Fee $105.00 License # City Council Action STATE OF MINNESOTA Dealer License Certificate DEALER NUMBER: Name: Address: Additional Location: Owners/Officers NEALBURTON DLR39214 BURTON AUTO SALES LLC 3138 162ND LN NW STE 3 ANDOVER MN 55304-4990 EXPIRATION: Dealer Type: 30 -Apr -2024 Used r—) r hi leNervices C I T Y O F ND01 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 . WWW.ANDOVERMN.GOV Used Vehicle Sales Business License Renewal Application Required Documents: • Completed Application Form • Vehicle Sales License Fee: $105.00 • Copy of State Dealers License • State Workers Compensation Form • State Verification of property Lease Form Person Applying For License: First Name i �J-a Middle Name Last Name !�-a y Business Name P riwv, A,,[ r_ Business Address Home Address Home Phon( Email Addre 0 —ness Phone r Fax I (We) agree to operate such business in accordance with the laws of Minnesota and the ordinances of the City of Andover. Information in this application is classified as public data and will be provided to the public upon request. Licenses expire on December 31 It of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. 11-1y-7- Si are — Date If STATE OF MINNESOTA Dealer License Certificate DEALER NUMBER: Name: Address: Additional Location: DLR40285 PRIME AUTO GROUP LLC 3138 162ND LANE NW STE B ANDOVER MN 55304 Owners/Officers NIKITA VASILIYEVICH SKORYKH EXPIRATION: Dealer Type: 31 -Jan -2024 Used ^ l`S �V@rFf eNerViCe& AC I T Y • F NL6D 0 V E A 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council CC: Jim Dickinson, City FROM: Michelle Hartner, Deputy City Clerk SUBJECT: Approve 2024 Cannabinoid License DATE: December 5, 2023 INTRODUCTION Cannabinoid licenses expire on December 31, 2023. DISCUSSION The following have applied for renewal of their license, paid the appropriate fees, and been approved by the Sheriff s Office: Pure Xhale —14029 Round Lake Blvd. ACTION REQUIRED The City Council is requested to approve the above license for the period January 1, 2024 through December 31, 2024. Respectfully submitted, Michelle Hartner Deputy City Clerk Attach: License Application ' c- -,-r AIMM 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. CANNABINOID LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. MIRTH .vmc HUUKtJJ - CITr STAIE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: , v ALTERNATE NUMBER:( ) EMAIL ADDRESS: DRIVER'S LICENSE #' _ [—EXPIRATION DATE PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. N0 _ STATE OF ISSUANCE: Have you ever been denied a license t conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover. Yes ❑ No [ (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, have you been convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes [::] No� (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. LVAIN 0161TA 01 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: TRADE �NAME �1(dbjaa)) l(�J j}���J� ((J� /�JL��� �1gVpY�V� /' IBUsi a DRESS/PHYSICAL LOCATION O D PREMISE CITY "�" " STATE S � U MAILING ADDRErS (IF DIFFERENT FR M ABOVE) i,i i r --------STATr ZIP LICENSE CONTACT INFORMATION: List the Individual that will serve as the City Contact person for the license application and license related questions. NAME (First, Last) i ' - 4UU(AYd LCkU bVrd �mar w 55 3 0 y BUSINESS ADDRESSCS A ZIP I L Ci V V MAILING ADDR SS (IF DIFF E T FROM ABOVE) CITY STATE ur PHONE NUMBER: ) ALTERNATE NUMBER: ( ) EMAILADDRESS: r BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. dO WUL 'U—IUUI�IDREI�CJund IsAy— yd SS Cr1111.ny k ITY STATE ei5,30y MAILING ADDRESS TIF DIFFERENT' FROM ABOVE) 'CITY -� STATE ZIP PHONE NUMBER: ( q U J U Ik ALTERNATE NUMBER: ( ) EMAIL ADDRES 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: • License Application, fully completed, • Annual Fee $500.00 • Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant Is at least eighteen (18) years of age. • Workers Compensation Form (State requirement) • Tax Clearance Form (State requirement) • Tennessen Warning Form (State requirement) • Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to inspect my premises and agree to the forfeiture of my license if found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge. I do authorize the City of Andover, Its agents and employees to obtain any necessary Information and to conduct an Investigation, Including background checks, as deemed necessary by the City of Andover into the truth of the statements set forth in this application and the qualifications for said license. I do understand that providing false Information shall be grounds for denial of my license. I fully understand that it is my responsibility to be famlliarwith and abide by the requirements of the City, which is detailed in the pertinent section of the Andover City Code, which is available on the City website at www.andovermn.,qov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the information supplied within this application Is classified as public data and will be provided to the public upon request. Title: I JIA 11 IU I I �Gl 1 Approved: Denied: Sheri Office -ANDOVER^ 9 DO 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council c�17_1 CC: Jim Dickinson, City Administrat7 FROM: Michelle Hartner, Deputy City Clerk SUBJECT: Approve 2024 Tobacco Licenses DATE: December 5, 2023 INTRODUCTION Tobacco licenses expire on December 31, 2023. DISCUSSION The following have applied for renewal of their license, paid the appropriate fees, and been approved by the Sheriff s Office: Bill's Superette — 14041 Round Lake Boulevard Casey's — 15246 Bluebird Street Clocktower Wine & Spirits — 15190 Bluebird Street, Suite 109 G -Will Liquors —13973 Round Lake Boulevard King's County Market — 13735 Round Lake Boulevard Kwik Trip — 1756 Bunker Lake Boulevard Lucky's Station —13660 Crosstown Boulevard Pure Xhale —14029 Round Lake Blvd. Smokey's Tobacco Inc. —1714 Bunker Lake Blvd. Top Ten Liquors —13627 Quinn Street Walgreens — 2134 Bunker Lake Blvd. Walmart — 1851 Bunker Lake Boulevard ACTION REQUIRED The City Council is requested to approve the above licenses for the period January 1, 2024 through December 31, 2024. Respectfully submitted, Michelle Hartner Deputy City Clerk Attach: License Applications • F_. _.,. 1 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. /_°___1 /,)N/.`..-_ O. 0__-__/_. - .. NAME (First, Middle, Last) OF BIRTH HOME ADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: — ALTERNATE NUMBER: ( EMAIL ADDRESS: DRIVER'S LICENSE A. _ _ , _ _ _ _... 'RATION DA1 ATE OF ISSUANC_ PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. /' Have you ever been denied a license to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes ❑ No ® (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, have you been convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes E] No X] (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. rA, 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: 6USINE5S ADDRESS/PHYSICAL LOCATION OF LICENSED PREMISE CITY STATE MAILING ADDRESS (IF DIFFERENT FROM ABOVE) / CITY STATE LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions. r� ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: r �ALTERNATE NUMBER: I_ I 0 EMAIL ADDRES' C/ BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. Last) (IF DIFFERENT CITY PHONE NUMBER:( _ -_ ALTERNATE NUMBER: EMAIL ADDRESS ZIP ZIP � p r r Wrhis 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 56304 • (763) 755.5100 FAX (763) 756.8923 e yNWW.ANDOVERMN GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: ❑ License Application, fully completed. 13 Annual Fee $250.00 0 'Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant is at least eighteen (18) years of age. 0 Workers Compensation Form (State requirement) Tax Clearance Form (State requirement) Tennessen Warning Form (State requirement) Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to Inspect my premises and agree to the forfeiture of my license if found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge. 1 do authorize the City of Andover, Its agents and employees to obtain any necessary information and to conduct an Investigation, including background checks, as deemed necessary by the City of Andover Into the truth of the statements set forth in this application and the qualifications for said license. I do Understand that providing false Information shall be grounds for denial of my license, I fully understand that it is my responsibility to be familiar with and abide by the requirements of the City, which is detailed In the pertinent section of the Andover City Code, which is available on the City website at www.andovermn,aov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the information supplied within this application Is classified as public data and will be provided to the public upon request. Signature: Date: Title: �i7i�Sl o�ryT Approved:, Denied: is ..tet, 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE, TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner ora corporate officer. DOUGLAS MARSHALL BEECH FULL NAME (First, Middle, Last) DATE OF BIRTH HOME ADDRESS CITY STATE ZIP ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER:, ALTERNATE NUMBER:( ) EMAIL ADDREE DRIVER'S LICENSE S. EXPIRATION DATE: STATE OF ISSUANCI PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. Have you ever been denied a license to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes 0 No ® Of yes you must provide details description, date and location) Attach additional sheets as necessary. At any time, havebeen convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor trafficviolation? Yes �] ou No © (if yes you must provide detalls date of offense, type of offense and location of offense) Attach additional shoets as necessary. 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: CASEY'S RETAIL COMPANY LEGAL NAME OF BUSINESS CASEY'S GENERAL STORE #3890 TRADE NAME (dba) 15246 BLUEBIRD ST NW IANDOVER MN 55304 BUSINESS ADDRESS/PHYSICAL LOCATION OF LICENSED PREMISE CITY STATE ZIP ATTN LICENSING ONE SE CONVENIENCE BLVD ANKENY IA 50021 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the Individual that will serve as the city contact person for the license application and license related questions. GAYLE BEGALSKE NAME (First, Last) ATTN LICENSING ONE SE CONVENIENCE BLVD ANKENY IA 50021 BUSINESS ADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ALTERNATE NUMBER: ( 1 EMAIL ADDRESS: -_ _ _- _ _ - -----...-..__ ,-�.��,•, BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the ausiness Location contact person, i.e. store Manager. J_Y/ma3�e%��y:� NAME (First, Last) ATTN LICENSING ONE SE CONVENIENCE BLVD ANKENY IA 50021 BUSINESSADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: (= _ ALTERNATE NUMBER: ( i EMAILADDRESS: I 1686 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 66304 • (793) 766-6100 FAX (793) 766-8923 . WWW ANDOt»RMN OOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED, PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. GWEGKLIST.OF REQUIRE DOCUMENTATION: 0 License Application, fully completed. L7 Annual Fee $260.00 0 Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant Is at least eighteen (18) years of age. ❑ Workers Compensation Form (State requirement) 0 Tax Clearance Form (State requirement) 11 Tennessen Warning Form (State requirement) 0 Minnesota Department of Revenue License Application (State requirement) a0rae a waive my consaruaonai rignrs agamsr searcn enc seizure and will freely permit peace officers to Inspect my premises and agree to the forfeiture of my license If found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge. I do authorize the City of Andover, Its agents end employees to obtain any necessary Information and to conduct an investigation, including background checks, as deemed necessary by the City of Andover Into the truth of the statements set forth In this application and the qualifications for said license. 1 do understand that providing false Information shat( be grounds for dental of my license. I fully understand that itis my responsibility to be femiliar with and abide by the requirements of the City, whloh Is detailed in the pertinent section of the Andover City Code, which is available on the City website at yy �(r�g ('ig Lv or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the information supplied within this application Is classified as public data and will be provided to the public upon request. Signature:,, z Date: 10/12/23 Tltle:.SECRETARY FOR CASEY'S RETAIL COMPANY Approved: Denied:„_ N—K&."30 Sh s Cfflca �e Feesl2¢o.OQ L(aertee #' i by City Council: Approved .Denied . Date: 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. FULL NAME (First, Middle, Last) — - DATE OF BIRTH A. HOME ADDRESS t U11 r o 1 ru m ZIP t MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBE ^ ALTERNATE NUMBER: ( ) EMAIL ADDRESS: _ DRIVERS LICENSE # _ _ _ _ _XPIRATION DATE.. , _ _ :OF ISSUANe: PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. Have you ever been denied a licepse to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes ❑ No W (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, have ou been convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes No (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. • 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions. STATE MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: (_1 ALTERNATE NUMBER: ( 1 EMAIL ADDRESS: BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Logation Contact person, i.e. store Manager. NAME BUSINESS ADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: (_I ALTERNATE NUMBER: ( 1 EMAIL ADDRESS: 10"I.- Ambbb C I T Y O F AM NP®V E 1865 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 65304 . (763) 755-5100 FAX (763) 755.8923 • WWW ANDOVERMN,G.OV i ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: ❑ License Application, fully completed, ❑ Annual Fee $260.00 ❑ Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant Is at least eighteen (18) years of age. ❑ Workers Compensation Form (State requirement) ❑ Tax Clearance Form (State requirement) ❑ Tennessen Warning Form (State requirement) ❑ Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and my� premises and agree to the forfeiture of my license if found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge. I do authorize the City of Andover, Its agents and employees to obtain any necessary Information and to conduct an Investigation, including _.... _ . - background cheoks-as deemed necessary by tFs Cl of Andover Tnfolhe truth of the statements setfortli Tr this • application and the qualifications for said license. I do understand that providing false Information shall be grounds for denial of my license. I fully understand that it is my responsibility to be familiar With and abide by the requirements of the City, which Is detailed in the pertinent section of the Andover City Code, which is available on the City website at wWw.andovormn.dov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of j Minnesota relating to this licensure. I further understand that the information supplied within this application is classified as public data and will be provided to the public upon request. Signature: -�-•' �Date; 111 l Title: Approved: Denied: rf Sheriff's Office I!{ ` 'l I`. et or }�� at q Cotjnci� ` Ap'p ovgd Dented bate, z t' ` 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. FULL NAME (First, Middle, Last) DATE OF BIRTH r , HOME ADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: 1 EMAIL ADDRESS: ALTERNATE NUMBER: (__ DRIVER'S LICENSE #: _ _ _ _ -,(PIRATION DATE: PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. E OF ISSUANCr Have you ever been denied a license to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, Vy including Andover: Yes D No (if yes you must provide details; description, date andlocation) Attach additional sheets as necessary. At any time, havebeen convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic ou violation? Yes �] ,tel No (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: LEGAL NAME O BUSINES'S TRADE ADDRESS (IF DIFFERENT FROM PREMISE CITY LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions. /9680 BUSINESS ADDRESS STATE MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: (_/ EMAIL ADDRESS: ALTERNATE NUMBER: (-/OJ ) 3-'E) e0k22 BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. NAME (Firsi. Last) BUSINESS ADDRESS CITY STATE ZIP J%'Fo k1w Rii/er lei ��1� kGrbnr-' /ham 53'3 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBEF - - ,y� ALTERNATE NUMBER: ( 763 �/.