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HomeMy WebLinkAboutCC - December 3, 20241685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Regular City Council Meeting — Tuesday, December 3, 2024 Call to Order — 7:00 p.m. Pledge of Allegiance Resident Forum Agenda Approval 1. Approval of Minutes (11/19/24 Regular) Consent Items 2. Approve Payment of Claims — Finance 3. Approve Change Order #1/23-12/Crosstown Blvd. NW Trail - Engineering 4. Approve Application for Exempt Permit —Administration 5. Approve 2025 Cannabinoid Licenses —Administration 6. Approve 2025 Tobacco Licenses —Administration 7. Approve 2025 Liquor Licenses —Administration 8. Approve Andover Firefighters Relief Association Bylaw Amendments —Administration 9. Approve 2025 Animal Impound Facility Agreement — Administration Discussion Items 10. Public Hearing — 2025 Property Tax Levy and 2025 Budget — Administration/Finance 11. Review/Adopt 2025 Debt Service Levy Changes —Administration/Finance 12. Consider Conditional Use Permit (CUP) Amendment for a drive-through use at 2184 Bunker Lake Blvd NW; PID#34-32-24-31-0154 — The Architects Partnership Ltd. (Applicant) — Planning 13. Consider Denial Resolution & Findings of Fact — Planned Unit Development (PUD) for Hartmans Meadows (formerly referred to as Meadows East) — Unaddressed Property 16xxx Ward Lake Drive NW; PID# 11-32-24-41-0003 — SW Wold Construction, Inc. (Applicant) - Planning Staff Items 14. Administrator's Report —Administration Mayor/Council Input Adjournment AC I T Y 0 F NLD6 06 IVYE 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: C/ Sarah Cotton, City Administrator 6e FROM: Michelle Hartner, City Clerk SUBJECT: Approval of Minutes DATE: December 3, 2024 INTRODUCTION The following minutes were provided by TimeSaver, reviewed by Administration, and submitted for City Council approval: November 19, 2024 Regular The minutes are attached for your review. ACTION REQUIRED The City Council is requested to approve the above minutes. Respectfully submitted, Michelle Hartner 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 19, 2024 MINUTES The Regular Bi -Monthly Meeting of the Andover City 1 Bukkila, November 19, 2024, 7:00 p.m., at the Andover NW, Andover, Minnesota. Councilmembers present: Jamie Barthel, Ted Councilmember absent: Also present: PLEDGE OF RESIDENT None City Administrator: Director of Public City Attomc Others was called to order by Mayor A 1685 Crosstown Boulevard and Randy Nelson Joe Janish Eric Johnson, 15598 Inca Circle NW, came forward and shared he is here to advocate for recovery and stigma reduction around mental health He explained he saw a recording of the April 16`h meeting on QCTV where Commander Lenzmeier-shared there were three DUIs in excess of 50 MPH on Round Lake Boulevard. He noted as someone in recovery, he understands the stigma of addiction. Headded he would like to be a part of creating a recovery district in Andover that is welcoming to everyone who needs help. He noted this could be helpful for those who are struggling, and he would rather hear the successes of these people than hear reports on all of the negative things Jonathan Gwinn, 1210 14J Lane NW, came forward advocating for the City Code amendment update regarding trees. He said this has been a very long process, and the long-term impact will be felt for generations to come. He shared his support for this amendment. AGENDA APPROVAL Mayor Bukkila noted the addition of item: Item #11 A — Approve Demolition Quote for 2527 Bunker Lake Boulevard Motion by Barthel, Seconded by Butler, to approve the Agenda as amended. Motion carried unanimously. Regular Andover City Council Meeting Minutes — November 19, 2024 Page 2 1 APPROVAL OF MINUTES 2 3 November 4, 2024, Regular Meeting: Correct as written. 4 November 13, 2024, Special Meeting: Correct as written. 6 Motion by Nelson, Seconded by Barthel, to approve the November 4, 2024, Regular meeting 7 minutes and the November 13, 2024, Special meeting minutes as presented. Motion carried 4 8 ayes, 1 present (Butler). 9 10 CONSENT ITEMS 11 12 Item 2 Approve Payment of Claims 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 Item 3 Approve Declaration of Encroachment Easement/15886 Avocet St. NW Item 4 Approve Change Order #1/23-13/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 157th Ave. NW) (See Resolution R117-24) Item 5 Approve Change Order #2/23-13/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 157th Ave. NW) (See Resolution R118-24) Item 6 Receive October 2024 City Investment Reports Item 7 Receive October 2024 General Fund Progress Report Item 8 Receive October 2024 Community Center Update Item 9 Approve Funds Transfer and Budget Amendments — Capital Equipment Reserve Capital Projects Fund Item 10 Approve City Code Amendment — City Code 9-9: Residential Landscaping Requirements & Authorize Summary Publication — City of Andover (Applicant) (See Ordinance 568) Item 11 Approve Extension of Liquor License/Beef O'Brady's 15190 Bluebird St. NW, Suite 114 Item 11A Approve Demolition Quote for 2527 Bunker Lake Blvd. Motion by Nelson, Seconded by Butler, to approve of the Consent Agenda as read. Motion carried unanimously. ANOKA COUNTYSHERIFF'S OFFICE MONTHLYREPORT Commander Paul Lenzmeier provided a monthly report including 1,279 calls for service, one reported burglary, 23 thefts, 12 of which were business-related, seven damaged properties, and 12 DWIs. He noted they are aware of people suffering from mental health issues and in recovery as Mr. Johnson mentioned. He added they are advocates for public safety, but they are more than willing to help partner with people to help solve their issues. He stated a majority of the misdemeanor arrests for the months are the result of the number of thefts and traffic stops. He shared they are at 3,637 traffic stops for the year with 492 for the month of October. He added 127 citations were written in October. He shared they completed their night shoot qualification. He shared they have the Hope for Youth fundraiser being held at the Sheriff's Office this Thursday. Regular Andover City Council Meeting Minutes—November 19, 2024 Page 3 Councilmember Nelson asked when they typically see the most DWIs throughout the year. Commander Lenzmeier said they typically see an increase in DWIs and domestic situations over the holidays. Councilmember Nelson stated no one should drink and drive and people should not let their loved ones drink and drive. 8 Mayor Bukkila asked about the services that are available for those who are struggling with 9 substance addiction or their mental health. Commander Lenzmeier said these individuals can call 10 911 or the non -emergency line of 763-427-1212 to get assistance from Canvas Health, a mobile 11 crisis unit that is available 24/7. He added they also have a Victim's Programmer within the 12 Sheriffs Office who works with all communities in the County and can help families who are 13 struggling with mental health issues at home. He noted the Sheriffs Office Staff is also trained in 14 de-escalation to help in these situations when people are in crisis. He stated it is no burden 15 whatsoever to call 911 for any situations where assistance is needed. 