�} ) -5ig 7k6 EMAIL ADDRE` 1565 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 755-6100 FAX (703) 755-5923 . WWW.A.NDOVERMN.GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL, CHECKLIST OF REQUIRED DOCUMENTATION - 0 License Application, fully completed. ❑ Annual Fee $250,00 ❑ Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant Is at least eighteen (18) years of age. ❑ Workers Compensation Form (State requirement) ❑ Tax Clearance Form (State requirement) ❑ Tennessen Warning Form (State requirement) ❑ Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to inspect my premises and agree to the forfeiture of my license if found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge. I do authorize the City of Andover, Its agents and employees to obtain any necessary Information and to conduct an investigation, Including background checks, as deemed necessary by the City of Andover Into the truth of the statements set forth in this application and the qualifications for said license. I do understand that providing false information shall be grounds for denial of my license. I fully understand that it is my responsibility to be familiar with and abide by the requirements of the City, which is detailed in the pertinent section of the Andover City Code, which is available on the City website at www.andoverrnn.cov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the information supplied within this application Is classified as public data and will be provided to the public upon request. , a , Signature: .�.� w .- Date: / ZG /000,' Title: i ,0e r.5/44%Ni"— Approved: Denied: 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. IN hl HOME ADDRESS CITY roe STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: EMAIL ADDRESS: DRIVER'S LICENSE #: ALTERNATE NUMBER:, - EXPIRATION DATE _ STATE OF ISSUANCE: PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. Have you ever been denied a license to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes ❑ No FT (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, haveou been convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes n No {) (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. T 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: T+ 4 ponos —1 --mL' LEGAL NAME OF BUSINESS V-1 VA 6% LOU r-pTy TRADE NAME (dba) 13135 Rou,-'o "I -e L_ULb Awuw- MLv 553uf LOCATION OF STATE MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions. �0 ti v I AOMAS I 0�1 A oa.Y-2 rv\ Iv 5 5 3 u 4 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: _ - - ALTERNATE NUMBER: EMAIL ADDRESS: BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. NAME (First, Last) 13135 �L' jc� LA✓4- ?)L-ucs oavLti Mvo CITY MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP q. PHONE NUMBEF I ALTERNATE NUMBER: ( w ) O EMAIL ADDRESS: 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 56304 . (763) 755-5100 FAX (763) 785-8923 . WWW ANDOVERMN GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENTAND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: L7 License Application, fully completed. EJ Annual Fee $250.00 0 Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant is at least eighteen (18) years of age. 0 Workers Compensation Form (State requirement) ❑ Tax Clearance Form (State requirement) D Tennessen Warning Form (State requirement) El Minnesota Department of Revenue License Application (State requirement) agree to waive my constitutional rights against search and seizure and will freely permit peace officers to inspect my premises and agree to the forfeiture of my license if found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge. I do authorize the City of Andover, Its agents and employees to obtain any necessary information and to conduct an Investigation, including background checks, as deemed necessary by the City of Andover into the truth of the statements set forth In this application and the qualifications for said license. I do understand that providing false information shall be grounds for denial of my license. I fully understand that it Is my responsibility to be familiar with and abide by the requirements of the City, which is detailed in the pertinent section of the Andover City Code, which is available on the City website at MM.andovermn gov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the Information supplied within this application is classified as public data and will bpro�vided to the public upon request. >(� 2 Signature: `� "� Date: /yr1 W;U Title: 0V4)� Approved:_/_ �__ Denied: License Fees `$250 00 LlcensekU - ba�% s - ctian by Glty C66hcil Approved Denied � FAR 0 ;,..Aid Jig NO "I 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE, TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner ora corporate officer. Scott Paul Zietlow FULL NAME (First, Middle, last) DATE OF BIRTH r HOMEADDRESS iSTAIE ZIP AUURESS (IF DIFFERENT FROM ABOVE) CITY o TATE ZIP PHONE NUMBER: aPt.) ALTERNATE NUMBER:( 608 EMAIL ADDRESS: DRIVER'S LICENSE # EXPIRATION DF.. _. _ _ STATE OF ISSUANCE: PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. Have you ever been denied a license to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes V No E] (ifyes you must provide details; descdption, date and location) Attach additional sheets as necessary. Please see enclosed list of retail store violations in Minnesota. At anytime, have you been convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes je No Ej (ifyes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. Please see enclosed list of retail store violations in Minnesota. 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 . WWW.ANDOVERMN.GOV BUSINESS INFORMATION: Kwik Trip, Inc. LEGAL NAME OF BUSINESS Kwik Trip #812 TRADE NAME (dba) 1756 Bunker Lake Blvd. NW Andover MN 55304 BUSINESS ADDRESS/PHYSICAL LOCATION OF LICENSED PREMISE CITY STATE ZIP P.O. Box 2107 La Crosse WI 54602-2107 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the Individual that will serve as the City Contact person for the license application and license related questions. Christianson (First, Last) 1626 Oak St. La Crosse WI 54603 BUSINESSADDRESS CITY STATE ZIP P.O. Box 2107 La Crosse WI 54602-2107 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ( ALTERNATE NUMBER: ( EMAIL ADDRESS: BUSINESS LOCATION CONTACT INFORMATION: List the Individual that will serve as the Business Location Contact person, I.e. Store Manager. Jennifer Haack NAME (First, Last) 1909135th Ave NW Andover MN 55304 BUSINESSADDRESS CITY STATE ZIP P.O. Box 2107 La Crosse WI 54609-2107 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBE .1�1 — n`_"_ ALTERNATE NUMBER: EMAIL ADDRESS: .... - ..... .......... --.. ..... ._ .._ .._ ._....._...._....-. ............. - - ........-- ------ - - — 1686 -CROSSTOWN BOULEVARD NrW---ANDOVER,.MINNESOTA-66304-• (783)4,66-600---- - FAX (763) 766.8923 * WWW.AND.OVERMN.GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION ISREQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF 12EQUIRN-D DOCUMENTATION: License Application, fully completed, Ip Annual Fee $260.00 (� Photocopy of current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant Is at least eighteen (18) years of age. k� Workers Compensation Form (State requirement) lie Tax Clearance Form (State requirement) Tannessen Warning Form (State requirement) Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to Inspect my premises and agree to.the forfelture of my license If found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge. I do euthorize the City of Andover, Its agents and employees to obtain any necessary Information and to conduct an investigation, Including background checks, as deemed necessary by the City of Andover Into the truth of the statements set forth In this application and the qualifications for said license. I do understand that providing false Information shall be grounds for denial of my license, I fully understand that It is my responsibility to be familiar with and abide by the requirements of the City, which Is detailed In the pertinent section of the Andover City Code, which is available on the City website at ycw.andovermn.gov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the Information supplied within this application Is classified as public data and will be provided to the public upon request. Signature:6c I .Date: 10.19.2023 Title: Owner/ President__ Approved: Denied: 0. Nve�ve O'�0 Sh r s Offs a Fees: $260.00 License # Mu—()Oq m by City Council: Approved Denied Date:: IUM it, I�ail' �� 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. ker FULL NAME (First, Middle, Last) DATE OF BIRTH e . i l% HOMt ADDRESS CITY MAILING -ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBEF ALTERNATE NUMBER: i 6 EMAIL ADDRESS: DRIVER'S LICENSE #: EXPIRATION DATE: ' STATE OF ISSUANCE: PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at yie above address for less than ten (10) years, please list previous addresses. ,v ,# Have you ever been denied a license to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes ❑ No ® (if yes you must provide details; description, date andlocation) Attach additional sheets as necessary. At any time, havebeen convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic ou violation? Yes �] No g3 (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. C I T Y O F ND OVER 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: /s 5�r", z c LEGAL NAME OF BUSINESS ,C go TRADE NAME (dba) 13661 Alk/ Al"we✓w /Ot/ S"r�oj6 BUSINESS ADDRESS/PHYSICAL LOCATION OF LICENSED PREMISE CITY STATE ZIP MAILINGADDRESS(IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the individual that willserve as the City Contact person for the license application and license related questions. ® BUSINESS ADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: _ ALTERNATE NUMBE.. i EMAILADDRESS: BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. NAML (hrSt, Last) doncA bUNNtbb AUUKtJJ � CIT STATE ZIP /3440 AWMW �X0+ /VAI sr -S730)4 MAI LING ADDRESS _ PHONE NUMBER: T� ALTERNATE NUMBER: EMAILADDRESS: STATE ZIP �t < 1686 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-6100 FAX (763) 766-8023 a WWW.ANDOVERMN GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: License Application, fully completed. Annual Fee $250.00 Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant Is at least eighteen (18) years of age. El Workers Compensation Form (State requirement) V Tax Clearance Form (State requirement) E?�' Tennessen Warning Form (State requirement) C3,' Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to inspect my premises and agree to the forfeiture of my license if found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge. I do authorize the City of Andover, Its agents and employees to obtain any necessary information and to conduct an investigation, Including background checks, as deemed necessary by the City of Andover into the truth of the statements set forth in this application and the qualifications for said license. I do understand that providing false information shall be grounds for denial of my license. I fully understand that It is my responsibility to be familiar with and abide by the requirements of the City, which Is detailed In the pertinent section of the Andover City Code, which is available on the City website at www.andovermn.00v or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the Information supplied within this application is classified as public data and will be provided to the public upon request. Signature: Date: OC4r� Title: *ruru Approved: )� Denied: FI jr $rj— M 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION, FEE AND REQUIRED DOCUMENTATION MUST BE FILED AND A LICENSE OBTAINED BEFORE YOU CAN LEGALLY ENGAGE IN BUSINESS IN THE CITY OF ANDOVER, MINNESOTA. APPLICATION FEES ARE REFUNDABLE ONLY IF APPLICATION IS WITHDRAWN PRIOR TO APPROVAL. INCOMPLETE APPLICATIONS ARE NOT ACCEPTED. TOBACCO LICENSE APPLICATION BUSINESS INFORMATION: Pur4 x Nate UC BUSINESS NAME (individual or Company) I q aaq vtjW l,U u ill vQ 6nobvr wm a y STREET NUMBER & NAME CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY – STATE ZIP PHONE NUMBER: ,+,�„_ ,� . , r r ,� ALTERNATE NUMBER: C I TYPE OF BUSINESS CONDUCTED AT LOCATION BUSINESS OWNERSHIP INFORMATION: TYPE OF OWNERSHIP: 0 Individual ❑ Partnership t Limited Liability Corporation (LLC) ❑ Corporation (INC) (attach additional sheets as necessary) r vwv-� I AM THE OWNER OF THE BUSSINESS: 17y Yes � No (if no you must attach a written statement from the business owner that authorizes you 17q apply for the business license on behalf of the business owner) PREMISE/PROPERTY INFORMATION: THE PROPERTY AT WHICH I AM REQUESTING A LICENSE FOR, I I] Own XRent ❑ Lease [_—]Other: (if you rent or lease the premises, you must attach a copy of your fully executed rental or tease agreement ore notarized statement from the property owner that you are authorized to operate such business orprovide such services on the property) r 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 . WWW.AN.DOVERMN.GOV APPLICANT INFORMATION: Middle, r v &&JAY lil Iy W — HOMEADDRESS 61TY STATE ZIP PHONE NUMBEF t�g`�p yr ALTERNATE NUMBER: ( 1 EMAIL ADDRESS' DRIVER'S LICENSE _ _ r -,.D ry t EXPIRATION DATL.` STATE OF ISSUANCE _ PLEASE ANSWER ALL QUESTIONS TRUTHFULLY AND TO BEST OF YOUR KNOWLEDGE. IF THE APPLICATION IS SUBMITTED ON BEHALF OF A PARTNERSHIP, LLC OR CORPORATION, YOU MUST INCLUDE THE FOLLOWING INFORMATION FOR EACH PARTNER, OFFICER AND DIRECTOR (attach additional sheets as necessary) 1. Have you ever been convicted of any misdemeanor or felony violation of local ordinances (with the exception of misdemeanor traffic violations)? ❑ Yes %INo (if yes you must provide details of conviction(s); date of offense, date of conviction, location and charge) 2. Have you ever applied for or held a license to conduct a like or similar activity in any other City or State, not Including Andover? to Yes F-1 No details; description, date and location) 3. Have you ever been denied a license to conduct a similar or like activity or had such licenses suspended, revoked or canceled in any City or State, including Andover: Ej Yes M No (if yes you must provide details; description, date and location) 4. List all names, nicknar%es and aliases by which you have been 5. List two (2) of your previous addresses, immediately prior to your present address: 1686 OR088TOWN BOULEVARD N.W. -ANDOVER, MINNESOTA 66304. (763) 766.6100 FAX (763) 765,8623 • WWW.ANDOVERMN GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENTAND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUOVIVAL, CHECKLIST OF REQUIRED DOCUMENTATION: El Llcense Application Packet, fully completed, L7 Payment $250,00 El Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant is at least eighteen (18) years of age, ❑ Workers Compensation Form (State requirement) ❑ Tax Clearance Form (State requirement) CI Tennessen Warning Form (State requirement) Minnesota Department of Revenue License Application (State requirement) premises and agree to the forfeiture of my license if found to have vlolated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers In this application are true and correct to the best of my knowledge. I do authorize the City of Andover, Its agents and empl�ees to obtain any nensseary tnfnrmagon and to conduct an Investigation, Including background checks, as deemed necessary by the City of Andover Into the truth of the statements set forth in this application and the qualifications for said license, I do understand that providing false information shall be grounds for denlel of my llcense, I fully understand that It Is my responsibility to be familiar with and abide by the requirements of the City, which Is detailed in the pertinent section of the Andover City Code, which is available on the City website at www.andovermn.gov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this Iloensure. I further understand that the Information supplied within this application Is classified as public data and will be provided to the public upon request. r Approved: Denied: Date: iv1C)5 s: Fe`s 250.00;'. 'Lic nseF,, .�•. :); ;t �: r.: mss::::::,:-,..,.:.: .. �..y � �i.:•�. �' bY:Crlty Council; ' fipprgvad Denied pate: 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. / NAME (Fiat. Middle I aefl "z 4zs HOM ADDRESS CITY DATE OF BIRTH lip MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ( r / ALTERNATE NUMBER: ( 1 EMAIL ADDRESS: DRIVER'S LICENSE #. ' EXPIRATION DAT! -.4 i FATE OF ISSUANCE: y , _ ,'Gl PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided attthe above a)idress for less than ten (10) years, please list previous addresses. • e- •• a v _ 1 Have you ever been denied a license conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes E] No license you must provide details; description, date and location) Attach additional sheets as necessary. At any time, haveo i been ogoLnvyieted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes No VZ (d yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact perrssf�n for the license application and license related questions. LL i i'! /J t n Hon h NAME (First. Last) ' MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP „ e-7 L-,13` PHONE NUMBER: (,�ALTERNATE NUMBER: ( ) V EMAILADDRESS:__ BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Locatingg Contact person, i.e. store Manager. MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER — ALTERNATE NUMBER: ( 1 EMAIL ADDRESS: 1686 CROSSTOWN BOULEVARD N.W, • ANDOVER, MINNESOTA 66304 • (763) 766.6100 FAX (763) 766-6923 • WWW.ANDOVERMN OOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED, PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: CJ License Application, fully completed. ❑ Annual Fee $260.00 E3 Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant is at least eighteen (18) years of age. 0 Workers Compensation Form (State requirement) © Tax Clearance Form (State requirement) © Tennessen Warning Form (State requirement) © Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to Inspect my premises and agree to the forfeiture of my license If found to have violated the provisions of the ordinance providing for the granting of this license, I do hereby swear that the answers in this application are true and correct to the best of my knowledge, I do authorize the City of Andover, Its agents and employees to obtain any necessary Information and to conduct an Investigation, including background checks, as deemed necessary by the City of Andover Into the truth of the statements set forth in this application and the qualifications for said license. I do understand that providing false Information shall be grounds for denlal of my license. I fully understand that it Is my responsibility to be familiar with and abide by the requirements of the City, which Is detailed In the pertinent section of the Andover City Code, which Is available on the City website at www.andovermn.clov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this Ilcensure. I further understand that the Information supplied within this application Is classified as public data and will be provided to the public upon •equest. Signature: _ �✓ Date:—j&--?/4?, 5_ Title; Approved: (r\ Denied: 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 . WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BYSUCHPERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. HOME ADDRESS CITY STATE ZIP .�-. MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: _ _ ALTERNATE NUMB I EMAIL ADDRESS: DRIVER'S LICENSE 1 _ - „,. , EXPIRATION DATE:STATE OF ISSUANCE' _ PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you havi resided at the above address for less than ten (10) years, please list previous addresses. Have you ever been denied a licensp to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes [-]No (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, haveou been victed of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes (� No (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 . WWW.ANDOVERMN.GOV BUSINESS INFORMATION: 13&'Zl Q U I N N S iWea OW AiQoivuz MN �c � I—, -X W - BUSINESS ADDRESS/PHYSICAL LOCATION OF LICENSED PREMISE CITY STATE ZIP .5F- Vfl 91 -re ADDRESS (IF DIFFERENT LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions. MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: (—� EMAILADDRES ALTERNATE NUMBER: ( ) BUSINESS LOCATION CONTACT INFORMATION: List the individual that willserve as the Business Location contactperson, i.e. Store Manager. .I)in–AtVWA Um.V/� - NAME (First, Last) � Li QURs I - wIN( a-1�� M� MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBEK. w . a . , ALTERNATE NUMBER: ( ) t EMAIL ADDRESS: _ _ . •v.�auiV�.�•w..l t+ f 1888 OR088TOWN MOULEVARD N,W, . ANDOVER, MINNESOTA 80804 a (708) 780-8100 FAX (788) 780.0828 yfj�ttf^,_l+,p,(7�VIeRMN.C+'Oy ONLY FULLY COMPLETED APPLICATIONeAREADOPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT -MMU OF APPLICATION $U$MITTAL, NTATL Na lJoense Applloatfon, fully oompieted. Annual Fee $250.00 Fhotocopyof Current Minnesota Driver's License, Minnesota State Issued Identlfloatlon Card or other Government issued Identifloetlon as ovidenoo that appiiesnt Is at least eighteen (18) years of age, WOrkera Compensation Form (State requirement) Tax Clearanoo Form (State requirement) Tonnesson Warning Form (State requirement) Minnosotabepartment of Revenue Memo Application (State requirement) i . _... . .. . ... ... ...._ __.....,. _ .,,.....,,, ., ...ry pm nm pvaw vmw, c w ipnNwUL if premNoa and agree to the forfelture oP my license IPfound to have violated the provisions of the ordlnanoe providing the granting of this ilosnse. I do hereby swear that the answers In this applloation are true and, oorreot to the best of my knowledge. Ido authorize the City of Andover, Its agents and employees to OWN any neoessary Information and to oonduot an Invests 'on, Inoluding lsackgroun -uh- of Ma m d weary bytho Clty oTAndover into the ru h of the s a omens as,or n tag applloation and the quallitoatlons for said license, I do understand that providing false Information $hall be grounds for denial of my license, I fully understand that it Is my responsibility to be familiar with and abide by the requirements of the City, whloh Is detailed in the pertinent sootion of the Andover City Code, whloh Is available on the City webalte at 9MM.dg=d7&K or upon request from the City Clark and to be familiar with and abide by the laws of the State of Minnesota relating to this Itooneure, I further understand that the information supplied within this applibatlon is olasslfled as publro date and will be provided to t/thhe publlo upon request, �/� Signature; r' ^ r%r, _ . pate; 41 1 %Q�•----- Title:,_.cVaRo Approved; Denied,_,,,,,,__ Sher 0 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. FULL NAME (First, Middle, Last) (SATE OF BIRTH HOME ADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE PHONE NUMBER: ( ALTERNATE NUMBER: t + EMAIL ADDRESS: DRIVER'S LICENSE #: EXPIRATION DATE: PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual.. If you have resided at the above address for less than ten (10) years, please list previous addresses. V STATE OF ISSUANCE_ Have you ever been denied a licelNe P conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes ❑ No (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, havebeen�oonyyyy.r ted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic ou violation? Yes �] No(ff yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 . WWW.ANDOVERMN.GOV BUSINESS INFORMATION: BUSINESS ABOVE) STATE LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions. NAME (First, DIFFERENT ATE JIAIt: PHONE NUMBER: _ ALTERNATE NUMBER: IA14EMAIL ADDRESS: _ BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. BUSINESS C ABOVE) CITY PHONE NUMBER: ( _ ALTERNATE NUMBER ^ EMAILADDRESS: +� _ �,16, 11 ZIP LIY 1666 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 756-6100 FAX (763) 755-6923 • WWW.ANDOVERMN GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: Luj License Application, fully completed. ® G/ Annual Fee $250.00 Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant is at least eighteen (18) years of age ZWorkers Compensation Form (State requirement) Tax Clearance Form (State requirement) /Tennessen Warning Form (State requirement) LSI Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to Inspect my premises and agree to the forfeiture of my license If found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge. I do authorize the City of Andover, its agents and employees to obtain any necessary information and to conduct an investigation, including background checks, as deemed necessary by the City of Andover Into the truth of the statements set forth in this application and the qualifications for said license. I do understand that providing false Information shall be grounds for denial of my license. I fully understand that It Is my responsibility to be familiar with and abide by the requirements of the City, which is detailed in the pertinent section of the Andover City Code, which Is available on the City website at www.andovermn.gov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the Information supplied within this application is classified as public data and will be provided to the public upon request. Signature: Title: 4/4 Approved: X Denied: Date: BRIAN BROWN VICE PRESIDENT 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 - (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON: IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. Sarah Catherine Little FULL NAME (First, Middle, Last) DATE OF BIRTH — �r.u.wM,V / 'I I c I VT HOME ADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ( 1 - - -- ALTERNATE NUMBER: ( ) EMAIL ADDRESS: DRIVER'S LICENSE #. - - - - EXPIRATION DATE: a i ATE OF ISSUANCE PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. 3057 N Elizabeth Ave, Fayettevile, AR 72703 1777 N Noelle Ave, Fayetteville, AR 72703 Have you ever been denied a license to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, Including Andover: Yes ❑ No X (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, haveou been convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes Is NO V1 (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. Mv 0=6 b I f Z _ 1w.::t 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: Walmart Inc. LEGAL NAME OF BUSINESS Walmart #1999 1851 Bunker Lake Blvd NW, Andover, MN 55304 BUSINESS ADDRESS/PHYSICAL LOCATION OF LICENSED PREMISE CITY STATE ZIP 702 SW 8th St, Mail Stop #0500, Bentonville, AR 72716 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions. Nayoung Toney NAME (First, Last) 1851 Bunker Lake Blvd NW, Andover, MN 55304 BUSINESS ADDRESS CITY STATE ZIP 702 SW 8th St, Mail Stop #0500, Bentonville, AR 72716 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: (�ALTERNATE NUMBER: ( 1 EMAIL ADDRESS: BUSINESS LOCATION CONTACT INFORMATION: List the Individual that will serve as the Business Location Contact person, i.e. store Manager. Todd Vanstraten NAME (First, Last) 1851 Bunker Lake Blvd NW, Andover, MN 55304 BUSINESSADDRESS CITY STATE ZIP 702 SW 8th St, Mail Stop #0500, Bentonville, AR 72716 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: t_� ALTERNATE NUMBER: ( 7 EMAIL ADDRESS: 1686 CROSSTOWN BOULEVARD N,W, • ANDOVER, MINNESOTA 66304 a (763) 766.6100 FAX (763) 766�8e23 • WWW.ANDOVERMN OOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED, PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: o License Application, fully completed, Q Annual Fee $250,00 d Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identiflcatlon Card or other Government Issued Identification as evidence that applicant Is at least eighteen (18) years of age. ❑ Workers Compensation Form (State requirement) 13 Tax Clearance Form (State requirement) 0 Tennessen Warning Form (State requirement) 0 Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to Inspect my premises and agree to the forfeiture of my license If found to have violated the previsions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge. I do authorize the City of Andover, Its agents and employees to obtain any necessary information and to conduct an Investigation, including background checks, as doomed necessary by the City of Andover Into the truth of the statements set forth In this application and the qualifications for said license, I do understand that providing false information shall be grounds for denial of my license. I fully understand that it Is my responsibility to be familiar with and abide by the requirements of the pity, which is detailed in the pertinent section of the Andover City Code, which is available on the City websito at www.andovermn,00v or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this ilcensure. I further understand that the Information supplied within this application is classified as public data and will be provided to the public upon request, signature; Date: 10/23/2023 Title: Assistant Secretary Approved: X Denied. Fees: $250.00 License# A6a,-06431 by City Council: Approved Denied Date: A C I T Y Y n "� NLbD 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council CC: Jim Dickinson, City Administrator FROM: Michelle Hartner, Deputy City Clerk ` SUBJECT: Approve 2024 Liquor Licenses DATE: December 5, 2023 INTRODUCTION Liquor licenses expire on December 31, 2023. DISCUSSION The following have applied for renewal of their licenses and paid the appropriate fees: On -Sale Intoxicating Liquor Acapulco Restaurant— 13753 Ibis St. Andover Cinema —1836 Bunker Lake Blvd. Andover Lanes —13633 Martin St. Beef O'Brady's —15190 Bluebird St. #114 Margie's Kitchen & Cocktails —13735 Round Lake Blvd. White Rabbit —15190 Bluebird St. #100 Willy McCoy's —13655 Martin St. Off -Sale Intoxicating Liquor Clocktower Wine & Spirits —15190 Bluebird St. #109 G -Will Liquors —13973 Round Lake Blvd. Top Ten Liquors — 13627 Quinn St. On -Sale Wine Joy Kitchen — 13650 Hanson Boulevard 3.2% Off -Sale Festival Foods — 2218 Bunker Lake Blvd. Kwik Trip —1756 Bunker Lake Blvd. Walmart —1851 Bunker Lake Blvd. The Sheriff's Office is processing the background investigations. All applicant requirements have been reviewed and approved by the Clerk's office. ACTION REQUIRED The City Council is requested to approve the above licenses contingent of a favorable background investigation for the period January 1, 2024 through December 31, 2024. Respectfully submitted, Michelle Hartner Deputy City Clerk Attach: License applications e Minnesota Department of Public Safety Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 St Paul, Minnesota 55101 651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: ONSS License Period Ending: 12/31/2023 Iden: 61790 Issuing Authority: Andover Licensee Name: Acapulco of Minnesota Inc Trade Name: Acapulco Mexican Restaurant Address: 13753 Ibis St NW Andover, MN 55304 Business Phone: 7633238772 License Fees: Off Sale: $0.00 On Sale: $5,250.00 Sunday: $200.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's signature on this renewal confirms the followma• Failure to report any of the followina may result In civil penalties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales are less than $25,000 at on sale, or $50,000 at off sale). im Licen a Signature DOB SSN Date (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Police/Sheriff Signature Date Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. Minnesota Department of Public Safety Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 St Paul, Minnesota 55101 651.201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: Issuing Authority: Licensee Name: Trade Name: Address: Business Phone: License Fees: ONSS License Period Ending: 12/31/2023 Andover Cinema Entertainment Corp Andover Cinema 1836 Bunker Lake Blvd NW Andover, MN 55304 7637678401 Off Sale: $0.00 On Sale: $5,250.00 Sunday: $200.00 Iden: 67174 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's signature on this renewal confirms the followings. Failure to renort any of the following may result In civil penalties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. - Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor liability.