16 17 Councilmember Nelson gave kudos to the Sheriff s Office Community Service Officer (CSO) for 18 when he had to call the non -emergency number after accidentally locking his keys in his truck. He 19 said the CSO was able to get him back into his truck quickly and he could not thank her enough 20 for her help. 21 22 CONSIDER TIME EXTENSION REQUEST FOR VARIANCE FOR 2274164TH AVE. NW 23 24 The City Council is requested to consider approval of a twelve-month time extension for a variance 25 reducing the required access drive width from 20 feet to 12 feet in wetland areas for the property 26 at 2774 164a` Avenue NW. 27 28 Community Development Director Janish reviewed the staff report in regard to the extension 29 request for the variance at 2274 164`h Avenue NW. 30 31 Motion by Butler, Seconded by Nelson, to adopt Resolution No. R119-24, approving the time 32 extension for a variance for the property located at 2774 164`h Avenue NW. Motion carried 33 unanimously. 34 35 CONSIDER PLANNED UNIT DEVELOPMENT (PUD) FOR MEADOWS EAST - 36 UNADDRESSED PROPERTY 16= WARD LAKE DRIVE NW; PID #11-32-24-41-0003 - 37 SW WOLD CONSTRUCTIONINC. (APPLICANT) 38 39 The City Council is requested to consider the recommendation of denial for the Planning and 40 Zoning Commission on the PUD for Meadows East. 41 42 Mr. Janish reviewed the staff report concerning the PUD for Meadows East. 43 44 Councilmember Barthel asked what the overall density of this development averages out to. Mr. Regular Andover City Council Meeting Minutes — November 19, 2024 Page 4 Janish explained this averages out to be 0.03 more dense than the requirements. 2 3 Councilmember Nelson asked about the reconstruction schedule of Ward Lake Drive. Director of 4 Public Works/City Engineer Berkowitz shared that Ward Lake Drive is on the schedule to be 5 reconstructed in 2030; however, this could change depending on the condition. He said this road 6 condition has stayed steady over the last three years. He noted the structure of the road is sound; 7 however, they are having an issue with the seal coating. 9 Mayor Bukkila stated she is not a fan of this as she is not convinced that there is something unique 10 within this development that would justify going down to one and a half acres. She said she does 11 not see any transitional value because of the separation of the railroad tracks. 12 13 Councilmember Barthel noted in the past, the Council has approved other developments where 14 each lot was not two and a half acres, but the density averages out to be two and a half acres. He 15 said since this one does not average out to two -and -a -half -acre lots, he cannot support it. 16 17 Mayor Bukkila added other PUDs they have approved have also had hydrological or topographical 18 challenges that required the PUD. 19 20 Craig Wensmann, Bogart, Pederson, & Associates, came forward and shared they reviewed the 21 comments from the Planning & Zoning Commission, and they reduced the number of lots from 21 22 to 15. He stated there is a unique nature to this property that it is mostly upland and because of 23 this, they are trying to achieve the purpose of the PUD to encourage the efficient allocation of 24 density and intensity by utilizing the upland. He noted he and the developer believe they are 25 meeting the purpose of the PUD with a density and intensity land use and providing creativity and 26 flexibility in a higher quality development by preserving the trees, providing more curved and 27 linear roads, reducing the road length, and strategically locating the stormwater basins. He said 28 they feel as though the PUD would be an appropriate tool for this development. 29 30 Scott Wold, SW Wold Construction, 2260 2215` Avenue, Oak Grove, came forward and added 31 they are requesting only just over one lot more than what can legally be put in this area which is 32 the reason for the PUD. He stated they will be planting just over 100 new trees on this property. 33 He noted the neighborhood would have a homeowner's association with architectural controls and 34 high-quality homes. He explained because there are no wetlands on this property, they are able to 35 get more density in this area. He added when there is a parcel like this that does not have the 36 availability of sewer and water for 90 lots, it is hard to not utilize the resources, and the resource 37 of this parcel is the developable land. He said they are trying to do a lot of things right with this 38 development. He reiterated this parcel fits the purpose of the PUD. 39 40 Councilmember Butler shared when this first came before the Council at a proposed 21 lots, he 41 was not comfortable with this level of density. He explained in a situation like this, he looks at the 42 tradeoffs from the PUD and if they are getting a better development by doing a PUD that does 43 street preservation, a conservation easement, and making the connection to Sycamore Street. He 44 stated this seems like a reasonable tradeoff and he is in support of the PUD. Regular Andover City Council Meeting Minutes—November 19, 2024 Page S 1 Councilmember Nelson shared he could appreciate what the developer is trying to do; however, 2 he would like to see fewer than 15 lots in this area. He said he is not supportive of the PUD. 4 Mayor Bukkila asked how this development differs from any other development in terms of the 5 additional access on Sycamore Street. Councilmember Butler said this access would be something 6 that would also be looking for from other developments. He noted the biggest thing to him is the 7 conservation easement and that they are only proposing just over one more lot than allowed. He 8 said the additional access point will only be there if the parcel is developed. 9 10 Mr. Janish asked if the Council would be open to having a tabling motion to allow for the applicant 11 to reduce the number of lots to come back with an updated sketch as it seems based on Council 12 comments that the PUD will not pass. He explained if the PUD is denied, the applicant would have 13 to go through the entire process again and bring updates forward to the Planning & Zoning 14 Commission before coming back to the Council. 15 16 Councilmember Barthel asked if there is a fee associated with reapplying. Mr. Janish said if they 17 were to start over the fee would be $1,430 with $1,000 in escrow. He added if they do make the 18 applicant start the process all over again, it would likely be 60 to 90 days before the applicant 19 comes back before the Council. 20 21 Councilmember Barthel stated his issue with tabling this is that it would not be reviewed again by 22 the Planning & Zoning Commission and these Commissioners have worked countless hours on 23 this topic. He said while he understands that tabling this would be easier for the applicant, he does 24 not want to take the Commissioners out of the decision-making process. He stated he truly values 25 the opinions of the Commissioners. He noted he is still leaning towards a denial of the PUD so this 26 can go back through the Planning & Zoning Commission. 27 28 Councilmember Butler noted if they deny this item on the issue of density, then the Planning & 29 Zoning Commission would have another public hearing on the exact same topic. 