(32 liquor licenses are exempt if sales are less than $ 00 at on sale, or $50,000 at off sale). Licensee aignamre DOB SSN (Signature certifies all above information to be correct and license has been approved by city/county.) Date City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Police/Sheriff Signature Date Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. Minnesota Department of Public Safety) Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 /1 St Paul, Minnesota 55101 651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections If necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: ONSS License Period Ending: 12/31/2023 Iden: 71335 Issuing Authority: Andover Licensee Name: Triple Shift Entertainment LLC Trade Name: Andover Lanes Address: 13633 Martin St NW Andover, MN 55304 Business Phone: 7637548000 License Fees: OU Sale: $0.00 On Sale: $5,250.00 Sunday: $200.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. AoolicariVs signature on this renewal confirms the following, Failure to report any of the following may result In civil penalties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments In Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any d y/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not. had a liquor license revoked for any liquor law violation (state or local). if a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years It or its employees have not peen cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. if yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license pedod.Licensee has attached a liquor liability Insurance certificate that corresponds with the license period in city/county, where license is issued. Licensee has attached a liquor liability Insurance certificate that corresponds with the license period in citylcounty where license is Issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor Iiability.(3.2 liquor licenses are exempt If sales are less than $25,000 at on sale, or $50,000 at off sale). �rT 11/03/2023 Licensee Signature DOB - SSN Date (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Police/Sheriff SignatureDate Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. Document Ref. X8HFC-EACNL-RXD4B-MM$BF Minnesota Department of Public Safety Ig Alcohol & Gambling Enforcement Division ;x ill 445 Minnesota Street, 1600 St Paul, Minnesota 55101 651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: ONSS License Period Ending: 12/31/2023 Iden: 74492 Issuing Authority: Andover Licensee Name: Bhappy Hospitality LLC Trade Name: Beef O Brady's Address: 15190 Bluebird St Suite 114 Andover, MN 55304 Business Phone: 7634342700 License Fees: Off Sale: $0.00 On Sale: $5,250.00 Sunday: $200.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Annlicant's sianature on this renewal confirms the following- Failure to report any of the following may result in civil oenaltles 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales are less than $25,000 at on sale, or $50,000 at off sale). Licensee Sigriat0re DTBT-- SSN Date (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Police/Sheriff SignatureDate Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. Minnesota Department of Public Safety rr. + Alcohol & Gambling Enforcement Division (x 445 Minnesota Street, 1600 .a St Paul, Minnesota 55101 �., 651-201-7507 - 3P RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also - required by M.S. 340A.404 S.3 to report any license cancellation. License Code: ONSS License Period Ending: 12/31/2023 Iden: 73591 Issuing Authority: Andover Licensee Name: Margie's Kitchen & Cocktails LLC Trade Name: Margie's Kitchen & Cocktails Address: 13735 Round Lake Blvd NW Suite 105 Andover, MN 55304 Business Phone: 612-819-4616 License Fees: Off Sale: $0.00 On Sale: $5,250.00 Sunday: $200.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Anolicant's signature on this renewal confirms the following• Failure to report any of the followinc may result In civil penalties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if salewe less than $25,000 at on sale, or $50,000 at off sale). tX3 )ignature DZ3 — SSN Date certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Police/Sheriff Signature Date Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. Minnesota Department of Public Safety Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 j 'St Paul, Minnesota 55101 \ ^� 651-201-7507 \\\ RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: ONSS Issuing Authority: Andover Licensee Name: Tamrob Concepts Trade Name: White Rabbit Kitchen Address: 15190 Bluebird St NW Andover, MN 55304 Business Phone: License Fees: Off Sale: $0.00 License Period Ending: 12/31/2023 Iden: 75576 On Sale: $5,250.00 Sunday: $200.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Anolicant's sianature on this renewal confirms the following: Failure to renort any of the following may result in civil nenalties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county, in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license pedod.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor Iiability.(3.2 liquor licenses are exempt if sales are less than $25,000 at on sale, or $50,000 at off sale). All MCI fch(h hb�e Licensee Signature �$N - � Date (Signature certifies all above informatio correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature - Date County Board issued licenses only(Signature certifies licensee is eligible for license). Police/Sheriff Signature Date Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminallcivil) during the past five years. Report violations on back, then sign here. Minnesota Department of Public Safety Alcohol R Gambling Enforcement Division 1` 445 Minnesota Street, 1600 St Paul, Minnesota 55101 651-201.7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: Issuing Authority: Licensee Name: Trade Name: Address: Business Phone: License Fees: ONSS License Period Ending: 12/31/2023 Iden: 45200 Andover Willy McCoys of Andover LLC Willy McCoys 13655 Martin St Andover, MN 55304 6127705444 Off Sale: $0.00 On Sale: $5,250.00 Sunday: $200.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's signature on this renewal confirms the following, Failure to report any of the following may result in civil penalties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/cbunty in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, pleasegivedetails on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license pedod.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales are less than $25,000 at on sale, or $50,000 at off sale). Licensee Signature DOB SSN Date (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Police/Sheriff Signature Date Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. Minnesota Department of Public Safety "®r Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 St Paul, Minnesota 55101 651-201.7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: OFSL License Period Ending: 12/31/2023 Iden: 72361 Issuing Authority: Andover Licensee Name: BC Beverage Inc Trade Name: Clocktower Wine & Spirits Address: 15190 Bluebird St NW/Ste 109 Ste. 109 Andover, MN 55304 Business Phone: 763-434-0116 License Fees: Off Sale: $200.00 On Sale: $0.00 Sunday: $0.00 By signing this renewal application, applicant certifies that there has been no change In ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's signature on this renewal confirms the following• Failure to report any of the following may result in civil penalties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past live years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales are less than $25,000 at on sale, or $50,000 at off sale). (�1 gal Licensee ignafure DOB LiSSV' Date (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Police/Sheriff Signature Date Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. ePy� Minnesota Department of Public Safety Alcohol & Gambling Enforcement Division 8 445 Minnesota Street, 1600 St Paul, Minnesota 55101 651-201.7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: OFSL Issuing Authority: Andover Licensee Name: WCR Liquors Inc. Trade Name: G -Will Liquors Address: 13973 Round Lk Blvd NW Andover, MN 55304 Business Phone: 763-421-1117 License Fees: Off Sale: $200.00 License Period Ending: 12/31/2023 Iden: 1634 On Sale: $0.00 Sunday: $0.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. . Annlicant's sianature on this renewal confirms the following, Failure to report any of the following may result in civil nenalties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,00Q,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales are 1�2- 5,000 at on /c��6rr1�r$5.rii8+�� O at off sale). _ ZL Z®L3 Licensee Signature DOB .SN - Date (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Police/Sheriff SignatureDate Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. Minnesota Department of Public Safety Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 1 St Paul, Minnesota 55101 \e-.� % 651.201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: Issuing Authority: Licensee Name: Trade Name: Address: OFSL Andover Yayin Gadol LLC Top Ten Liquors 13627 Quinn St NW Andover, MN 55304 Business Phone: 6122377344 License Fees: Off Sale: $200.00 License Period Ending: 12/31/2023 On Sale: $0.00 Sunday: $0.00 Iden: 42137 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's signature on this renewal confirms the following• Failure to report any of the following may result in civil penalties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confines that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if are less than $25,000 t on sale, or $50,000 at off sale). ''�'�` ✓B'a'r//�� �� �� ��� L kens aSignature LOB SSN D e (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Police/Sheriff Signature Date Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. Minnesota Department of Public Safety / Alcohol & Gambling Enforcement Division �y 445 Minnesota Street, 1600 St Paul, Minnesota 55101 ` 651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: MWNONSB License Period Ending: 12/31/2023 Iden: 65082 Issuing Authority: Andover Licensee Name: Joy Kitchen Inc. Trade Name: Joy Kitchen Address: 13650 Hanson Blvd NW Ste 102 Andover, MN 55304 Business Phone: 7635672720 License Fees: Off Sale: $0.00 On Sale: $500.00 Sunday; $0.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's slanature on this renewal confirms the followina• Failure to report any of the following may result In civil penalties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confines that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. . Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales are Ilessss tthan�$$25,000 at on sale, or $50,000 at off sale). Y140 1�1i11t"a Licensee Signature DSSN— Date (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Police/Sheriff Signature Date Signature certifies licensee or associates have been checked for any statellocal liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. ma"lkZkh Minnesota Department of Public Safety Alcohol R Gambling Enforcement Division 445 Minnesota Street, 1600 j St Paul, Minnesota 55101 / 651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: 3.2OFSL License Period Ending: 12/31/2023 Iden: 71624 Issuing Authority: Andover Licensee Name: Knowlan's Super Markets Inc. Trade Name: Festival Foods Address: 2218 Bunker Lake Blvd Andover, MN 55304 Business Phone: 763-755-1415 License Fees: Off Sale: $75.00 On Sale: $0.00 Sunday: $0.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's sianature on this renewal confirms the following- Failure to report any of the following may result in civil penalties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or$310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales are less than 25, 0 at on sale, or $50,000 at off sale). IA Li Licensee Signature Dot SSN Date (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Police/Sheriff Signature Date Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. Minnesota Department of Public Safety i Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 1 St Paul, Minnesota 55101 651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3'.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: 3.2OFSL License Period Ending: 12/31/2023 Iden: 32936 Issuing Authority: Andover Licensee Name: Kwik Trip Inc. Trade Name: Kwik Trip #812 Address: 1756 Bunker Lake Blvd NW Andover, MN 55304 Business Phone: 7637574905 License Fees: Off Sale: $75.00 On Sale: $0.00 Sunday: $0.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's signature on this renewal confirms the following, Failure to report any of the following may result in civil nenalbes 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if salesa less ha 6, 0 an ale r $50,000 at off sale). ��/J rrjJ Iy-/`J-u2a�3 Licensee Signature DOB SSN Date (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Police/Sheriff Signature Date Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. p Minnesota Department of Public Safety Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 St Paul, Minnesota 55101 .,� � 651.201.7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES i No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clark/County Auditor should submit this signed renewal with completed. license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: Issuing Authority: Licensee Name: Trade Name: Address: 3.20FSL Andover Walmart Inc. Walmart#1999 1851 Bunker Lake Blvd Andover, MN 55304 Business Phone: 7633541559 License Fees: Off Sale: $75.00 License Period Ending: 1213112023 Iden: 67744 On Sale: $0.00 Sunday: $0.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further Information needed to complete this renewal. Aoolicant's slanature on this renewal confirms the following: Pal lure to report any of the following may result In civil nenolties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in citylcounty where license is Issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor liabillty.(3.2 liquor licenses are exempt if saleSXe less th4n $25,000 at on sale, or $50,000 at off sale). , Sarah Little, Assistant 10/23/2023 DOB SSN Date all above information to be correct and license has been approved by city/county.) City ClerklAudilor Signature Date (Signature certifies that renewal of a liquor, wine or dub license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Police/Sheriff Signature Date Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminalicivil) during the past five years. Report violations on back, then sign here. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council CC: Jim Dickinson, City FROM: Michelle Harmer, Deputy City SUBJECT: Approve 2024 Kennel Licenses DATE: December 5, 2023 INTRODUCTION Kennel licenses expire on December 31, 2023. The following has applied for renewal of their kennel license and paid the appropriate fee: Private: Geoffrey & Karen Godfrey — 3451 174th Lane Laura Pardo — 15570 Potawatomi St. Commercial: Muddy Paws Doggy Daycare — 3121 161' Avenue ACTION REQUIRED The City Council is requested to approve the kennel licenses for the period of January 1, 2024 through December 31, 2024. (� Respectfully submitted, L � ICS Michelle Hartner Deputy City Clerk Attach: License applications 0 TT Y �0 F J®��%VL. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV PRIVATE DOG KENNEL LICENSE APPLICATION CITY CODE TITLE 5, CHAPTER 1 Private (anyplace where more than three dogs are kept for private enjoyment and not for monetary gain, provided such animals are owned by the owner or the lessee of the premises on which they are kept) cv Address „3Jsr' - l74yti 46NF N 6t✓ f}NDl>tJb�+ M/�1 553©7 Telephone Number _ Email Address J i J • — // Number ofDogs / e1✓Vd7LR 4?Mo/q-(I -s old Property Size_ Jt- / c P L s Method of Waste Disposal 17]AIYUAI ENJq J Attach a scaled drawing of the property and structures affected showing: scale and north arrow; dimensions of the property and structures; front, side and rear yard �1 building setbacks; adjacent streets; and location and use of existing structures 6.34 - within 100 feet. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV PRIVATE DOG KENNEL LICENSE APPLICATION CITY CODE TITLE 5, CHAPTER 1 Private (anyplace where more than three dogs are kept for private enjoyment and not for monetary gain, provided such animals are owned by the owner or the lessee of the premises on which they are kept) Telephone Number Email Address Number of Dogs Property Method of Waste Disposal cs-, Attach a scaled drawing of the property and structures affected showing: scale and north arrow; dimensions of the property and structures; front, side and rear yard building setbacks; adjacent streets; and location and use of existing structures within 100 feet. .icense Fee: New License $200.00 (Includes Mailing Labels) Renewal License $25.00 ,icense # a 3 - 60((City Council Action • F_.,..; � 10 ! CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) FAX (763) 755-8923 • WWW.ANDOVERMN.GOV COMMERCIAL DOG KENNEL LICENSE APPLICATION CITY CODE TITLE 5, CHAPTER 1 Commercial (any place where a person accepts dogs from the genera/public and where such animals are kept for the purpose of selling, boarding, breeding, training, orgrooming) Telephone Number h6s)�O—nu LbUSin) Email Address v Number of Dogs Property Size `l ,'S Q(,cs Will facility be used for training dogs? Number of employees l A Attach a scaled drawing of the property and structures affected showing: scale an north arrow; dimensions of the property and structures; front, side and rear yard building setbacks; adjacent streets; and location and use of existing structures within 100 feet. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council CC: Jim Dickinson, City FROM: Michelle Hartner, Deputy City SUBJECT: Approve Application for Exempt Permit/Anoka Area Chamber of Commerce DATE: December 5, 2023 INTRODUCTION Anoka Area Chamber of Commerce has submitted an application for a raffle at an event they are hosting on February 23, 2024 at the Courtyards of Andover, 13545 Martin Street NW. DISCUSSION Council can either a) approve the application with no waiting period; b) approve the application with a 30 -day waiting period; or c) deny the application. ACTION REQUIRED The City Council is requested to consider approval of the application with no waiting period. Respectfully -submitted, Michelle Harmer Deputy City Clerk Attach: Application MINNESOTA LAWFUL GAMBLING LG220 Application for Exempt Permit 4/23 Page 1 of 3 An exempt permit may be issued to a nonprofit Application Fee (non-refundable) organization that: Applications are processed in the order received. If the application • conducts lawful gambling on five or fewer days, and ispostmarked or received 30 days or more before the event, the • awards less than $50,000 in prizes during a calendar application fee is $100; otherwise the fee is $150. year. If total raffle prize value for the calendar year will be Due to the high volume of exempt applications, payment of $1,500 or less, contact the Licensing Specialist assigned to additional fees prior to 30 days before your event will not expedite your county by calling 651-539-1900. service, nor are telephone requests for expedited service accepted. ORGANIZATION INFORMATION - Nameization 01 f �reG( Cl//�f��P/' D� Previous Gambling I"( � �Q�''7/r�9Y/'C< Permit Number: X - Minnesota Tax ID q !?z7 7 L/ Federal Employer ID u Number, if any: /S� Number (FEIN), if any: ! I -0`% �ia tib Mailing Address: I Z V r d ,^� ,At ,, f,��/ City: 6( SM N State: zip: 5S363 County: x,114��j Name of Chief Executive Officer (CEO): CEO Daytime Phone: _ . CEO Email: _ (permit will be emailed to this email address unless otherwise indicated below) Email permit to (if other than the CEO): NONPROFIT STATUS Type of Nonprofit Organization (check one): Fraternal Religious Q Veterans ®Other Nonprofit Organization Attach a copy of one of the following showing proof of nonprofit status: (DO NOT attach a sales tax exempt status or federal employer ID number, as they are not proof of nonprofit status.) ❑ A current calendar year Certificate of Good Standing Don't have a copy? Obtain this certificate from: MN Secretary of State, Business Services Division Secretary of State website, phone numbers: 60 Empire Drive, Suite 100 www.sos.state.mn.us St. Paul, MN 55103 651-296-2803, or toll free 1-877-551-6767 ElIRS income tax exemption (501(c)) letter in your organization's name Don't have a copy? To obtain a copy of your federal income tax exempt letter, have an organization officer contact the IRS toll free at 1-877-829-5500. ❑ IRS - Affiliate of national, statewide, or international parent nonprofit organization (charter) If your organization falls under a parent organization, attach copies of both of the following: 1. IRS letter showing your parent organization is a nonprofit 501(c) organization with a group ruling; and 2, the charter or letter from your parent organization recognizing your organization as a subordinate. GAMBLING PREMISES INFORMATION Name of premises where the gambling event will be conducted �7 / (for raffles, list the site where the drawing will take place): nt r�uly���t4�r�5 0 �h�tOI j c� Physical Address (do not use P.O. box): 13 551-5/%4 r ><� ii 57' 144 �Ud'� f1'I N Ss.36 y Check one: n/� '/ © City: 4), y U'ye%� zip: 5-553 0Y County: Township: Zip: County: Date &-- s) of activity (for raffles, indicate the date of the drawing): 1'eL rLi 4, r� Z �� Z'/ Check each type of gambling activity that your organization will conduct: Bingo Paddlewheels Pull -Tabs Tipboards F<] Raffle Gambling equipment for bingo paper, bingo boards, raffle boards, paddlewheels, pull -tabs, and tipboards must be obtained from a distributor licensed by the Minnesota Gambling Control Board. EXCEPTION: Bingo hard cards and bingo ball selection devices may be borrowed from another organization authorized to conduct bingo. To find a licensed distributor, go to www.mn.gov/gcb and click on Distributors under the List of Licensees tab, or call 651-539-1900. LG220 Application for Exempt Permit 4/23 Page 2 of 3 LOCAL UNIT OF GOVERNMENT ACKNOWLEDGMENT (required before submitting application to the Minnesota Gambling Control Board) CITY APPROVAL COUNTY APPROVAL for a gambling premises for a gambling premises located within city limits located in a township The application is acknowledged with no waiting period. ❑ The application is acknowledged with no waiting period. The application is acknowledged with a 30 -day waiting ❑The application is acknowledged with a waiting period, and allows the Board to issue a permit after 30 days perday period, and allows the Board to issue a permit after (60 days for a 1st class city). 30 days. ElThe application is denied. ❑The application is denied. Print City Name: Print County Name: Signature of City Personnel: Signature of County Personnel: Title: Date: Title: Date: Information, the Board may not be able to TOWNSHIP (if required by the county) which law or legal order authorizes a new use or On behalf of the township, I acknowledge that the organization address which will remain public. Private data is applying for exempted gambling activity within the township limits. (A township has no statutory authority to approve or as a consequence, may refuse to issue a permit. The city Or county must sign before given; and anyone with your written consent. If your organization supplies the information submitting application to the deny an application, per Minn. Statutes, section 349.213.) access to the information; Minnesota's Depart - Gambling Control Board. This form will be made Print Township Name: Signature of Township Officer: Title: Date: CHIEF EXECUTIVE OFFICER'S SIGNATURE (required) The information provided in this application is complete and accurate to the best of my knowledge. I acknowledge that the financial report will be completed and returned to the Board within 30 ays of the event date. Chief Executive Officer's Signature: l`�!//� Date: (Signattt u e O s sign e; designee may not sign) LL r Print Name: ��7�� / U /id 1� REQUIREMENTS MAIL APPLICATION AND ATTACHMENTS: Complete a separate application for: Mail application with: • all gambling conducted on two or more consecutive days; or • all gambling conducted on one day. a copy of your proof of nonprofit status; and Only one application is required if one or more raffle drawings are — application fee (non-refundable). If the application is postmarked or received 30 days or more before the event, conducted on the same day. the application fee is $100; otherwise the fee is $150. Financial report to be completed within 30 days after the Make check payable to State of Minnesota. gambling activity is done: A financial report form will be mailed with your permit. Complete To: Minnesota Gambling Control Board and return the financial report form to the Gambling Control 1711 West County Road B, Suite 300 South Roseville, MN 55113 Board. Your organization must keep all exempt records and reports for Questions? Call the Licensing Section of the Gambling Control Board at 3-1/2 years (Minn. Statutes, section 349.166, subd. 2(f)). 651-539-1900. uaca privacy nonce: I ne mrormanon requested application. Your organization's name and ment of Public Safety; Attorney General; on this form (and any attachments) will be used address will be public information when received Commissioners of Administration, Minnesota by the Gambling Control Board (Board) to by the Board. All other information provided will Management & Budget, and Revenue; Legislative determine your organization's qualifications to be private data about your organization until the Auditor, national and international gambling be involved in lawful gambling activities in Board issues the permit. When the Board issues regulatory agencies; anyone pursuant to court Minnesota. Your organization has the right to the permit, all information provided will become order; other individuals and agencies specifically refuse to supply the information; however, if public. If the Board does not issue a permit, all authorized by state or federal law to have access your organization refuses to supply this information provided remains private, with the to the information; individuals and agencies for Information, the Board may not be able to exception of your organization's name and which law or legal order authorizes a new use or determine your organization's qualifications and, address which will remain public. Private data sharing of information after this notice was as a consequence, may refuse to issue a permit. about your organization are available to Board given; and anyone with your written consent. If your organization supplies the information members, Board staff whose work requires requested, the Board will be able to process the access to the information; Minnesota's Depart - This form will be made available in alternative format (i.e. large print, braille) upon request. An equal opportunity employer 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Council Members CC: Jim Dickinson, City Administrat FROM: David D. Berkowitz, Director of Pub ' orks/City Engineer SUBJECT: Approve Assessment Deferment Request for Disabled Individual / 23-17, 2023 Full Depth Reclamation — Engineering DATE: December 5, 2023 INTRODUCTION The City Council is requested to approve an Assessment Deferment Request for Project 23-17, 2023 Full Depth Reclamation. DISCUSSION During the summer of 2023, an area in the central portion of the City had a roadway full depth reclamation project completed. Assessment amounts were determined for properties benefiting from the improvements and were formally approved by the City Council at the November 8, 2023, City Council meeting. Since the approval of the assessments the property at 15081 Avocet Street NW (PID 23-32-24-34- 0002) has requested through the application process to have the special assessment deferred based on annual income level for a disabled individual. The City Clerk has reviewed the annual income level and has determined that the individual meets the requirements set by Resolution R044-23. The deferred assessment would be collected at the time the property is sold or changes in ownership. Should the City Council approve this request, a revised assessment roll will be prepared for City Project 23-17 noting the deferral. BUDGETIMPACT The deferred assessment amount will be funded through the City's Road and Bridge Fund. COUNCIL ACTION The City Council is requested to approve the attached resolution to Defer the special assessment as part of Project 23-17, 2023 Full Depth Reclamation for PID 23-32-24-34-0002. Res ectfully submitted, David D. Berkowitz P.E. Attach: Resolution, Deferment Application & Resolution No. R044-23 CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. MOTION by Councilmember to adopt the following: A RESOLUTION APPROVING REQUEST TO DEFER THE SPECIAL ASSESSMENT DUE TO ANNUAL INCOME FOR A RETIRED DISABLED INDIVIDUAL TO PROJECT NO. 23-17,2023 FULL DEPTH RECLAMATION. WHEREAS, the City of Andover has a completed street improvements under City Project 23-17 in the summer of 2023, and WHEREAS, said improvement project incorporated special assessments to benefitting properties fronting said improvements, and WHEREAS, the owner of property PID # 23-32-24-34-0002 has submitted an application to defer their special assessments per annual income level for a disabled individual, and WHEREAS, The City Clerk has reviewed the annual income level and has determined that the individual meets the requirements set for by Resolution R044- 23, and WHEREAS, when said parcel is sold of changes ownership the deferred assessment will be required to be paid in full at that time, and NOW THEREFORE, BE IT RESOLVED by the City Council of Andover to hereby approve the request for deferral of special assessments for City Project 23- 17 as per requirements of Resolution No. R044-23 for PID # 23-32-24-34-0002. Adopted by the City Council of the City of Andover this 5th day of December , 2023. CITY OF ANDOVER ATTEST: Sheri Bukkila - Mayor Michelle Hartner — Deputy City Clerk NDOVERJP�- 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 a (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV APPLICATION FOR DELAYED PAYMENT OF TAX ON SPECIAL ASSESSMENTS FOR SENIOR CITIZENS AND RETIRED DISABLED HOMEOWNERS City Clerk: I, the undersigned, formally request a Senior Citizen or Retired Disabled special assessment deferment. I declare: That I reside at 16-051 74i., e eax iJ£—rz AIA). ✓That I am not less than 65 years of age and that the date of my birth h ✓Retired due to total or permanent disability. That I am owner of the property legally described as: /- e 7" 6 04 o e* l,ow 4;LL S <$- 14'ddi7-.`en! That my interest in the ownership of the above property was acquired on 79 20 /6 and is as follows: 1. Sole ownership (enter yes, if applicable) io c- 2. Joint tenancy, held with Other undivided interest r That on January 2, 20 a 3 I owned and occupied the above property as my homestead and such occupancy began on " 20_Ll�. Please attach proof of ownership and your last income tax statement. (Photocopies are acceptable.) C Y( 2,3 , D to I Own 's Signature aooz; CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RESOLUTION NO. R044-23 A RESOLUTION SETTING THE ANNUAL INCOME LEVEL FOR SENIOR CITIZEN AND DISABLED INDIVIDUALS FOR DEFERRAL OF SPECIAL ASSESSMENTS AND SANITARY SEWER RATES. THE CITY COUNCIL OF THE CITY OF ANDOVER HEREBY RESOLVES: Annual Income Level for Special Senior Citizen Deferral of Special Assessments and Reduced Sanitary Sewer Rates Annual Income Level for Disabled Individuals of Special Assessments and Reduced Sanitary Sewer Rates $43,500 (Not to Exceed) $66,300 (Not to Exceed) Adopted by the City Council of the City of Andover this 6th day of June, 2023. CITY OF ANDOVER Attest: L en Bukki — Mayor 4Micner — Deputy City Clerk C I T Y O F I ND6W 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Councilmembers FROM: Jim Dickinson, City Administrator SUBJECT: Public Hearing - 2024 Proposed Levy and Budget DATE December 5, 2023 INTRODUCTION The Council has had a number of reviews of the City of Andover 2024 Proposed Budget and continued detailed review of the General Fund budget that is primarily supported by the proposed 2024 Tax Levy. This year the Andover City Council is holding a 2024 Proposed City Budget/Tax Levy public hearing as compared to previous year's hearings titled "Truth -in -Taxation" that had to be conducted in a State Statute prescribed format. This public hearing is intended to give the public the opportunity to comment on the proposed 2024 budget and tax levy. On September 5a', the City Council approved the 2024 Preliminary Levy certification. This approval was the outcome of the numerous budget workshops held by the Council over the summer. The Preliminary 2024 Budget proposed a total property tax levy of $18,097,274: $11,731,126 (64.83%) operational levy, $3,891,710 (21.50%) debt service levy, and $2,474,438 (13.67%) capital/watershed levy. The 2024 Proposed Property Tax Levy is estimated to increase the current City tax rate by 3.99% and when applied to the City's growing taxable market values will generate additional tax revenue to preserve the City's current operations, an enhanced commitment to public safety, to address inflationary items, capital replacements, an infusion of funds into the mill and overlay program and address staff retention. This is a 6.00% increase in the gross tax levy. The Council has the right to reduce or keep constant this levy until the final certification date of December 28, 2023. The attachments to this staff report listed below are handouts that will be presented prior to the Public Hearing to provide background information on 2024 Proposed City Budget/Tax Levy progress to date. Attachments: Pg. 3 Pay 2024 Valuation Estimates Pg. 4 - 5 Property Tax Levy — Historical Comparisons Pg. 6 Proposed 2024 City Tax Rate Comparisons Pg. 7 Proposed 2024 Proposed Tax Breakdown Pg. 8 - 9 2024 Proposed Budget Summary by Fund Type Pg. 10 2024 Proposed Budget Summary by Revenue and Expenditure Type Pg. 11 - 17 2024 Proposed Budgets - Fund Summaries Pg. 18 2024 General Fund Revenue & Expense Summary Pg. 19 2024 General Fund — Revenue Comparison Pg. 20 2024 General Fund — Expenditure Comparison Pg. 21 - 22 2024 General Fund — Expenditure Function Graphs Pg. 23 2024 General Fund — Expenditure Budget Summary by Department Pg. 24- 26 Resolution to Approve 2024 Budget and Tax Levy A more detailed presentation will be provided to the Council before the public hearing similar to what has been presented at past budget workshops. ACTION REQUESTED The Council is requested to review the staff report, receive a presentation, open the public hearing, discuss and if there is no need for a continuation hearing approve the resolution adopting the 2024 Ikoposed City Budget and Tax Levy. submitted, Jim CITY OF ANDOVER Pay 2024 Valuation Estimates City of Andover Taxable Market Values $6,000,000,000 $5,000,000,000 $4,000,000,000 $3,000,000,000 $2,000,000,000 $1,000,000,000 $0 Pay 2021 Pay 2022 Pay 2023 Pay 2024 City of Andover Tax Capacity Values $60,000,000 $50.000,000 $40,000,000 $30,000,000 $20,000,000 $10,000,000 $0 Pay 2021 Pay 2022 Pay 2023 Pay 2024 ESTIMATE Pay 2021 Pay 2022 Pay 2023 Pay 2024 Taxable Tax Taxable Tax Taxable Tax Taxable Tax Market Capacity Market Capacity Market Capacity Market Capacity Value Value Value Value Value Value Value Value Andover Valuation Totals $ 3,615,408,106 $ 37,366,775 $ 3,885,459,439 $ 40,210,548 $ 4,786,225,134 $ 50,267,978 $ 4,933,752,356 $ 52,405,763 Captured Tax Increment (119,819) (122,976) (141,278) (211,466) Fiscal Disparity Contribution (1,348,420) (1,414,808) (1,368,461) (1,449,326) Local Tax Rate Value 35,898,536 38,672,764 48,758,239 50,744,971 Fiscal Disparity Distribution 5,475,223 6,037,850. 5.500,256 5,711,542 Total Adjusted Values $ 41,373,759 $ 44,710,614 $ 54,258,495 $ 56,456,513 8.07% 21.35% 4.05% Taxable Market Value Tax Capacity Value w % Change % Change Pay 2021 $ 3,615,408,106 Pay 2021 $ 37,366,775 Pay 2022 $ 3,885,459,439 7.47% Pay 2022 $ 40,210,548 7.61% Pay 2023 $ 4,786,225,134 23.18% Pay 2023 $ 50,267,978 25.01% Pay 2024 $ 4,933,752,356 3.08% Pay 2024 $ 52,405,763 4.25% City of Andover Taxable Market Values $6,000,000,000 $5,000,000,000 $4,000,000,000 $3,000,000,000 $2,000,000,000 $1,000,000,000 $0 Pay 2021 Pay 2022 Pay 2023 Pay 2024 City of Andover Tax Capacity Values $60,000,000 $50.000,000 $40,000,000 $30,000,000 $20,000,000 $10,000,000 $0 Pay 2021 Pay 2022 Pay 2023 Pay 2024 City of Andover, Minnesota Property Tax Levy Less Fiscal Disparlies Dls0ibu6'on Certified Certified Caddied Certified CBrOfiad Requested Local Tax Rate Levy $ 11.378,039 Change $ 12,956,121 $ 13,953,343 2019 2020 2021 2022 2023 2024 %of Total E $ % General & Other Operational Levies E 12,398,495 $ 12,805,043 $ 13,953,343 E 15,086,397 $ 16,329,715 Actuated! Tax Capacity Value" (1) 31,604.]11 30.875,332 35,899,538 38.872764 General Operations $ 8.845,970 $ 9.194,032 $ 9,396,493 $ 9,868,370 $ 10.591,789 $ 11,341,126 62.67% $ 749,337 7.07% Community Center Operations - - 155,000 155,000 155,000 155,000 0.86% $ - 0.00% Packs Repair/Replacement Items 101000 Inoxi 120,000 131000 145,000 235,000 1.30% $ 91 62.07% Total General &Other Operational Levies 8,945,970 9,314,032 9,671,493 10.153,370 10,891,789 11,731,126 64.83% $ 839,337 7.71% - Debt Service Levies 2010A G.O. Open Space Referendum Bonds 183,989 184,199 151,078 - - - 2012CTacebleG.O.Abatement Bonds 969,378 976,780 973,263 974,628 969,745 973.650 2014A G.O. Equipment Certificate 294,525 - - - - - 2016AGO.Equipment Certificate 142837 143,373 - - - - - 2018A G.O. Cap Improv Plan Bonds 525,000 433,603 456,344 617,519 612,794 612,794 2019A G.O. Abatement Bonds - 1,001,090 976,966 1,014,065 1,028,782 1.028,783 2020A G.O. Equipment Certificate - 350,000 408,224 374,850 376.740 - 2021AG.O.Equipment Certificate - - 170,000 170,000 174,773 174,825 2021A G.O. Street Reconstruction Bonds - - - 600,000 603,863 6 ASS 2024 G.O. Equipment Certificate - - - - 450,000 Total Cast Service levies 2115,729 3,089,045 3,133,875 3,751,062 3,766,697 3,891,710 21.50% $ 125.013 3.32% Other Levies Capital Projects Levy Capital EquipmenNProject 275,000 275,000 250,000 275,000 275,000 300,000 1.66% $ 25,000 9.09% A Facility Maintenance Reserve 355,000 355,000 355,000 355,000 355,000 355,000 1.96% $ - 0.00% Parks Projects 15,000 15,000 15,000 15,000 15,000 15,000 0.08% $ - 0.00% Road & Bridge 1,254,788 1,287,469 1,342,456 1,409,579 1,619,190 1,651,822 9.13% $ 32,632 2.02% Pecesidan Tail Maintenance 102000 104,040 106,121 108,243 110.408 112616 0.62% $ 2208 2.00% Lower Rum River Watershed 40.000 40,000 40,000 40.000 40,000 40,000 0.22% $ 0.00% Total Other Levies 2,041,788 2,076,509 2,108,5Tr 2,202,822 2,414,598 2,474,438 13.67% $ 59.840 2.48% Gross City Levy 13,103,487 14,479,586 14,913,945 16,107,254 17,073,084 18,097,274 100.00% $ 1,024,190 6.00% Less Fiscal Disparlies Dls0ibu6'on 1,725,448 1,891892 1,957,824 2153,911 1,984,687 1,767,559 Local Tax Rate Levy $ 11.378,039 $ 12,582,694 $ 12,956,121 $ 13,953,343 E 15,088,39] E 16,329,715 Less Lew Based on Modest Value $ 183,989 $ 184,199 $ (151,078) S E b Net Local Tax Rate Levy $ 11,194,050 E 12,398,495 $ 12,805,043 $ 13,953,343 E 15,086,397 $ 16,329,715 Actuated! Tax Capacity Value" (1) 31,604.]11 30.875,332 35,899,538 38.872764 48,758239 51744,971 We 9.72% 3.53% 7.73% 26.08% 4.071Y. Change %Change Tax Capacity Rate— $5.419% 35.756% 35.670% 36.081% 30.945% 32.180% 1.235% 3.990% Tax Capacity Rate W/O LRRWSD 35.310% 35.656% 35.574% 35.994% 30.873% 32.109% Tax Capacity Rate With LRRWSD 35.621% 35.942% 35.845% 36.245% 31.073% 32.305% Voter Approved Ref -MV 0.00572% 0.00526% 0.00418% 0.00000% 0.00000% 0.00000% "ACLsted Vatue determined0y a4usdng for Fiscal Oispandes and Taz/ncremerrt esamafea " Blendedrate due to the City ofAndoverlevyirg for Lower Rum River Watershed District (1) Adjusted Tax CapacityValue is subject to change. City of Andover Gross Tax Levy $19,000,000 mle,$18,097,274 $17,000,000 $17,073,084 $15,000,000 $16,107,254 At $14,913,945 14,479,586 $13,000,000 $13,103,487 $12,416,357 $11,000,000 $9,000,000 $7,000,000 $5,000,000 2016 2017 2018 2019 2020 2021 2022 2023 2024 70 Hilltop Columbia Heights St. Francis Circle Pines Fridley Bethel Ramsey Lexington Centerville a Columbus z 3 Spring Lake Park U Anoka Coon Rapids Lino Lakes Blaine Andover East Bethel Oak Grove Nowthen Linwood Ham Lake 0.1 MUNICIPALITIES WITHIN ANOKA COUNTY Proposed 2024 City Tax Rate Comparison General Fund Revenues: $14,506,539 Expenditures: $14,975,613 General Government Public Safety Public Works Other Fund Definitions CITY OF ANDOVER 2024 Budget Summary By Fund Type City of Andover - Budgeted Funds Total Revenues: $45,540,023 Total Expenditures: $54,402,391 I Governmental Funds I Special Revenue Funds Revenues: $2,769,968 Expenditures: $2,953,603 EDA Drainage & Mapping LRRWMO Forestry ROW Mgmt / Utility Construction Seal Coating Community Center CDBG Charitable Gambling CARES Act/ ARPA Funding Debt Service Funds Revenues: $4,737,010 Expenditures: $4,470,420 G.O. CIP Bonds G.O. Street Recon Bonds G.O. Equip Certificates G.O. Referendum Bonds G.O. Abatement Bonds Capital Projects Funds Revenues: $14,758,797 Expenditures: $21,848,120 Proprietary Funds Enterprise Funds Revenues: $6,878,484 Expenditures: $8,315,168 Water Trunk Sewer Trunk Road & Bridge Trail & Transportation Cap Equip Reserve Tax Increment Park Dedication PIR Projects Building CIP / Street Recon Bond Projects Equipment Certificates Sewer Fund Water Fund Storm Sewer Fund Internal Service Funds Revenues: $1,889,225 Expenditures: $1,839,467 Central Equipment / Maint. Risk Management General Fund - accounts for the revenues and expenditures necessary to carry out basic governmental activities of the City such as general government, public safety, public Works, and other. Special Revenue Funds - accounts for revenue sources that finance particular functions and projects. Debt Service Funds - accounts for the accumulation of resources for, and the payment of general long-term debt. Capital Projects Funds - accounts for the acquisition or construction of major capital facilities financed mainly with governmental fund sources, general obligation debt, special assessments, and other. Enterprise Funds - accounts for activities that consist of rendering services or providing goods to the public for which a fee or charge is collected. Internal Service Funds - accounts for goods and services that are provided to other City departments, or to other governments, on a cost reimbursement basis. Fund Balance/Net Assets, January 1 Revenues General Property Taxes Tax Increments Special Assessments Licenses and Permits Intergovernmental Charges for Services Fines Investment Income User Charges Meters Miscellaneous Total Revenues: Other Financing Sources ID Operating Transfers In Bond Proceeds Total Other Financing Sources: Total Revenues and Other Sources: Total Available: Expenditures Personal Services Supplies and Materials Purchased Services Other Services and Charges Capital Outlay Debt Service Total Operating Expenditures: Other Uses Operating Transfers Out Total Other Uses: Total Expenditures and Other Uses: Fund Balance/Net Assets, December 31 Change in Fund Balance CITY OF ANDOVER 2024 Budget Summary Revenues and Expenditures by Fund Type Special Debt Capital Internal General Revenue Service Projects Enterprise service Total $ 91608,195 $ 1,656,457 $ 3,763,222 $ 34,436,950 $ 11,374,465 $ 865,380 $ 61,704,669 11,621,126 195,000 3,891,710 2,434,438 - - 18,142,274 - - - 100,475 - - 100,475 - - - 1,301,000 - - 1,301,000 617,600 - - - - - 617,600 868,657 437,500 - 7,571,040 - - 8,877,197 897,610 1,273,000 - - 6,464,757 1,885,225 10,520,592 50,500 - - - - - 50,500 75,000 8,400 - 97,500 62,500 4,000 247,400 _ _ - 409,490 - - 409,490 _ _ _ - 13,000 - 13,000 154,800 856,068 295,000 44,000 - 1,349,868 14,285,293 2,769,968 3,891,710 12,208,943 6,584,257 1,889,225 41,629,396 221,246 - 845,300 969,854 294,227 - 2,330,627 1,580,000 1,580,000 221,246 845,300 2,549,854 294,227 3,910,627 14,506,539 2,769,968 4,737,010 14,758,797 6,878,484 1,889,225 45,540,023 24,114,734 4,426,425 8,500,232 49,195,747 18,252,949 2,754,605 107,244,692 63583,354 942,630 - - 1,331,896 651,538 9,5093418 910,213 116,170 - - 547,600 507,420 2,081,403 53175,463 407,886 - 943000 - - 5,677,349 2,071,583 778,917 - 7,720,893 3,447,319 680,509 14,699,221 235,000 400,000 - 133038,000 1,935,000 - 15,608,000 4,409,566 86,807 - 4,496,373 14,975,613 2,645,603 4,409,566 20,852,893 7,348,622 1,839,467 52,071,764 308,000 60,854 995,227 9663546 2,330,627 308,000 60,854 995,227 966,546 2,330,627 14,975,613 2,953,603 4,470,420 21,848,120 8,315,168 1,839,467 54,402,391 $ 9,139,121 $ 1,472,822 $ 4,029,812 $ 27,347,627 $ 9,937,781 $ 915,138 $ 523842,301 $ (469,074) $ (183,635) $ 266,590 $ (7,089,323) $ (13436,684) $ 49,758 $ (8,862,368) -4.88% -11.09% 7.08% -20.59% -12.63% 5.75% -14.36% CITY OF ANDOVER 2024 Budget Summary Revenues and Expenditures - All Funds Actual Budget Estimate Budget 2022 2023 2023 2024 Fund Balance/Net Assets, January l $ 64,726,936 $ 67,251,288 $ 67,251,288 $ 61,704,669 Revenues General Property Taxes 16.060,412 17,151,084 17,148,084 18.142,274 Tax Increments 94,701 100,000 100,000 100,475 Special Assessments 709,864 1,963,000 1,958,000 1,301,000 Licenses and Permits 972,878 573,000 701,750 617,600 Intergovernmental 3,593,375 11,160,809 3,765,466 8,877,197 Charges for Services 10,826,272 9,900,569 10,086,669 10,520,592 Fines 55,983 45,500 50,850 50,500 Investment Income (1,425,523) 257,200 376,900 247,400 User Charges 3,614,893 384,911 684,438 409,490 Meters 49,416 13,000 13,000 13,000 Miscellaneous 1,643,832 1,702,368 1,398,803 1,349,868 Total Revenues: 36,096,103 43,251,441 36,283,960 41,629,396 Other Financing Sources Operating Transfers In 2,793,629 1,966,317 2,211,317 2,330,627 Bond Proceeds - - - 1,580,000 I� Proceeds from Sale of Property 163,823 65,615 Total Other Financing Sources: 2,957,452 1,966,317 2,276,932 3,910,627 Total Revenues and Other Sources: 39,053,555 45,217,758 38,560,892 45,540,023 Total Available: 103,780,491 112,469,046 105,812,180 107,244,692 Expenditures Personal Services 8,415,922 9,250.745 9,262,745 9,509,418 Supplies and Materials 1,742,313 1,956,834 1,956,234 2,081,403 Purchased Services 6,377,406 5,265,208 5,355,688 5,677,349 Other Services and Charges 10,310,582 16,466,737 16,432,537 14,699,221 Capital Outlay 2,698,825 14,046,000 3,713,732 15,608,000 Debt Service 4,190,526 5,175,398 5,175,258 4,496,373 Total Operating Expenditures: 33,735,574 52,160,922 41,896,194 52,071,764 Other Uses Operating Transfers Out 2,793,629 1,966,317 2,211,317 2,330,627 Total Other Uses: 2,793,629 1,966,317 2,211,317 2,330,627 Total Expenditures and Other Uses: 36,529,203 54,127,239 44,107,511 54,402,391 Fund Balance/Net Assets, December 31 $ 67,251,288 $ 58,341,807 $ 61,704,669 $ 52,842,301 Change in Fund Balance $ 2,524,352 $ (8,909.481) $ (5,546,619) $ (8,862,368) 3.90% -13.25% -8.25% -14.36% Fund Balance/Net Assets, January 1 Revenues & Other Sources General Special Revenue Debt Service Capital Projects Enterprise Internal Service Total Revenues & Other Sources: Total Available: Expenditures & Other Uses r General Special Revenue Debt Service Capital Projects Enterprise Internal Service Total Expenditures & Other Uses: Fund Balance/Net Assets, December 31 Change in Fund Balance CITY OF ANDOVER 2024 Budget Summary Revenues and Expenditures Fund Summary Actual 2022 $ 64,726,936 13,457,703 4,486,059 4,595,663 8,279,515 6,740,525 1,494,090 39,053,555 103,780,491 13,119,831 4,148,293 3,660,811 8,017,555 5,895,425 1,687,288 36,529,203 $ 67,251,288 $ 2,524,352 3.90% Adopted Estimate 2023 2023 $ 67,251,288 13,564,378 4,135,216 4,661,997 14,778,263 6,461,274 1,616,630 45,217,758 112,469,046 13,906,093 4,476,705 4,393,198 21,028,445 8,604,707 1,718,091 54,127,239 $ 58,341,807 $ (8,909,481) -13.25% $ 67,251,288 13,836,917 3,816,966 4,665,047 7,919,058 6,461,274 1,861,630 38,560,892 105,812,180 14,193,060 4,133,940 4,393,058 12,316,690 7,304,207 1,766,556 44,107,511 $ 61,704,669 $ (5,546,619) -8.25% Budget 2024 $ 61,704,669 14,506,539 2,769,968 4,737,010 14,758,797 6,878,484 1,889,225 45,540,023 107,244,692 14,975,613 2,953,603 4,470,420 21,848,120 8,315,168 1,839,467 54,402,391 $ 52,842,301 $ (8,862,368) -14.36% r N City of Andover 2024 Budget - General Fund Statement of Revenues, Expenditures and Changes in Fund Balance Yry `� y gcualy y Estimates , Adopted �i . Pion+,.