30 31 Mayor Bukkila explained if they are to drop below the two -and -a -half -acre requirement in the rural 32 area, it has to be for a reasonable offset. She noted this is still not meeting expectations, and she 33 does not see a problem with this coming back through the Planning & Zoning Commission and 34 the public hearing process, so people have another opportunity to weigh in. She added if the 35 Council were to table this and give residents an opportunity to speak on it, they could do that, but 36 the residents would not be notified in the same way as they would for a public hearing. She noted 37 this comes down to whether or not they want a PUD in the rural area and if they are gaining more 38 than they are losing. 39 40 Councilmember Nelson said he would still like this to go through the Planning & Zoning 41 Commission process again as the people who could be impacted by this development will be 42 notified of the public hearing and can come forward and share any feedback. He agreed with 43 Councilmember Barthel he values the opinions of the Planning & Zoning Commissioners. He 44 added going through the public hearing process again would give residents the opportunity to voice Regular Andover City Council Meeting Minutes — November 19, 2024 Page 6 1 their opinions on the new, revised proposal. He stated he has had residents contact him who are 2 still concerned that they are not at the two -and -a -half acre requirement. 3 4 Motion by Barthel, Seconded by Engelhardt, to adopt Resolution No. R120-24, denying the 5 conditional use permit/planned unit development requested by SW Wold Construction Inc., as 6 shown as Hartmans Meadows (formerly known as Meadows East). Motion carried 4 ayes, 1 nay 7 (Butler). 8 9 Mr. Janish shared as part of the denial, they must provide findings for the denial. City Attorney 10 Baumgartner stated staff can take the comments from the Council and Planning & Zoning 11 Commission to draft a denial. 12 13 Mr. Janish asked if the lots were to come back and still not meet the two -and -a -half acre 14 requirement if the applicant would need to remove another lot. He asked if the Council is 15 specifically looking for only 13 units on this parcel. 16 17 Mayor Bukkila said this answer will be different for everyone. She stated she does not see a 18 justification to approve a PUD for lots less than two and a half acres. She noted the land is there 19 to have a development within code and standards. Councilmember Nelson agreed. 20 21 Mr. Janish noted if they are looking for no less than two -and -a -half -acre lots, they will be looking 22 more at net density rather than gross density. He said he will provide this direction to the applicant. 23 24 Mayor Bukkila said if there is a two -and -a -half acre lot but it does not have the front width, she 25 would be willing to consider something like this. 26 27 CONSIDER INTERIM USE PERMIT (IUP) REQUEST- MINING & LAND 28 RECLAMATION - 83 OLD CONSTANCE BLVD. NW, PID# 13-32-24-11-0004 - CHRIS 29 HOGIE & SA TEL YN AIEKB USCH (APPLICANTS) 30 31 The City Council is requested to review and consider the Planning & Zoning Commission's 32 recommendation of approval regarding the interim use permit request. 33 34 Mr. Janish reviewed the staff report in regard to the NP request at 83 Old Constance Blvd. NW. 35 36 Motion by Nelson, Seconded by Butler, to adopt Resolution No. R121-24, granting an interim use 37 permit for mining and land reclamation at PID #13-32-24-11-0004. 38 39 Further discussion: 40 41 Councilmember Barthel shared there was a neighboring property that was concerned that the 42 accessory structure would be used to operate a business. He noted this property is zoned residential 43 so they would not be able to operate a business on the property. 44 Regular Andover City Council Meeting Minutes — November 19, 2024 Page 7 1 Motion carried unanimously. 2 3 CONSIDER INTERIM USE PERMIT (IUP) REQUEST - CONSTRUCTION OFAN 4 ACCESSORYSTRUCTURE PRIOR TO PRINCIPAL STRUCTURE - 83 OLD CONSTANCE 5 BLVD. NW; PID# 13-32-24-11-0004 - CHRIS HOGIE & KATELYNKIEKBUSCH 6 (APPLICANTS) 7 8 The City Council is requested to review and consider the Planning & Zoning Commission's 9 recommendation of approval regarding the interim use permit request. 10 11 Mr. Janish reviewed the staff report in regard to the IUP request at 83 Old Constance Blvd. NW. 12 He shared the last IUP had to do with the driveway and this IUP has to do with constructing an 13 accessory structure prior to the principal structure. 14 15 Motion by Butler, Seconded by Barthel, to adopt Resolution No. R122-24, granting an interim use 16 permit for the construction of an accessory structure prior to the principal structure at PID #13-32- 17 24-11-0004. Motion carried unanimously. 18 19 CONSIDER AN AMENDMENT TO THE PLANNED UNIT DEVELOPMENT (PUD) - 20 INCORPORATE NEW USES - UNADDRESSED PROPER TY LOCA TED AT BUNKER 21 LAKE BLVD. NWAND 7TH AVENUE NW, PID #30-32-24-43-0072 - COLLIERS 22 ENGINEERING AND DESIGN (APPLICANTS) 23 24 The City Council is requested to receive the recommendation of the Planning & Zoning 25 Commission, and materials presented as part of the application and consider approval of a 26 CUP/PUD to allow for the amendment of the approved PUD layout and commercial uses for the 27 Andover Crossings development. 28 29 Mr. Janish reviewed the staff report concerning amending the PUD for Andover Crossings at 30 Bunker Lake Boulevard NW and 7th Avenue NW. 31 32 Motion by Nelson, Seconded by Butler, to adopt Resolution No. R123-24, approving the 33 conditional use permit/planned unit development amendment requested by Colliers Engineering, 34 for Andover Crossings. Motion carried unanimously. 35 36 CONSIDER PRELIMINARY PLAT - ANDOVER CROSSINGS II - UNADDRESSED 37 PROPERTYLOCA TED A TBUNKER LAKEBLVD. NWAND 7THAVENUENW; PID #30- 38 32-24-43-0072- COLLIERS ENGINEERING AND DESIGN (APPLICANTS) 39 40 The City Council is requested to receive the recommendation of the Planning & Zoning 41 Commission, and materials presented as part of the application and consider approval of the 42 proposed Preliminary Plat to be known as "Andover Crossing II." 43 44 Mr. Janish reviewed the staff report concerning the preliminary plat for Andover Crossings I1. Regular Andover City Council Meeting Minutes —November 19, 2024 Page 8 Motion by Barthel, Seconded by Engelhardt, to adopt Resolution No. R124-24, approving the preliminary plat of "Andover Crossings II." Motion carried unanimously. CONSIDER A CONDITIONAL USE PERMIT (CUP) - AUTOMOBILE SERVICE STATION /BULK FUEL STORAGE/EXTERIOR STORAGE - UNADDRESSED PROPERTY LOCATED AT BUNKER LAKE BLVD. NWAND 7TH AVENUE NW, PID #30-32-24-43- 0072 - COLLIERS ENGINEERING AND DESIGN (APPLICANTS) 9 The City Council is requested to receive the recommendation of the Planning & Zoning 10 Commission, and materials presented as part of the application and consider approval of the CUP. 11 12 Mr. Janish reviewed the staff report in regard to a CUP for an automobile service station, bulk fuel 13 storage, and exterior storage for Andover Crossings. 