„ fAitopted 2024 �Descn �t , .,,.. R2022�;'.2023` 2023'.' , Fund Balance, January 1 Revenues General Property Taxes Licenses and Permits Intergovernmental Charges for Services Fines Investment Income Miscellaneous Revenue Total Revenues: Other Sources Transfers In Total Revenues and Other Sources: Total Available: Expenditures Personal Services Supplies and Materials Purchased Services Other Services and Charges Capital Outlay Total Expenditures: Other Uses Transfers Out $ 9,626,466 $ 9,964,338 $ 9,964,338 $ 9,608,195 9,974,141 972,878 963,290 1,295,429 55,983 (189,494) 188,395 13,260,622 10,814,789 573,000 839,907 839,110 45,500 75,000 148,300 13,335,606 197,081 228,772 13,457,703 23,084,169 5,797,810 792,115 4,207,672 1,627,775 144,459 12,569,831 550,000 13,564,378 23,528,716 6,374,964 847,544 4,635,276 1,900,309 148,000 13,906,093 10,811,789 701,750 847,176 954,510 50,850 75,000 167,070 13,608,145 11,621,126 617,600 868,657 897,610 50,500 75,000 154,800 14,285,293 228,772 221,246 13,836,917 23,801,255 6,374,964 843,494 4,669,176 1,889,426 216,000 13,993,060 200,000 14,506,539 24,114,734 6,583,354 910,213 5,175,463 2,071,583 235,000 14,975,613 Total Expenditures and Other Uses: 13,119,831 13,906,093 14,193,060 14,975,613 Fund Balance, December 31 Change in Fund Balance $ 9,964,338 $ 337,872 4% $ 9,622,623 $ (341,715) -3% $ 9,608,195 $ (356,143) -4% $ 9,139,121 $ (469,074) -5% w w City of Andover Special Revenue Funds 2024 Budget Summary - All Special Revenue Funds Statement of Revenues, Expenditures and Changes in Fund Balance ,r Actual Atlopted Estimate Adopietl" 2024 ` Fund Balance, January 1 Revenues General Property Taxes Intergovernmental Charges for Services Investment Income Miscellaneous Total Revenues: Other Sources Transfers In Total Revenues and Other Sources: Total Available: Expenditures Personal Services Supplies and Materials Purchased Services Other Services and Charges Capital Outlay Total Expenditures: Other Uses Transfers Out Total Expenditures and Other Uses: Fund Balance, December 31 Change in Fund Balance $ 1,635,665 $ 1,973,431 $ 1,973,431 $ 1,656,457 194,487 1,840,827 1,350,985 (26,708) 976,468 4,336,059 150,000 195,000 1,700,948 1,241,000 8,200 990,068 4,135,216 195,000 1,265,948 1,311,700 9,250 1,035,068 3,816,966 195,000 437,500 1,273,000 8,400 856,068 2,769,968 4,486,059 4,135,216 3,816,966 2,769,968 6,121,724 6,108,647 848,941 102,655 2,139,231 220,160 529,906 3,840,893 924,676 117,570 629,932 740,227 1,756,000 4,168,405 5,790,397 936,676 115,220 686,512 702,227 1,385,005 3,825,640 307,400 308,300 308,300 4,148,293 $ 1,973,431 $ 337,766 21% 4,476,705 $ 1,631,942 $ (341,489) -17% 4,133,940 $ 1,656,457 $ (316,974) -16% 4,426,425 942,630 116,170 407,886 778,917 400,000 2,645,603 308,000 2,953,603 $ 1,472,822 $ (183,635) -11% A City of Andover Debt Service Funds 2024 Budget Summary - All Debt Service Funds Statement of Revenues, Expenditures and Changes in Fund Balance Fund Balance, January 1 s?>Actuah : �' Adopted Estimate Adopted '—A .i ° ti�'q,, : X2022 2023'' - 2023 ;2024 rD.escn ;, �, ,; ,.,•, „ - , - Fund Balance, January 1 $ 2,556,381 $ 3,491,233 $ 3,491,233 $ 3,763,222 Revenues General Property Taxes 3,738,045 3,766,697 3,766,697 3,891,710 Investment Income (50,825) - 3,050 - Total Revenues: 3,687,220 3,766,697 3,769,747 3,891,710 Other Sources Operating Transfers In 908,443 895,300 895,300 845,300 Total Revenues and Other Sources: 4,595,663 4,661,997 4,665,047 4,737,010 Total Available: 7,152,044 8,153,230 8,156,280 8,500,232 Expenditures Debt Service Principal 2,110,000 3,125,000 3,125,000 3,240,000 Interest 1,291,283 1,260,998 1,260,998 1,162,366 Other 5,200 7,200 7,060 7,200 Total Expenditures: 3,406,483 4,393,198 4,393,058 4,409,566 Other Uses Operating Transfers Out 254,328 - - 60,854 Total Expenditures and Other Uses: 3,660,811 4,393,198 4,393,058 4,470,420 Fund Balance, December 31 $ 3,491,233 $ 3,760,032 $ 3,763,222 $ 4,029,812 Change in Fund Balance $ 934,852 $ 268,799 $ 271,989 $ 266,590 37% 8% 8% 7% City of Andover Capital Projects Funds 2024 Budget Summary - All Capital Projects Funds Statement of Revenues, Expenditures and Changes in Fund Balance z � �x � Actuals Adopted Estirtiate Adopted g" � r 'k"s*x— 7,301,535 20,344,500 11,632,745 20,852,893 ` escri 'tibri=„' j"„i L2022, '_ 2023 ,2023_. , ,e"..,v . �_ g Fund Balance, January 1 Revenues General Property Taxes Tax Increments Special Assessments Intergovernmental Investment Income User Charges Miscellaneous Total Revenues: Other Sources Transfers In v' Bond Proceeds Proceeds from Sale of Capital Assets Total Other Sources: Total Revenues and Other Sources: Total Available: Expenditures Purchased Services Other Services and Charges Capital Outlay Total Expenditures: Other Uses Operating Transfers Out Total Expenditures and Other Uses: Fund Balance, December 31 $ 38,572,622 $ 38,834,582 $ 38,834,582 2,153,739 94,701 709,864 789,258 (878,743) 3,614,893 246,752 6,730,464 1,385,228 163,823 1,549,051 8,279,515 46,852,137 2,374,598 100,000 1,963,000 8,619,954 107,500 384,911 520,000 14,069,963 708,300 708,300 14,778,263 53,612,845 2,374,598 100,000 1,958,000 1,652,342 223,100 684,438 152,665 7,145,143 708,300 65,615 773,915 7,919,058 46,753,640 $ 34,436,950 2,434,438 100,475 1,301,000 7,571,040 97,500 409,490 295,000 12,208,943 969,854 1,580,000 2,549,854 14,758,797 49,195,747 30,503 - - 94,000 5,292,440 10,056,000 10,028,018 7,720,893 1,978,592 10,288,500 1,604,727 13,038,000 7,301,535 20,344,500 11,632,745 20,852,893 716,020 8,017,555 $ 38,834,582 683,945 21,028,445 $ 32,584,400 Change in Fund Balance $ 261,960 $ (6,250,182) 1% -16% 683,945 12,316,690 995,227 21,848,120 $ 34,436,950 $ 27,347,627 $ (4,397,632) $ (7,089,323) -11% -21% rn City of Andover Enterprise Funds 2024 Budget Summary - All Enterprise Funds Statement of Revenues, Expenditures and Changes in Fund Net Assets ,Actual Adopted Estimate dopted Adopted- 3D z Unrestricted Net Assets, January 1 Revenues Charges for Services Interest Meters Miscellaneous Total Revenues: Other Sources Transfers In Total Revenues and Other Sources: Total Available: Expenditures Personal Services Supplies and Materials Other Services and Charges Capital Outlay Debt Service Total Expenditures: Other Uses Transfers Out Total Expenditures and Other Uses: Unrestricted Net Assets, December 31 Change in Unrestricted Net Assets $ 11,372,298 $ 12,217,398 $ 12,217,398 6,726,845 (260,113) 49,416 71,500 6,587,648 152,877 6,740,525 18,112,823 1,163,524 391,273 2,544,836 45,868 784,043 4,929,544 6,207,829 62,500 13,000 44,000 6,327,329 6,207,829 62,500 13,000 44,000 6,327,329 $ 11,374,465 6,464,757 62,500 13,000 44,000 6,584,257 133,945 133,945 294,227 6,461,274 18,678,672 1,318,317 510,800 3,165,818 1,853,500 782,200 7,630,635 6,461,274 18,678,672 1,318,317 510,800 3,165,818 508,000 782,200 6,285,135 9 65, 881 974,072 1,019,072 5,895,425 $ 12,217,398 $ 845,100 7% 8,604,707 $ 10,073,965 $ (2,143,433) -18% 7,304,207 $ 11,374,465 $ (842,933) -7% 6,878,484 18,252,949 1,331,896 547,600 3,447,319 1,935,000 86,807 7,348,622 966,546 8,315,168 $ 9,937,781 $ (1,436,684) -13% r V City of Andover Internal Service Funds 2024 Budget Summary - All Internal Service Funds Statement of Revenues, Expenditures and Changes in Unrestricted Net Assets Unrestricted Net Assets, January 1 Revenues Charges for Services Interest Income Miscellaneous Total Revenues: Other Sources Transfers In Total Revenues and Other Sources: Total Available: Expenditures and Other Uses Personal Services Supplies and Materials Other Services and Charges Total Expenditures: Other Uses Transfers Out Total Expenditures and Other Uses: Unrestricted Net Assets, December 31 Change in Unrestricted Net Assets $ 963,504 $ 770,306 1,453,013 (19,640) 60,717 1,494,090 1,494,090 2,457,594 605,647 456,270 625,371 1,687,288 1,687,288 $ 770,306 $ (193,198) -20% 1,612,630 4,000 1,616,630 1,616,630 2,386,936 632,788 480,920 604,383 1,718,091 1,718,091 $ 668,845 $ 770,306 $ 865,380 1,612,630 4,000 1,616,630 245,000 1,861,630 2,631,936 632,788 486,720 647,048 1,766,556 1,766,556 $ 865,380 1,885,225 4,000 1,889,225 1,889,225 2,754,605 651,538 507,420 680,509 1,839,467 1,839,467 $ 915,138 $ (101,461) $ 95,074 $ 49,758 -13% 12% 6% Acfual A°dopted' Estimate ;; Adopted.. Desch tion; s. .. 2022, 2023. , 2023' 20244 Unrestricted Net Assets, January 1 Revenues Charges for Services Interest Income Miscellaneous Total Revenues: Other Sources Transfers In Total Revenues and Other Sources: Total Available: Expenditures and Other Uses Personal Services Supplies and Materials Other Services and Charges Total Expenditures: Other Uses Transfers Out Total Expenditures and Other Uses: Unrestricted Net Assets, December 31 Change in Unrestricted Net Assets $ 963,504 $ 770,306 1,453,013 (19,640) 60,717 1,494,090 1,494,090 2,457,594 605,647 456,270 625,371 1,687,288 1,687,288 $ 770,306 $ (193,198) -20% 1,612,630 4,000 1,616,630 1,616,630 2,386,936 632,788 480,920 604,383 1,718,091 1,718,091 $ 668,845 $ 770,306 $ 865,380 1,612,630 4,000 1,616,630 245,000 1,861,630 2,631,936 632,788 486,720 647,048 1,766,556 1,766,556 $ 865,380 1,885,225 4,000 1,889,225 1,889,225 2,754,605 651,538 507,420 680,509 1,839,467 1,839,467 $ 915,138 $ (101,461) $ 95,074 $ 49,758 -13% 12% 6% CITY OF ANDOVER General Fund Revenue & Expense Summary Actual Actual Actual Actual Actual Budget" Estimate RequestedBudget Change (") 2018 2019 2020 2021 2022 2023 2023 2024 $ % REVENUES Property Taxes $ 8,634,130 $ 8,864,720 $ 9,303,235 $ 9,527,670 $ 9,974,141 $ 10,814,789 $ 10,811,789 $ 11,621,126 806,337 7.46% License and Permits 562,525 855,831 892,277 891,762 972,878 573,000 701,750 617,600 44,600 7.78% Intergovernmental Revenues 829,861 822,129 861,178 939,174 963,290 839,907 847,176 868,657 28,750 3.42% Charges for Current Services 888,944 1,133,160 1,070,788 1,036,850 1,295,429 839,110 954,510 897,610 58,500 6.97% Fines and Forfeits 73,719 62,349 47,630 53,747 55,983 45,500 50,850 50,500 5,000 10.99% Interest Income 107,560 208,957 148,974 (15,183) (189,494) 75,000 75,000 75,000 0 0.00% Miscellaneous Revenue 176,662 192,058 172,174 167,397 188,395 148,300 167,070 154,800 6,500 4.38% Transfers 178,558 188,008 190,688 212,031 197,081 228,772 228,772 221,246 (7,526) 3.29% TOTALREVENUES 11,451,959 12327,212 12,686,944 12,813,448 11457703 13,564378 13,836917 14,506539 942,161 EXPENDITURES General Government 2,748,464 2,843,957 2,906,325 3,020,260 3,222,596 3,812,860 3,821,127 3,985,287 172,427 4.52% F., m Public Safety 4,956,352 5,091,793 5,162,234 5,532,429 5,705,358 5,943,867 5,940,567 6,464,154 520,287 8.75% Public Works 3,158,490 3,148,743 3,314,542 3,522,626 3,624,481 4,058,766 4,110,766 4,430,572 371,806 9.16% Other 241,940 15,001 1,012,778 766,109 567,396 90,600 320,600 95,600 5,000 5.52% TOTAL -EXPENDITURES 11,105246 11,099,494 12395,879 12,841,424 13,119,831 13,906,093 14193,060 14,975613 1069,520 7.69% UNDER(OVER)BUDGET $ 346,713 $ 1,227718- $ 291,065 $ 27,976 $ 337,872 $ 341715 $ 356,143 $ 469,074 $ 127359 REVENUES Property Taxes License and Permits Intergovernmental Revenues Charges for Services Fines and Forfeits Interest Income Miscellaneous Revenue Transfers IPlf-111;1_X°/�7p1�: CITY OF ANDOVER Revenue Comparison - General Fund Actual Actual Actual Budget Estimate Budget 2020 2021 2022 2023 2023 2024 Propert Taxes $ 9,303,235 $ 9,527,670 $ 9,974,141 $ 10,814,789 $ 10,811,789 $ 11,621,126 892,277 891,762 972,878 573,000 701,750 617,600 861,178 939,174 963,290 839,907 847,176 868,657 1,070,788 1,036,850 1,295,429 839,110 954,510 897,610 47,630 53,747 55,983 45,500 50,850 50,500 148,974 (15,183) (189,494) 75,000 75,000 75,000 172,174 167,397 188,395 148,300 167,070 154,800 190,688 212,031 197,081 228,772 228,772 221,246 $ 12,686,944 $ 12,813,448 $ 13,457,703 $ 13,564,378 $ 13,836,917 $ 14,506,539 M Budget 2024 0 Esdmate 2023 0 Actual 2022 . Actual 2021 . Actual 2020 City of Andover 2024 Revenue by Source -General Fund Misc. Rev 1% Interest Income Transfers 1 % 2% Fines & Forfeits 0% Charges for Svcs 6% Intergov'I Rev 6% Licenses & Permits 4% Property Taxes 80°k City of Andover 2024 Revenue Comparison - General Fund Propert Taxes Licenses & e mils Interg v Rev Charges Svcs Fines 8 orfeils Interest ncome Mi c. Rev T nsfers $2.00 $2.00 $6.00 $10.00 $14.00 Millions M Budget 2024 0 Esdmate 2023 0 Actual 2022 . Actual 2021 . Actual 2020 City of Andover 2024 Revenue by Source -General Fund Misc. Rev 1% Interest Income Transfers 1 % 2% Fines & Forfeits 0% Charges for Svcs 6% Intergov'I Rev 6% Licenses & Permits 4% Property Taxes 80°k N O EXPENDITURES General Government Public Safety Public Works Other TOTAL EXPENDITURES CITY OF ANDOVER Expenditure Comparison - General Fund Actual Actual Actual Budget Estimate Budget 2020 2021 2022 2023 2023 2024 $ 2,906,325 23% $ 3,020,260 24% $ 3.222,596 25% $ 3,812,860 27% $ 3,821,127 27% $ 3,985,287 27% 5.162,234 42% 5,532,429 43% 5,705,358 43% 5,943,867 43% 5,940,567 42% 6,464,154 43% 3,314,542 27% 3,522,626 27% 3,624,481 28% 4,058,766 29% 4,110,766 29% 4,430,572 30% 1,012,778 8% 766,109 6% 567,396 4% 90,600 1% 320,600 2% 9500 1% $ 12,395,879 $ 12,841,424 $ 13,119,831 $ 13,906,093 $ 14,193,060 $ 14,975,613 City of Andover 2024 Expenditure Comparison - General Fund General Goat Public Safely Public Works Other $0.00 $1.00 $2.00 $3.00 $4.00 $5.00 $6.00 $7.00 Millions 0 Budget 2024 8 Estimate 2023 0 Actual 2022 • Actual 2021 • Actual 2020 City of Andover 2024 Expenditures by Function - General Fund Other 1% General Galt 27% Public Works 29% Public Safety 43% N F+ expenditures by function CITY OF ANDOVER 2024 General Fund Expenditures by Function Other 0.6% General Government Public Works 26.6% 29.6% Public Safety 43.2% general novernment expenditures CITY OF ANDOVER General Fund - General Government Expenditures Administration Council 76,/° Newsletter Human Resources Facility % 2 g°/, 0.9% o 19.7% 3.4 /o Attorney 5.6% City Clerk 5.1 % Elections 2.3% Engineering Finance 19.0% 9.0% Planning & Zoning As� 0 �ing 14.3% Information Systems 6.3% N N Fire Protection 32.8° CITY OF ANDOVER General Fund - Public Safety Expenditures Police Protection 57.9% public works expenditures CITY OF ANDOVER General Fund - Public Works Expenditures Natural Resource Recycling Preservation 5.5% Streets & Highways 0.4% 22.4% Parks & Recreation Snow & Ice 40.2% 20.3% �treet Signs Street Lights - Billed Street Li -tin Traffic Sig a s 5.0% 4.1% 1.0% 9 1.0% CITY OF ANDOVER General Fund - Expenditure Budget Summary Totals - By Department Budget Year 2024 N PUBLICSAFETY Actual Actual Actual Actual Actual Budgee Estimate Requested* Charge(-) W Police Protection 2018 2019 2020 2021 2022 2023 2023 2024 $ 11.73% GENERAL GOVERNMENT 1,445,167 1,391,252 1,508,854 1,706,876 1,961,915 1,992,865 1,992,865 2,120,451 127,586 6.40% Mayor and Council $ 87,813 $ 99,001 $ 95,519 $ 95,658 $ 95,366 $ 110,104 $ 108,404 $ 112,042 1,938 1.76% Administration 198,945 211,898 187,758 229,314 245,222 297,277 294,377 303,714 6,437 2.17% Newsletter 17,770 24,413 22,156 22,945 24,631 30,000 29,000 36,000 6,000 20.00% Human Resources 13,666 15,842 16,181 20,836 19,905 35,458 35,325 134,494 99,036 279.31% Attorney 188,031 191,782 195,721 199,809 206,399 219,221 219,221 223,486 4,265 1.95% City Clerk 149,769 160,184 166,221 175,177 184,318 196,235 196,235 204,009 7,774 3.96% Elections 50,629 20,452 91,643 20,260 75,115 85,140 85,040 90,906 5,766 6.77% Finance 272,851 280,199 294,501 307,009 320,729 355,854 354,304 360,343 4,489 1.26% Assessing 149,040 149,033 154,482 128,829 131,097 161,000 150,000 161,000 0 0.00% Information Services 171,637 169,827 187,703 185,642 226,588 242,922 242,922 249,184 6,262 2.58% Planning & Zoning 422,983 412,282 453,133 491,395 490,576 567,673 567,673 570,506 2,833 0.50% Engineering 527,688 561,642 566,224 594,720 649,664 741,037 741,037 755,758 14,721 1.99% Facility Management 497,642 547,402 475,083 548,666 552,986 770,939 797,589 783,845 12,906 1.67% Total General Gov 2,748,464 2,843,957 2,906,325 3,020,260 3,222,596 3,812,860 3,821,127 3,9855287 172,427 4.52% N PUBLICSAFETY W Police Protection 3,053,526 3,183,610 3,114,623 3,287,046 3,261,423 3,347,315 3,347,315 3,739,849 392,534 11.73% Fire Protection 1,445,167 1,391,252 1,508,854 1,706,876 1,961,915 1,992,865 1,992,865 2,120,451 127,586 6.40% Protective Inspection 436,790 493,955 519,183 519,787 464,560 559,182 559,182 557,917 (1,265) -0.23% Emergency Management 18,060 18,608 17,227 15,203 12,296 33,555 32,855 34,987 1,432 4.27% Animal Control 2,809 4,368 2,347 3,517 5,164 10,950 8,350 10,950 0 0.00% Total Public Safety 4,9569352 5,091,793 5,162,234 59532,429 5,705,358 5,943,867 5,940,567 6,464,154 520,287 8.75% PUBLIC WORKS Streets and Highways 656,194 615,450 686,978 804,392 788,330 915,356 923,356 994,486 79,130 8.64% Snow and Ice Removal 599,029 703,647 496,668 540,226 752,396 774,897 774,897 901,461 126,564 16.33% Street Signs 206,890 202,996 257,281 196,782 194,276 212,254 212,254 221,186 8,932 4.21% Traffic Signals 33,857 26,422 23,045 33,362 28,150 44,000 41,000 44,000 0 0.00% Street Lighting 32,829 32,716 34,211 36,533 36,142 42,400 40,400 45,400 3,000 7.08% Street Lights - Billed 142,937 145,604 152,181 156,841 158,028 180,500 175,500 182,000 1,500 0.83% Park & Recreation 1,282,414 1,180,502 1,426,233 1,505,145 1,482,060 1,637,954 1,702,954 1,779,408 141,454 8.64% Natural Resource Preservation 5,158 16,831 9,821 9,738 15,932 13,398 13,398 17,022 3,624 27.05% Recycling 199,182 224,575 228,124 239,607 169,167 238,007 227,007 245,609 7,602 3.19% Total Public Works 3,158,490 3,148,743 3,314,542 3,522,626 3,624,481 4,058,766 4,110,766 4,430,572 371,806 9.16% OTHER 241,940 15,001 1,012,778 766,109 567,396 90,600 320,600 95,600 5,000 5.52% Total Other 241,940 15,001 1,012,778 766,109 567,396 90,600 320,600 95,600 5,000 5.52% GRAND TOTAL $ 11,105,246 $ 11,099,494 $ 12,395,879 $ 12,841,424 $ 13,119,831 $ 13,906,093 $ 14,193,060 $ 14,975,613 1,069,520 7.69% CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA A RESOLUTION ADOPTING THE CITY OF ANDOVER 2024 BUDGET AND 2024 PROPERTY TAX LEVY TO BE CERTIFIED TO THE COUNTY AUDITOR. WHEREAS, the preparation and adoption of budgets is recognized as sound financial practice; and WHEREAS, the City of Andover receives significant financial support from its residents through the payment of property taxes; and WHEREAS, the City of Andover has the responsibility to appropriately and efficiently manage the public's funds; and WHEREAS, Minnesota State Law requires the City to certify to the County Auditor an adopted tax levy and budget prior to December 28, 2023; and WHEREAS, Minnesota State Law requires the City to certify to the State of Minnesota Department of Revenue an adopted tax levy by December 28, 2023. NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of Andover hereby adopts the 2024 City of Andover Budget and the 2024 property tax levy totaling $18,097,274 as listed on Attachment A. BE IT FURTHER RESOLVED that the City Council of the City of Andover hereby establishes the 2024 City of Andover Budget by fund type as follows: REVENUES EXPENDITURES General Fund $ 14,506,539 General Fund $ 14,975,613 Special Revenue Funds 2,769,968 Special Revenue Funds 2,953,603 Debt Service Funds 4,737,010 Debt Service Funds 4,470,420 Capital Projects Funds 14,758,797 Capital Projects Funds 21,848,120 Enterprise Funds 6,878,484 Enterprise Funds 8,315,168 Internal Service Funds 1,889,225 Internal Service Funds 1,839,467 Total $ 45,540,023 Total $ 542402,391 Adopted by the City of Andover this _ day of December 2023. 