14 15 Motion by Barthel, Seconded by Butler, to adopt Resolution No. R125-24, approving the 16 conditional use permit requested by Colliers Engineering, for an automobile service station with 17 bulk fuel storage and exterior storage. Motion carried unanimously. 18 19 ADMINISTRATOR'S REPORT 20 21 City Staff updated the Council on the administration and city department activities, legislative 22 updates, updates on development/CIP projects, and meeting reminders/community events. 23 24 (Administrative Staff Report) Mayor Bukkila welcomed and introduced the new City 25 Administrator Sarah Cotton. 26 27 City Administrator Cotton shared her excitement for being a part of the City. She stated she has 28 only been working for the City for a few hours so she does not have much to report on; however, 29 she has been able to meet with Staff and noted they are a fantastic team. She added she asked Mr. 30 Berkowitz to give the Administrative Staff Report this evening and thanked him for his help 31 serving as the Interim City Administrator. 32 33 Mr. Berkowitz shared Staff is very excited to be welcoming Ms. Cotton to the team. He stated they 34 will be having their tree lighting evening on Saturday, November 301h, from 6:00 p.m. to 8:00 p.m. 35 on the west side of the Community Center. He shared there will be food trucks, snacks, 36 and entertainment at the event. He noted there are 91 new homes in the City so far this year. He 37 added they are continuing to do their fall street sweeping, as well as mowing and mulching in 38 parks. He stated the shelter at Pine Hills North is moving forward and the well and the septic 39 system will be taken care of over the winter and into the spring. He explained they are continuing 40 to do meter changeouts. 41 42 (Public Works/Engineering Department Report) Mr. Berkowitz reviewed the Public Works and 43 Engineering Department report. He shared they are continuing to work on the design of the 2025 44 construction projects. He stated they will have their first open house on December Yd for the street Regular Andover City Council Meeting Minutes — November 19, 2024 Page 9 1 reconstructions on the west side of Round Lake Boulevard He added they are also working on the 2 design for the Coon Creek corridor trail which will be on the north side of Coon Creek, east of 3 Prairie Road. He noted they have hired a consultant to do the archaeological work in this area. 4 5 (Community Development Department Report) Mr. Janish reviewed the Community 6 Development Department report. He shared the Planning & Zoning Commission will meet next 7 week on two items: a drive-thru location in the grass area in front of Festival Foods; and, a proposal 8 related to seven lots in the area off of Gladiola Street and Bunker Lake Boulevard. 9 10 Councilmember Butler shared there is a trail along Crosstown Boulevard and where it crosses 11 Coon Creek, there is a bridge where the trail narrows. He noted there is quite a bit of foliage 12 overgrowing the trail. He asked if this could be trimmed back. Mr. Berkowitz said if he knows the 13 specific location in question, he can get Staff out there to clear this. 14 15 Councilmember Nelson asked if the EPA started on the groundwater sampling. Mr. Berkowitz said 16 yes. He explained there is a site south of Bunker Lake Boulevard where groundwater investigations 17 are taking place to determine where the 1,4 -dioxane and PFAS water contamination is coming 18 from. He shared they are allowing the EPA to work on City property to drill some wells to test the 19 groundwater. '20 21 Councilmember Nelson asked if they will also be looking at where the contaminants for Eastbrook 22 Terrace and Red Oaks came from. Mr. Berkowitz said yes. 23 24 MAYOR/COUNCIL INPUT 25 26 Councilmember Barthel thanked Mr. Berkowitz for stepping up as the Interim City Administrator. 27 He also thanked every Staff member who also took on more duties during this transitional time. 28 He welcomed Ms. Cotton and shared his excitement about getting to work with her. 29 30 Mayor Bukkila encouraged everyone to attend the holiday tree lighting and shared there will be 31 s'mores and other hot beverages to keep people warm. She thanked QCTV for loaning them sound 32 equipment for this event. She added they are asking for donations to the ACDC Food Shelf. 33 34 Councilmember Engelhardt added there will be a hot chocolate bar at the tree lighting event. 35 36 ADJOURNMENT 37 38 Motion by Barthel, Seconded by Nelson, to adjourn. Motion carried unanimously. The meeting 39 adjourned at 8:38 p.m. 40 41 Respectfully submitted, 42 43 Ava Major, Recording Secretary 44 REGULAR ANDOVER CITY COUNCIL MEETING MINUTES —NOVEMBER l9, 2024 TABLE OF CONTENTS PLEDGE OF ALLEGIANCE..................................................................................................... 1 RESIDENT FORUM.................................................................................................................. 1 AGENDAAPPROVAL.............................................................................................................. 1 APPROVAL OF MINUTES....................................................................................................... 2 CONSENTITEMS..................................................................................................................... 2 Item 2 Approve Payment of Claims....................................................................................... 2 Item 3 Approve Declaration of Encroachment Easement/15886 Avocet St. NW ................. 2 Item 4 Approve Change Order #1/23-13/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) (R117-24) ........................................................... 2 Item 5 Approve Change Order #2/23-13/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`' Ave. NW) (R118 -24)........................................................... 2 Item 6 Receive October 2024 City Investment Reports ... .. ......... ....,.......................... 2 Item 7 Receive October 2024 General Fund Progress Report ............................................... 2 Item 8 Receive October 2024 Community Center Update ......... ........ ................. 2 Item 9 Approve Funds Transfer and Budget Amendments — Capital Equipment Reserve Capital Projects Fund ............ ......:: ........, ........_................................................ 2 Item 10 Approve City Code Amendment City Code 9-9: Residential Landscaping Requirements & Authorize Summary Publication City of Andover (Applicant) (Ord. 568) . 2 Item 11 Approve Extension of Liquor License/Beef O'Brady's 15190 Bluebird St. NW, Suite 114.......... ........+. ........ .........'................................................ 2 Item 11A Approve Demolition Quote for 2527 Bunker Lake Blvd ........................................... 2 ANOKA COUNTY SHERIFF'S OFFICE MONTHLY REPORT ............................................ 2 CONSIDER TIME EXTENSION REQUEST FOR VARIANCE FOR 2274 164TH AVE. NW (R119 -24)......a .... ....♦................................................................ 3 CONSIDER PLANNED UNIT DEVELOPMENT (PUD) FOR MEADOWS EAST - UNADDRESSED PROPERTY 16XXX WARD LAKE DRIVE NW; PID #11-32-24-41- 0003- SW WOLD CONSTRUCTION INC. (APPLICANT)(R120-24).......................... 3 CONSIDER INTERIM USE PERMIT (NP) REQUEST - MINING & LAND RECLAMATION - 83 OLD CONSTANCE BLVD. NW; PID# 13-32-24-11-0004 - CHRIS HOGIE & KATELYN KIEKBUSCH (APPLICANTS) (R121-24) ...................... 6 CONSIDER INTERIM USE PERMIT (IUP) REQUEST - CONSTRUCTION OF AN ACCESSORY STRUCTURE PRIOR TO PRINCIPAL STRUCTURE - 83 OLD CONSTANCE BLVD. NW; PID# 13-32-24-11-0004 - CHRIS HOGIE & KATELYN KIEKBUSCH (APPLICANTS)(R122-24)........................................................................ 7 CONSIDER AN AMENDMENT TO THE PLANNED UNIT DEVELOPMENT (PUD) - INCORPORATE NEW USES - UNADDRESSED PROPERTY LOCATED AT BUNKER LAKE BLVD. NW AND 7TH AVENUE NW; PID #30-32-24-43-0072 - COLLIERS ENGINEERING AND DESIGN (APPLICANTS) (R123-24) ...................... 7 CONSIDER PRELIMINARY PLAT - ANDOVER CROSSINGS II - UNADDRESSED PROPERTY LOCATED AT BUNKER LAKE BLVD. NW AND 7TH AVENUE NW; PID #30-32-24-43-0072 - COLLIERS ENGINEERING AND DESIGN (APPLICANTS) Regular Andover City Council Meeting Minutes — November 19, 2024 Page 11 (R124-24) ............................................................................................................................ 7 CONSIDER A CONDITIONAL USE PERMIT (CUP) - AUTOMOBILE SERVICE STATION / BULK FUEL STORAGE / EXTERIOR STORAGE - UNADDRESSED PROPERTY LOCATED AT BUNKER LAKE BLVD. NW AND 7TH AVENUE NW; PID #30-32-24-43-0072 - COLLIERS ENGINEERING AND DESIGN (APPLICANTS) (R125-24) ............................................................................................................................ 8 ADMINISTRATOR'S REPORT................................................................................................ 8 MAYOR/COUNCIL INPUT...................................................................................................... 9 ADJOURNMENT....................................................................................................................... 9 0 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Councilmembers CC: / Sarah Cotton, City Administrator b` FROM: Lee Brezinka, Finance Manager SUBJECT: Payment of Claims DATE: December 3, 2024 INTRODUCTION Attached are disbursement edit lists for claims related to the on-going business of the City of Andover. Claims totaling $449,104.00 on disbursement edit list #14 from 11/20/2024 to 11/27/2024 have been issued and released. Claims totaling $349,274.67 on disbursement edit list #5 dated 12/03/2024 will be issued and released upon approval. BUDGETIMPACT 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 $798,378.67. Please note that Council Meeting minutes will be used as documented approval. Respectfully submitted, ee Brezinka Attachments: Check Proof Lists Accounts Payable Computer Check Proof List by Vendor ?CN56WR User: BrendaF Printed: 11/20/2024 - 9:05AM Batch: 00418.11.2024 Invoice No Description Amount Pmt Date Acct Number Reference Vendor: ConnexI Connexus Energy Check Sequence: 1 ACH Enabled: False Red Oaks W Pk -Security Light 7.28 -09/09/2024 0101-45000-62005 386026-246005 Hawkridge Park - Service #2 143.36 09/09/2024 0101-45000-62005 386026-301889 Lift Station #5 56.12 09/09/2024 5200-48200-62005 386026-273019 Siren #8 - 1685 Crosstown Blvd. NW 5.25 09/09/2024 0101-42400-62005 386026-300402 Langseth Park 7.28 09/09/2024 010145000-62005 386026-174273 Fire Station #3 458.92 09/09/2024 0101-41920-62005 386026-279236 CH Campus Outdoor Hockey Rinks 98.64 09/09/2024 0101-45000-62005 386026-302015 Hidden Creek E Pk -Sec Lightl 7.28 09/09/2024 0101-45000-62005 386026-238967 1600 Crosstown Blvd - Signal 68.10 09/09/2024 0101-43400-62005 386026-269010 Wild Iris Park -Security Lights 21.85 09/09/2024 0101-45000-62005 386026-270411 Bunker Lake & Heather 18.23 09/09/2024 0101-43500-62005 386026-251490 Creekview Crossing Park 7.28 09/09/2024 0101-45000-62005 386026-175877 Fire Station #2 341.94 09/09/2024 0101-41920-62005 386026-178835 Control Valve Vault 18.49 09/09/2024 5100-48100-62005 386026-201816 Hidden Creek North Park 14.57 09/09/2024 0101-45000-62005 386026-174280 Lift Station #7 30.60 09/09/2024 5200-48200-62005 . 386026-276742 Siren #3 - 16860 Roanoke St. NW 5.25 09/09/2024 0101-42400-62005 386026-300407 Vehicle Maintenance & Wash Bay 1,196.77 09/09/2024 6100-48800-62005 386026-314654 Bus Sign -13980 Hanson Blvd 24.68 09/09/2024 2110-00000-11310 386026-299533 1848 Veterans Mem Blvd 17.21 09/09/2024 0101-41930-62005 386026-317168 Round Lake & 136th 3.82 09/09/2024 0101-43500-62005 386026-201283 2542138th Ave#1 12.49 09/09/2024 4520-49300-62005 386026-201859 Siren #4 - 158th & Dakota St. NW 5.25 09/09/2024 0101-42400-62005 386026-300408 Prairie Knoll Park 79.84 09/09/2024 0101-45000-62005 386026-175813 Pine Hills Park 7.28 09/09/2024 0101-45000-62005 386026-256788 AP -Computer Check Proof List by Vendor (11/20/2024 - 9:05 AM) Page 1 Invoice No Description Amount Pmt Date Acct Number Reference TTmber Trail Park Security Lights 9.22 09/09/2024 0101-45000-62005 386026-277955 Wash Station - Public Works 23.01 09/09/2024 0101-41930-62005 386026-308646 Signal 15390 Hanson Blvd 40.27 09/09/2024 010143400-62005 386026-287969 Fox Meadows Park 49.23 09/09/2024 010145000-62005 386026-310245 Round Lake & 138th - Signal 63.08 09/09/2024 OI01-43400-62005 386026-201751 1157 Andover Blvd - Well #9 4,122.18 09/09/2024 5100-48100-62005 386026-286880 Prairie Knoll Park 507.46 09/09/2024 0101-45000-62005 386026-275569 Hanson & 138th Lane 19.14 09/09/2024 530048300-62005 386026-202678 Signal - Crosstown & Andover Blvd. 45.94 09/09/2024 0101-43400-62005 386026-266238 ASN Street Lights 231.08 09/09/2024 2110-00000-11310 386026-299989 Northwood E Pk -Security Light 7.28 09/09/2024 0101-45000-62005 386026-250587 Siren #10 - 145th & Vintage St. NW 5.25 09/09/2024 0101-42400-62005 386026-300399 Strootman Park -Security Lights 14.24 09/09/2024 0101-45000-62005 386026-270412 Bunker Lake & Jay St - Signal 55.22 09/09/2024 0101-43400-62005 386026-251653 Pumphouse#1 79.58 09/09/2024 5100-48100-62005 386026-201767 EDA Reader Board 17.36 09/09/2024 2110-46500-62005 386026-303870 Signal Bunker & Crosstown 24.31 09/09/2024 0101-43500-62005 386026-251654 Pleasant Oaks -Security Light 7.28 09/09/2024 010145000-62005 386026-238968 2527 Bunker Lk Blvd #4 14.50 09/09/2024 452049300-62005 386026-201798 County Road 9 & 116 - Signal 44.31 09/09/2024 0101-43400-62005 386026-201749 Siren #5-2748 161 st Ave NW 5.25 09/09/2024 010142400-62005 386026-300397 Sunshine Park 1,623.07 09/09/2024 0101-45000-62005 386026-230685 County Rd Intersect Lights 2,634.30 09/09/2024 0101-43500-62005 386026-176059 Signal & Lights -16119 Hanson 75.71 09/09/2024 0101-43400-62005 386026-305951 Siren #6 - 16050 Constance Blvd. NW 5.25 09/09/2024 0101-42400-62005 386026-300401 Country Oaks W Pk -Security 7.28 09/09/2024 010145000-62005 386026-301901 Recycling Center 41.60 09/09/2024 0101-46000-62005 386026-304690 Lift Station #6 52.51 09/09/2024 5200-48200-62005 386026-275284 City Hall Park Lighting 21.78 09/09/2024 0101-45000-62005 386026-268970 2542138th Ave#3 18.62 09/09/2024 452049300-62005 386026-201858 Signal - 13976 Hanson Blvd. NW 54.57 09/09/2024 010143400-62005 386026-298781 Crooked Lk Elementary Rink 42.50 09/09/2024 010145000-62005 386026-306807 City Hall