040- lw Michelle Hartner — Deputy City Clerk 24 CITY OF ANDOVER Sheri Bukkila - Mayor STATE OF MINNESOTA) COUNTY OF ANOKA ) CITY OF ANDOVER I, the undersigned, being the duly qualified and acting City Clerk of the City of Andover, Minnesota, do hereby certify that I have carefully compared the attached Resolution No. adopting the City of Andover 2024 Budget and 2024 Property Tax Levy with the original record thereof preserved in my office, and have found the same to be true and correct transcript of the whole thereof. IN TESTIMONY WIIEREOF, I have hereunto subscribed my hand this _ day of December 2023. Michelle Harmer — Deputy City 25 CITY OF ANDOVER, MINNESOTA Attachment A 2024 Property Tax Levy Proposed 2024 Levy General Fund Levy General Operations $ 11,341,126 Community Center Operations 155,000 Park Repair/Replacement Items 235,000 Total General Fund 11,731,126 Debt Service Funds Levy 2012C Taxable G.O. Abatement Bonds 973,650 2018A G.O. Capital Improvement Plan Bonds 612,794 2019A Taxable G.O. Abatement Bonds 1,028,783 2021A G.O. Equipment Certificate 174,825 2021A G.O. Street Reconstruction Bonds 651,658 2024 G.O. Equipment Certificate 450,000 Total Debt Service 3,891,710 Other Levies Capital Projects Levy Capital Equipment/Project 300,000 Facility Maintenance Reserve 355,000 Parks Projects 15,000 Road & Bridge 1,651,822 Pedestrian Trail Maintenance 112,616 Lower Rum River Watershed 40,000 Total Other 2,474,438 Gross City Levy $ 18,097,274 26 ANLb6W^_(L9f 1685 CROSSTOWN BOULEVARD N.W. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 WWW.ANDOVERMN.GOV TO: CC: FROM: SUBJECT: DATE: Mayor and Councilmembers Jim Dickinson, City Administra Lee Brezinka, Finance Manager Discuss/Adopt 2024 Debt Service Levy Changes December 5, 2023 INTRODUCTION Anoka County Property Records and Taxation Division requires a City Council resolution changing bonded indebtedness levies for 2024 that would have been certified to Anoka County as part of prior years bond sales. DISCUSSION When the City issues bonds, a certification of the bonded indebtedness levy is sent to Anoka County. The County is charged with assuring on an annual basis that local government bonded indebtedness payments are made. To assist in monitoring, the County is requesting a resolution that would update all or a portion of previously certified bonded indebtedness levies. Attached is a resolution to update bonded indebtedness levies along with a brief description as to why there was a change. BUDGETIMPACT The 2024 City of Andover Debt Service Budget is current and up-to-date. This resolution is to inform the County of any changes that have taken place in the past year as well as any new issuances proposed to be levied for 2024. ACTION REQUESTED The Andover City Council is requested to approve the attached resolution that would update certified bonded indebtedness levies for 2024. Respectfully submitted, Lee Brezinka Attachment: Resolution Updating Certified Bonded Indebtedness for 2024 Attachment A — 2024 Proposed Levy Certification Debt Changes CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA 10MV04 ] A RESOLUTION UPDATING CERTIFIED BONDED INDEBTEDNESS FOR 2024. WHEREAS, the preparation and adoption of budgets is recognized as sound financial practice; and WHEREAS, the City of Andover has the responsibility to appropriately and efficiently manage the public's funds; and WHEREAS, the City of Andover has determined that it is prudent to update certified bonded indebtedness levies for 2024; and WHEREAS, the Anoka County Property Records and Taxation Division is requiring a City Council resolution updating bonded indebtedness levies that would have been certified to Anoka County as part of prior year bond sales. NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of Andover hereby updates all or a portion of previously certified bonded indebtedness levies for 2024 as listed on Attachment A. Adopted by the City of Andover this 5th day of December 2023. CITY OF ANDOVER ATTEST: Sheri Bukkila - Mayor Michelle Harmer — Deputy City Clerk STATE OF MINNESOTA) COUNTY OF ANOKA CITY OF ANDOVER I, the undersigned, being the duly qualified and acting City Clerk of the City of Andover, Minnesota, do hereby certify that I have carefully compared the attached Resolution No. adopting the City of Andover updates of all or a portion of previously certified bonded indebtedness levies for 2024 with the original record thereof preserved in my office, and have found the same to be true and correct transcript of the whole thereof. IN TESTIMONY WHEREOF, I have hereunto subscribed my hand this 5th day of December 2023. Michelle Hartner — Deputy City Clerk CITY OF ANDOVER 2024 Proposed Levy Certification Debt Changes County Levy City Levy Levy GENERAL OBLIGATION DEBT Scheduled Scheduled Changes Variance Explanation 70 2012C GO Taxable Abatement Bonds $ 973,650 $ 973,650 $ - Meet bona fide debt service requirements 74 2018A GO Capital Improvement Plan Bonds 612,794 612,794 - Meet bona fide debt service requirements 75 2019A GO Taxable Abatement Bonds 1,028,783 1,028,783 - Meet bona fide debt service requirements 77a 2021A GO Street Reconstruction Bonds 651,658 651,658 - Meet bona fide debt service requirements 77b 2021A GO Equipment Certificate 174,825 174,825 - Meet bona fide debt service requirements 2024 GO Equipment Certificate 450,000 (450,000) New Issuance Total $ 3,441,710 S 3,891,710 $ (450,000) NDOVE 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.AN DOVE RM N.GOV TO: Mayor & Councilmembers CC: Jim Dickinson, City Administra o Joe Janish, Community Develop ent irector `W FROM: Jake Griffiths, Associate Planner SUBJECT: Public Hearing: Consider Vacation of Easement - 2393 135th Ave NW; PID# 34- 32-24-33-0014 — Jason Peachey (Applicant) - Planning DATE: December 5, 2023 The proposed vacation of easement would vacate a portion of a drainage and utility easement in the rear yard of the property to accommodate removal and replacement of an existing fence. The easement area that is proposed to be vacated is shown on the attached draft resolution of approval. The City of Andover Engineering Department has reviewed the proposed vacation of easement and supports the request. Review Criteria Section 8-6-1 of the City Code: Vacations of Easements and Right -of -Way, provides the City Council with direction on how to process applications for vacations. The City Code states that: 1. The City Council shall consider the advice and recommendation of the City Engineer and the effect of the proposed vacation on street, drainage, and utility needs. 2. The City Council shall consider the proposed use of the easement or portion of the easement to be vacated. 3. The City Council is required to act on the vacation application within 60 days from the City receiving the complete application. 4. There is a time limit for the implementation of the vacation. If the City Council determines that no significant progress has been made in the first twelve months after approval of the application, then the approval will be null and void. ACTION REQUESTED The City Council is requested to hold a public hearing and make a decision on the vacation of easement request. ectfully submitte , Jake Griffiths Associate Planner Attachments Draft Resolution of Approval with Easement Vacation Exhibit Draft Resolution of Denial CC: Jason Peachey, 2393 - 135' Ave NW, Andover, MN 55304 CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO A RESOLUTION GRANTING THE VACATION OF A DRAINAGE AND UTILITY EASEMENT AT 2393 135TH AVE NW; PID# 34-32-24-33-0014, LEGALLY DESCRIBED AS FOLLOWS AND SHOWN ON EXHIBIT A: PROPERTY DESCRIPTION: Lot 1, Block 2, HIDDEN CREEK EAST, Anoka County, Minnesota. DESCRIPTION OF EASEMENT TO BE VACATED: That part of the south 25.00 feet of the north 30.00 feet of the drainage and utility easement within Lot 1, Block 2, HIDDEN CREEK EAST, Anoka County, Minnesota, as dedicated on the recorded plat of thereof, which lies east of the west 10.00 feet thereof and west of a line described as follows: Commencing at the northwest corner of said Lot 1; thence on an assumed bearing of South 88 degrees 38 minutes 49 seconds East, along the north line of said Lot 1, a distance of 56.16 feet to the point of beginning of the line to be described; thence South 74 degrees 33 minutes 33 seconds East a distance of 36.97 feet: thence South 60 degrees 43 minutes 03 seconds East a distance of 19.76 feet; thence South 47 degrees 41 minutes 49 seconds East a distance of 17.92 feet to the south line of said north 30.00 feet and said line there terminating. WHEREAS, the property owner has requested to vacate the described drainage and utility easement; and WHEREAS, a public hearing was held pursuant to the requirements of Minnesota State Statute and City Code 8-6-1; and WHEREAS, the City Council finds the request would not have a detrimental effect upon the health, safety, moral, and general welfare of the City of Andover. NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of Andover hereby grants the vacation of drainage and utility easement subject to the following: 1. The vacation of easement shall be recorded with Anoka County as shown on "Exhibit A". 2. All encroachments shall be removed from the drainage and utility easement and Outlot C, Andover Commercial Park. 3. Pursuant to City Code 8-6-1-D, if the City Council determines that no significant progress has been made in the first twelve months after approval of the application, the approval will be null and void. Adopted by the City Council of the City of Andover on this 5th day of December 2023. ATTEST CITY OF ANDOVER Michelle Harmer, Deputy City Clerk Sheri Bukkila, Mayor CERTIFICATE OF SURVEY EXHIBIT A -for- JASON PEACHEY -of- 2393 135TH AVENUE NW ANDOVER, MN 55304 I PROPERTY DESCRIPTION Lot 1, Block 2, HIDDEN CREEK EAST, Anoka County, Minnesota. I NOTES - Field survey was completed by E.G. Rud and Sons, Inc. on 8/15/2023. - Bearings shown are on Anoka County datum. I - Parcel ID Number: 34-32-24-33-0014. - Total parcel area = 19,767 sq. ft. - This survey was prepared without the benefit of title work. Additional easements, restrictions and/or encumbrances may exist other than those shown hereon. Survey subject to revision upon receipt of a current title commitment or an attorney's title opinion. DESCRIPTION OF EASEMENT TO BE VACATED I That part of the south 25.00 feet of the north 30.00 feet of the drainage and utility easement within Lot 1, Block 2, HIDDEN CREEK EAST, Anoka County, Minnesota, as dedicated on the recorded plat of thereof, which lies east of the west 10.00 feet thereof and west of a line described as follows: Commencing at the northwest corner of said Lot 1; thence on an assumed bearing of South 88 degrees 38 minutes 49 seconds East, along the north line of said Lot 1, a distance of 56.16 feet to the point of beginning of the line to be described; thence South 74 degrees 33 minutes 33 seconds East a distance of 36.97 feet: thence South 60 degrees 43 minutes 03 seconds East a distance of 19.76 feet; thence South 47 degrees 41 minutes 49 seconds East a distance of 17.92 feet to the south line of said north 30.00 feet and said line there terminating. PCTj�/a DENOTES EASEMENT TO VACATED �YYY] (AREA = 2,378 SF) I LEGEND • DENOTES IRON MONUMENT FOUND AS LABELED A DENOTES SET SPIKE ED DENOTES AIR CONDITIONING UNIT E3 DENOTES ELECTRICAL METER ID DENOTES GAS METER ❑ DENOTES CATCH BASIN © DENOTES CABLE PEDESTAL El DENOTES FIBER OPTIC VAULT M DENOTES TELEPHONE PEDESTAL ® DENOTES SANITARY SEWER MANHOLE —r—x— DENOTES FENCE DENOTES RETAINING WALL r — DENOTES BITUMINOUS SURFACE L --J f-- -- DENOTES CONCRETE SURFACE O—(EFNS, INC. Fm Professional Land Surveyors www.egrud.com 6776 Lake Drive NE Suite 110 Lino Lakes, MN 55614 Tel. (651) 361-8200 Fax (651) 361-8701 30B51230814 NORTH 100 11 9 100 INS I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. JAS E D Date: 10/10/2023 License No. 41578 1357H At/e\ceNW GRAPHIC SCALE 20 0 10 20 40 1 INCH = 20 FEET CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO A RESOLUTION DENYING THE VACATION OF A DRAINAGE AND UTILITY EASEMENT AT 2393 135TH AVE NW; PID# 34-32-24-33-0014, LEGALLY DESCRIBED AS FOLLOWS AND SHOWN ON EXHIBIT A: PROPERTY DESCRIPTION: Lot 1, Block 2, HIDDEN CREEK EAST, Anoka County, Minnesota. DESCRIPTION OF EASEMENT TO BE VACATED: That part of the south 25.00 feet of the north 30.00 feet of the drainage and utility easement within Lot 1, Block 2, HIDDEN CREEK EAST, Anoka County, Minnesota, as dedicated on the recorded plat of thereof, which lies cast of the west 10.00 feet thereof and west of a line described as follows: Commencing at the northwest corner of said Lot 1; thence on an assumed bearing of South 88 degrees 38 minutes 49 seconds East, along the north line of said Lot 1, a distance of 56.16 feet to the point of beginning of the line to be described; thence South 74 degrees 33 minutes 33 seconds East a distance of 36.97 feet: thence South 60 degrees 43 minutes 03 seconds East a distance of 19.76 feet; thence South 47 degrees 41 minutes 49 seconds East a distance of 17.92 feet to the south line of said north 30.00 feet and said line there terminating. WHEREAS, the property owner has requested to vacate the described drainage and utility easement; and WHEREAS, a public hearing was held pursuant to the requirements of Minnesota State Statute and City Code 8-6-1; and WHEREAS, the City Council finds the request would have a detrimental effect upon the health, safety, moral, and general welfare of the City of Andover. NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of Andover hereby denies the vacation of drainage and utility easement due to the following: 1. 2. Adopted by the City Council of the City of Andover on this 5th day of December 2023. ATTEST CITY OF ANDOVER Michelle Hartner, Deputy City Clerk Sheri Bukkila, Mayor rim 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Councilmembers FROM: Jim Dickinson, City Administrator SUBJECT: Administrator's Report DATE: December 5, 2023 Administration & Department Heads present at the meeting will provide a brief verbal update on various items of interest to the City Council and to the residents at the meeting. Listed below are a few areas of interest: 1. City Department Activities 2. Update on Development/CIP Projects 3. Meeting reminders Upon receipt of the meeting packet, if a member of the Council would like an update on a particular item, please notify me so an adequate update can be made.