Garage 23.39 09/09/2024 0101-41960-62005 386026-231281 City Hall - Light 1,576.54 09/09/2024 0101-41910-62005 386026-231135 AP -Computer Check Proof List by Vendor (11/20/2024 - 9:05 AM) Page 2 Invoice No Description Amount Pmt Date Acct Number Reference 961 Bunker Lk Blvd - Signal 65.14 09/09/2024 0101-43400-62005 386026-310044 Subdivision Interior Street Lt 10,129.85 09/09/2024 0101-43600-62005 386026-176201 Siren#13 -2139172nd Ln NW 5.25 09/09/2024 0101-42400-62005 386026-314308 County Road 9 & 116 17.17 09/09/2024 0101-43500-62005 386026-201749 Martin & Commercial - Lights 153.66 09/09/2024 2110-00000-11310 386026-255963 Round Lake & 135th - Signal 26.08 09/09/2024 0101-00000-13201 386026-201284 Lift Station#2 63.46 09/09/2024 5200-48200-62005 386026-250066 Round Lake & 140th - Signal 56.12 09/09/2024 0101-43400-62005 386026-201777 Altitude Control Vault 20.68 09/09/2024 5100-48100-62005 386026-303716 Lift Station #1 93.23 09/09/2024 5200-48200-62005 386026-178836 Siren #7 - Andover Blvd. & Prairie Road 5.25 09/09/2024 0101-42400-62005 386026-300405 2527 Bunker Lk Blvd #1 14.50 09/092024 4520-49300-62005 386026-201796 Lift Station #9 49.67 09/09/2024 5200-48200-62005 386026-287602 Fire Station #1 833.49 09/09/2024 0101-41920-62005 386026-68989 Andover Station North Ballfld 1,452.39 09/09/2024 0101-45000-62005 386026-292904 Country Oaks Park 5.25 09/09/2024 0101-45000-62005 386026-289790 Crooked Lake Boat Shelter 16.43 09/09/2024 0101-45000-62005 386026-298796 Hidden Creek North Park 38.59 09/09/2024 0101-45000-62005 386026-261455 Tower#2 140.91 09/09/2024 5100-48100-62005 - 386026-231282 Pumphouse #4 1,464.02 09/09/2024 5100-48100-62005 386026-231280 Nordeens Park 7.36 09/09/2024 0101-45000-62005 386026-175703 Sunshine Park - Electric 271.23 09/09/2024 0101-45000-62005 386026-273153 Signal 15698 Rd Lk Blvd 64.63 09/09/2024 0101-43400-62005 386026-290712 Round Lake &136th -Signal 27.56 09/09/2024 0101-00000-13201 386026-201283 Oak Bluff Park -Security Light 34.10 09/09/2024 0101-45000-62005 386026-299378 1990 Veterans Mem Blvd 172.12 09/09/2024 0101-41940-62005 386026-316035 Andover Lions Park - Irrig 19.81 09/09/2024 0101-45000-62005 386026-310295 2527 Bunker Lk Blvd 27.84 09/09/2024 4520-49300-62005 386026-73271 Siren #14 (located at FS #2) 5.00 09/09/2024 0101-42400-62005 386026-178835 Hills Bunker Lk W Pk Sec Light 27.42 09/09/2024 0101-45000-62005 386026-294591 Round Lake & 161st - Signal 56.90 09/09/2024 0101-43400-62005 386026-230276 Terrace Park -Security Lights 7.28 09/09/2024 0101-45000-62005 386026-270409 Andover Blvd & Hanson - Signal 69.01 09/09/2024 0101-43400-62005 386026-284894 Andover St Ballfield Lights 25.66 09/09/2024 0101-45000-62005 386026-292904 AP -Computer Check Proof List by Vendor (11/20/2024 - 9:05 AW Page 3 Invoice No Description Amount Pont Date Acct Number Reference Pumphouse #2 186.72 09/09/2024 5100-48100-62005 386026-201125 Andover Station 11- Lights 247.50 09/09/2024 2110-00000-11310 386026-295855 Andover St N Ballfield Lights 38.48 09/09/2024 0101-43500-62005 386026-292034 County Road 9 & 116 -Signal 20.49 09/09/2024 0101-00000-13201 386026-201749 Pumphouse#3 157.05 09/09/2024 5100-48100-62005 386026-203069 21 Bunker Lk Blvd - Sign 17.34 09/09/2024 2110-46500-62005 386026-303872 13914 Prairie Road - Signal 62.18 09/09/2024 0101-43400-62005 386026-282927 North Woods West Park 48.51 09/09/2024 010145000-62005 386026-201868 Signal Andover & Crosstown 24.31 09/09/2024 010143500-62005 386026-266238 Kelsey/Rd Lk Pk -Security Light 7.28 09/09/2024 0101-45000-62005 386026-246004 2542138th Ave NW(4-Plex) 31.25 09/09/2024 452049300-62005 386026-73286 Siren #1 - 176th & Ward Lake Drive NW 5.25 09/09/2024 0101-42400-62005 386026-300406 Community Center 24,117.71 09/09/2024 2130-44000-62005 386026-281212 Lift Station #4 171.06 09/09/2024 5200-48200-62005 386026-251905 1019 Andover Blvd - Wayside Hom 23.39 09/09/2024 0101-43400-62005 386026-297583 Pumphouse#5 2,959.82 09/09/2024 5100-48100-62005 386026-237118 Signal 15390 Hanson Blvd 15.26 09/09/2024 0101-43500-62005 386026-287969 Lift Station #11 571.51 09/092024 5200-48200-62005 386026-321586 Lift Station#3 66.56 09/09/2024 5200-48200-62005 386026-250421 Siren #2 - 174th & Round Lake Blvd. NW 5.25 09/09/2024 0101-42400-62005 386026-300403 Siren #9 - 139th & Crosstown Blvd. NW 5.25 09/09/2024 0101-42400-62005 386026-300404 Round Lake & 135th 3.82 09/09/2024 0101-43500-62005 386026-201284 Round Lake & 135th -Signal 22.25 09/09/2024 0101-43400-62005 386026-201284 13300 Hanson Blvd- Sign 17.72 09/09/2024 2110-46500-62005 386026-318046 2607 Bunker Lk Blvd (4-Plex) 30.09 09/09/2024 452049300-62005 386026-73280 Bunker Lake & Rose St - Signal 50.71 09/09/2024 0101-43400-62005 386026-251491 15700 7th Ave - Signal 52.00 09/09/2024 010143400-62005 386026-275108 Bunker Lake & Heather St- Signal 45.04 09/09/2024 0101-43400-62005 386026-251490 Lift Station#10 242.64 09/09/2024 5200-48200-62005 386026-315803 Water Treatment Plant 13,538.88 09/09/2024 5100-48100-62005 386026-271472 13551 Jay Street - Lights 110.88 09/092024 2110-00000-11310 386026-255962 Hawkridge Park -Security Light 39.07 09/09/2024 0101-45000-62005 386026-230286 Wayside Horn - 1000 Crosstown Blvd. 21.59 09/09/2024 0101-43400-62005 386026-299229 Chesterton Commons Pk -Security 7.28 09/09/2024 0101-45000-62005 386026-301899 AP -Computer Check Proof List by Vendor (11/20/2024 - 9:05 Alva Page 4 Invoice No Description Amount Pont Date Acct Number Reference Siren #12 - Bunker & Marigold St. NW 5.25 09/09/2024 0101112400-62005 386026-300398 Bunker Lake&Crosstown- Signal 54.57 09/09/2024 0101-43400-62005 386026-251654 2503 138th Ave 37.05 09/09/2024 4520-49300-62005 386026-201843 Community Center Concession Stand 745.91 09/09/2024 2130-44100-62005 386026-281212 580 Bunker Lk Blvd -Tunnel Lts 43.23 09/09/2024 0101-43500-62005 386026-310043 14298 Round Lake - Signal 50.84 09/09/2024 0101-43400-62005 386026-279219 2607 Bunker Lk Blvd #4 21.46 09/09/2024 4520-49300-62005 - 386026-201811 Pumphouse #7 1,354.02 09/09/2024 5100-48100-62005 386026-255064 2527 Bunker Lk Blvd #2 14.50 09/09/2024 4520-49300-62005 386026-201797 Tower#1 73.26 09/09/2024 5100-48100-62005 386026-178452 Pumphouse #8 1,447.15 09/09/2024 5100-48100-62005 386026-273808 Bunker Lake & Rose St 12.16 09/09/2024 0101-43500-62005 386026-251491 Timber Tmils Park 62.56 09/09/2024 0101-45000-62005 386026-308418 Eveland Field -Security Lights 7.28 09/09/2024 0101-45000-62005 386026-270410 Siren #11 - 138th Lane & Drake St. NW 5.25 09/09/2024 0101-42400-62005 386026-300400 Public Works 1,775.95 09/09/2024 0101-41930-62005 386026-159276 Pumphouse #6 1,224.66 09/09/2024 5100-48100-62005 386026-245409 2139 Bunker Lake - Signal 68.32 09/09/2024 0101-00000-11310 386026-269011 Sports Complex -3535161st Ave 851.69 09/09/2024 0101-45000-62005 386026-304108 13711 Crosstown Blvd NW 74.41 09/09/2024 2110-46500-62005 386026-303295 Bus Sign - 1721 Bunker Lk Blvd 22.23 09/09/2024 2110-00000-11310 386026-299532 Shady Knoll Pk -Security Light 7.28 09/09/2024 0101-45000-62005 386026-304218 Lift Station #8 61.02 09/09/2024 5200-48200-62005 386026-281840 Bunker& Hanson -Signal 71.07 09/09/2024 0101-43400-62005 386026-203068 Roundabout Lighting 128.28 09/09/2024 0101-43500-62005 386026-328531 Round Lake & 136th- Signal 23.73 09/09/2024 0101-43400-62005 386026-201283 Shadowbrook East Park 35.31 09/09/2024 0101-45000-62005 386026-267140 AP -Computer Check Proof List by Vendor (11/20/2024 - 9:05 AM) Page 5 Check Total: 80,929.73 Vendor: KinectEG Kinect Energy Group Check Sequence: 2 ACH Enabled: False 384794/11171502 Community Center 13,333.10 11/20/2024 2130-44000-62015 384794/11171508 Public Works 817.83 11/20/2024 0101-41930-62015 Check Total: 14,150.93 AP -Computer Check Proof List by Vendor (11/20/2024 - 9:05 AM) Page 5 Invoice No Description Amount Pmt Date Acct Number Reference Vendor: Medica Medica 11/20/2024 384784342856 December 2024 Premium 384784342856 December 2024 Premium 384784342856 November 2024 Premium 384784342856 November 2024 Premium Check Total: Total for Check Run: Total of Number of Checks: Check Total: 11/20/2024 Vendor: MNLifeIn Minnesota Life Insurance Company 0034706/4766095 December 2024 Premium 0034706/4766095 December 2024 Premium 0034706/4766095 December 2024 Premium 0034706/4766095 December 2024 Premium 0034706/6177385 November 2024 Premium 0034706/6177385 November 2024 Premium 0034706/6177385 November 2024 Premium 0034706/6177385 November 2024 Premium Check Total: Total for Check Run: Total of Number of Checks: 131,597.78 Check Sequence:4 46.86 11/20/2024 Check Sequence: 3 67,779.96 11/20/2024 0101-00000-21206 1,345.02 11/20/2024 7100-00000-21218 2,072.06 11/20/2024 7100-00000-21218 60,400.74 11/20/2024 0101-00000-21206 131,597.78 Check Sequence:4 46.86 11/20/2024 0101-00000-21205 17.50 11/20/2024 0101-42200-60330 1,810.85 11/20/2024 0101-00000-21205 259.32 11/20/2024 7100-00000-21218 259.32 11/20/2024 7100-00000-21218 2,071.15 11/20/2024 0101-00000-21205 47.12 11/20/2024 0101-00000-21205 18.50 11/20/2024 0101-42200-60330 4,530.62 231,209.06 4 ACH Enabled: False ACH Enabled: False AP -Computer Check Proof List by Vendor (11/20/2024 - 9:05 AM) Page 6 Accounts Payable Computer Check Proof List by Vendor User: BrendaF Printed: 11/22/2024- 3:31PM Batch: 00422.11.2024 Invoice No Description Amount Pmt Date Acct Number AN6 Reference Vendor: AFLAC AFLAC Check Sequence: 1 ACH Enabled: False 291570 Nov 24 452.64 11/22/2024 0101-00000-21209 Check Total: 452.64 Vendor: Akerpoor AKER Doors, Inc. Check Sequence: 2 ACH Enabled: False 109360 FS 41 Service Call 863.50 11/22/2024 0101-41920-63105 Check Total: 863.50 Vendor: AmazonBu Amazon Capital Services Check Sequence: 3 ACH Enabled: False IHMW-KTNQ-CRKC Cable Direct 500' 118.75 11/22/2024 5100-48100-61120 1YY-DQ344CL4 Anker 25W USB C Charger 77.88 11/22/2024 0101-41420-61225 Check Total: 196.63 Vendor: AncomCon Ancom Communications, Inc. Check Sequence: 4 ACH Enabled: False 125031 Batteries, antenna, power adapter, micro USE, bi 2,151.90 11/22/2024 0101-42200-61020 Check Total: 2,151.90 Vendor: AnkCity City of Anoka Check Sequence: 5 ACH Enabled: False INV02354 Traffic Signal - Bunker &7th Ave 31.69 11/22/2024 0101-43400-62005 INV02355 Traffic Signal - 7 th Ave & 143rd 34.01 11/22/2024 0101-43400-62005 Check Total: 65.70 Vendor: AnkCol6 Anoka Cc Sheriff -Andover Check Sequence: 6 ACH Enabled: False Oct 24 Svc Zero Drug After School Program - Oct 24 1,066.40 11/22/2024 4180-49300-63005 Check Total: 1,066.40 Vendor: AnkConse Anoka Conservation District Check Sequence: 7 ACH Enabled: False AP -Computer Check Proof List by Vendor (11/22/2024 - 3:31 PM) Page I Invoice No Description Amount Pmt Date Acct Number Reference 2024300 buckthorn control - Rum River trail 800.00 11/22/2024 0101-45000-63100 2024300 buckthorn control - Rum River trail 800.00 11/22/2024 010145500-63005 Check Total: 1,600.00 Vendor: Astlefor Astleford International Trucks Check Sequence: 8 ACH Enabled: False O1P121(68 #205 -manifold air 55.89 11/22/2024 6100-48800-61115 Check Total: 55.89 Vendor: Boyer2 Boyer Trucks - Lauderdale Check Sequence: 9 ACH Enabled: False 091P9022 Tube Oil Filler & Seal Fill Tube for Unit #202 336.64 11/22/2024 6100-48800-61115 Check Total: 336.64 Vendor: BmnnerH Hunter Brunner Check Sequence: 10 ACH Enabled: False LTS Fall LTS 09/15-11/17 407.25 11/22/2024 2130-44300-63005 Check Total: 407.25 Vendor: Centerpt CenterPoint Energy Check Sequence: I I ACH Enabled: False 137751624 Nov 24 Svc 10.52 11/22/2024 4520-49300-62015 Check Total: 10.52 Vendor: ChetsSho Chet's Shoes, Inc. Check Sequence: 12 ACH Enabled: False LLC190811 1.Schander 204.00 1122/2024 5100-48100-61005 LLC190811 J.Okerstrom 186.96 11/22/2024 0101-45000-61005 LLC190811 C.Olson 186.96 11/22/2024 0101-43100-61005 521186 T.Green 300.00 11/22/2024 5100-48100-61005 521186 J.Budnick 217.00 11/22/2024 0101-43100-61005 521230 L.Virchow 232.00 11/22/2024 010143100-61005 S21230 1.Johnson 119.00 11/222024 0101-45000-61005 521230 J.Law 143.00 11/22/2024 0101-41600-61005 Check Total: 1,588.92 Vendor: CintasGK Cintas Corp Check Sequence: 13 ACH Enabled: False 4211687765 mat rental 30.00 11/22/2024 010141930-62200 4211687842 Uniforms - Mechanics 104.41 11/22/2024 610048800-61020 AP -Computer Check Proof List by Vendor (1122/2024 - 3:31 PND Page 2 Invoice No Description Amount Pmt Date Acct Number Reference 4211687938 Uniform Cleaning 188.10 11/22/2024 0101143100-61020 4211687938 Uniform Cleaning 26.88 11/22/2024 5100-48100-61020 4211687938 Uniform Cleaning 26.89 11/22/2024 010143300-61020 4211687938 Uniform Cleaning 53.73 11/22/2024 5200-48200-61020 4211687938 Uniform Cleaning 107.45 11/22/2024 0101-45000-61020 Check Total: Vendor: StPaulCi City of St Paul IN60498 Asphalt Mix - Sep 24 Check Total: Vendor: CompintT Computer Integration Technologies Inc 389731 Dec 24 Services Check Total: Vendor: Divisi16 Division 16 Electric, LLC 9003 PW Generator 9214 Generator Cord Check Total: Vendor: DTNLLC DTN, LLC 210-00100914 Temp Forecasting Subscription Check Total: 537.46 Check Sequence: 14 4,604.89 11/22/2024 0101-43100-61125 4,604.89 Check Sequence: 15 310.00 11/22/2024 0101-41420-62305 310.00 Check Sequence: 16 26.40 11/22/2024 0101-43400-62005 35.16 11/22/2024 0101-43400-62005 61.56 Check Sequence: 17 2,308.90 11/22/2024 6100-48800-61045 5,056.12 11/22/2024 6100-48800-61050 7,365.02 Check Sequence: 18 9,482.58 11/22/2024 4180-49300-63105 2,291.86 11/22/2024 5200-48200-63100 11,774.44 Check Sequence: 19 4,838.40 11/22/2024 0101-43200-61320 4,838.40 ACH Enabled: False ACH Enabled: False ACH Enabled: False ACH Enabled: False ACH Enabled: False ACH Enabled: False AP -Computer Check Proof List by Vendor (11/22/2024 - 3:31 PM) Page 3 Check Total: Vendor: CoonRapi City of Coon Rapids AR -0000014536 Traffice Signal - Hanson & 133rd AR -0000014536 Traffice Signal - Crosstown & 133rd Check Total: Vendor: DehnOil Dehn Oil Company 111068 gas 111069 diesel Check Total: Vendor: Divisi16 Division 16 Electric, LLC 9003 PW Generator 9214 Generator Cord Check Total: Vendor: DTNLLC DTN, LLC 210-00100914 Temp Forecasting Subscription Check Total: 537.46 Check Sequence: 14 4,604.89 11/22/2024 0101-43100-61125 4,604.89 Check Sequence: 15 310.00 11/22/2024 0101-41420-62305 310.00 Check Sequence: 16 26.40 11/22/2024 0101-43400-62005 35.16 11/22/2024 0101-43400-62005 61.56 Check Sequence: 17 2,308.90 11/22/2024 6100-48800-61045 5,056.12 11/22/2024 6100-48800-61050 7,365.02 Check Sequence: 18 9,482.58 11/22/2024 4180-49300-63105 2,291.86 11/22/2024 5200-48200-63100 11,774.44 Check Sequence: 19 4,838.40 11/22/2024 0101-43200-61320 4,838.40 ACH Enabled: False ACH Enabled: False ACH Enabled: False ACH Enabled: False ACH Enabled: False ACH Enabled: False AP -Computer Check Proof List by Vendor (11/22/2024 - 3:31 PM) Page 3 Invoice No Description Amount Pmt Date Acct Number Reference Vendor: EschCons Each Contmctiou Supply, Inc. Check Sequence: 20 ACH Enabled: False INV75704 Cutting Dry ESH Muscle Core Blt 498.69 11/22/2024 0101-43100-61020 Check Total: 498.69 Vendor: FletPrid FleetPride Truck & Trailer Parts Check Sequence: 21 ACH Enabled: False 121264391 #203: Oil, flared elbow, air dryer 271.31 11/222024 6100-48800-61115 Check Total: 271.31 Vendor: ForceAm Force America Distributing LLC Check Sequence: 22 ACH Enabled: False IN001-2017701 Sensor Granular Feedback 632.22 11/22/2024 6100-48800-61115 Check Total: 632.22 Vendor: GaryCarl Gary Carlson Equipment Check Sequence: 23 ACH Enabled: False 134027-1 Diamond Product 4" Core Bit 461.94 11/22/2024 0101-43100-61020 Check Total: 461.94 Vendor: GiacomiJ Jordan Giacomini Check Sequence: 24 ACH Enabled: False LTS Fall US 09/15 - 11/17 321.00 11/22/2024 2130-44300-63005 Check Total: 321.00 Vendor: Grainger Grainger Check Sequence: 25 ACH Enabled: False 9300125888 YStrainer 6" 64.60 11/22/2024 5100-48100-61040 Check Total: 64.60 Vendor: GriswolM Matt Griswold Check Sequence: 26 ACH Enabled: False Pool Escrow Rel Pool Escrow Release 4453 - 167th Ave NW 1,500.00 1122/2024 0101-00000-24217 Check Total: 1,500.00 Vendor: HachCo Hach Company Check Sequence: 27 ACH Enabled: False 14256035 flouride, chlorine, phosver 962.25 11/22/2024 5100-48100-61040 Check Total: 962.25 Vendor: HartmanB Ben Hartman Check Sequence: 28 ACH Enabled: False LTS - Fall ITS 09122-11/17 376.50 11/22/2024 2130-44300-63005 AP -Computer Check Proof List by Vendor (11/22/2024 - 3:31 PM) Page 4 Invoice No Description Amount Pmt Date Acct Number Reference Check Total: 376.50 Vendor: HatTrick Hat Trick Hockey II Check Sequence: 29 ACH Enabled: False 101124 6 pairs Youth Hockey Skates 300.00 11/22/2024 2130-44200-61020 Check Total: 300.00 Vendor: Hawkins2 Hawkins Inc Check Sequence: 30 ACH Enabled: False 6906942 Azone 15, LPC -31 5,059.52 11/22/2024 510048100-61040 Check Total: 5,059.52 Vendor: HillsCla Claire Hills Check Sequence: 31 ACH Enabled: False US Fall LTS 09/22-09/29 111.00 11/22/2024 2130-44300-63005 Check Total: I1 L00 Vendor: HuskyHop Husky Hoops Booster Club Check Sequence: 32 ACH Enabled: False 2407 1 1/4 page program ad 175.00 11/22/2024 010146000-63010 Check Total: 175.00 Vendor: InnovOff Innovative Office Solutions, LLC Check Sequence: 33 ACH Enabled: False IN4687536 Vectair Vibe Pro Dispense, Refills 298.70 11/22/2024 2130-44000-61020 IN4689735 Paper Towel & Value Liner 225.50 11/22/2024 010141910-61025 IN4689736 Paper Towel 113.76 11/22/2024 6100-48800-61025 IN4689737 Bath Tissue 149.80 11/22/2024 0101-41930-61025 Check Total: 787.76 Vendor: InstrRes Instrumental Research, Inc Check Sequence: 34 ACH Enabled: False 5963 Oct Water Testing 456.00 11/22/2024 510048100-63005 Check Total: 456.00 Vendor: IsantiRe Isanti Ready -Mix, Inc. Check Sequence: 35 ACH Enabled: False 96143 1157 Xeon St 1,204.00 11/22/2024 5100-48100-61135 Check Total: 1,204.00 Vendor: JoyCarly Carly Joy Check Sequence: 36 ACH Enabled: False AP -Computer Check Proof List by Vendor (11/22/2024 - 3:31 PNO Page 5 Invoice No Description Amount Pmt Date Acct Number Reference LTS Fall LTS 09/22-11/17 231.00 11/22/2024 2130-44300-63005 Check Total: 231.00 Vendor: KalmesAs Ashley Kalmes Check Sequence: 37 ACH Enabled: False LTS Fall LTS 09/15 - 11/17 995.00 11/22/2024 2130-44300-63005 LTS Fall LTS Fall Refreshments 120.29 11/22/2024 2130-44300-63005 Check Total: 1,115.29 Vendor: KLMEngin KLM Engineering, Inc. Check Sequence: 38 ACH Enabled: False 10560 T -Mobile Tower Inspection 8,160.00 11/22/2024 2510-46500-63005 Check Total: 8,160.00 Vendor: LandEco Landbridge Ecological Check Sequence: 39 ACH Enabled: False 2906 Woody Volunteer Removal from Rain Gardens, 4,943.00 11/22/2024 0101-45500-63005 Check Total: 4,943.00 Vendor: LangsdoS Sadie Langsdorf Check Sequence: 40 ACH Enabled: False LTS Fall LTS 09/15-11/17 407.25 11/22/2024 2130-44300-63005 Check Total: 407.25 Vendor: LanoEqui Lane Equipment, Inc. Check Sequence: 41 ACH Enabled: False 02-1116617 KPA- Hose, Hydraulic 110.22 11/22/2024 6100-48800-61115 Check Total: 110.22 Vendor: LegShiel Legal Shield Check Sequence: 42 ACH Enabled: False Nov 24 Nov 24 88.75 11/22/2024 0101-00000-21219 Check Total: 88.75 Vendor: LemkeBro Brooke Lemke Check Sequence: 43 ACH Enabled: False LTS Fall LTS 09/15-11/17 303.00 11/22/2024 2130-44300-63005 Check Total: 303.00 Vendor: LombardJ Jace Lombardo Check Sequence: 44 ACH Enabled: False LTS Fall LTS 09/22-11/10 151.00 11/22/2024 2130-44300-63005 AP -Computer Check Proof List by Vendor (11/22/2024 - 3:31 PM) Page 6 Invoice No Description Amount Pmt Date Acct Number Reference AP -Computer Check Proof List by Vendor (11/22/2024 - 3:31 PM) Page 7 Check Total: 151.00 Vendor: LubrTech Lube -Tech Check Sequence: 45 ACH Enabled: False 3652569 BlueDef Diesel Exhaust Fluid 555.86 11/22/2024 6100-48800-61050 3652569 Delo Antifreeze 820.68 11/22/2024 6100-48800-61020 - Check Total: 1,376.54 Vendor: LundKayl Kayla Lund Check Sequence: 46 ACH Enabled: False LTS Fall US 9/22-11/17 318.00 11/22/2024 2130-44300-63005 Check Total: 318.00 Vendor: MadNatlL Madison National Life Ins Co, Inc Check Sequence: 47 ACH Enabled: False 1659102 12/01/24 912.83 11/22/2024 0101-00000-21216 Check Total: 912.83 Vendor: MauerMai Mauer Main Check Sequence: 48 ACH Enabled: False 5305690 #4826 -receptacle 52.28 11/22/2024 6100-48800-61115 Check Total: 52.28 Vendor: Medlin Medline Industries, LP Check Sequence: 49 ACH Enabled: False 2343673751 Penlight w/ Pupil gauge 16.34 11/22/2024 0101-42200-61020 Check Total: 16.34 Vendor: Menards Menards Inc Check Sequence: 50 ACH Enabled: False 30276 Door Stop 9.98 11/22/2024 0101111920-61120 30276 Quick Snap 11/16 22.60 11/22/2024 0101-41930-61120 30383 20# WH Pic Hanging VP 8.89 11/22/2024 0101-41920-61120 30429 Insight Purifer 500 310.42 11/22/2024 0101-41600-61005 31188 Half round, cable clams, CAT6 Patch cable 47.96 11/22/2024 0101-42200-61005 Check Total: 399.85 Vendor: MNStFrCh Minnesota State Fire Chiefs Association Check Sequence: 51 ACH Enabled: False 8448 Membership Renewal 820.00 11/22/2024 0101-42200-61320 AP -Computer Check Proof List by Vendor (11/22/2024 - 3:31 PM) Page 7 Invoice No Description Amount Pmt Date Acct Number Reference AP -Computer Check Proof List by Vendor (11/22/2024 - 3:31 PW Page 8 Check Total: 820.00 Vendor: NAPA NAPAAuto Parts Check Sequence: 52 ACH Enabled: False 642069 Primary Wires 174.00 11/22/2024 6100-48800-61020 Check Total: 174.00 Vendor: NoS[Sign - North Star Signs & Engraving Check Sequence: 53 ACH Enabled: False 27445 engraved tags for council members 70.00 11/22/2024 0101-41100-61005 Check Total: 70.00 Vendor: ODP Bus ODP Business Solutions, LLC Check Sequence: 54 ACH Enabled: False 378320270001 Ink, Epson 74.29 1122/2024 0101-41420-61225 Check Total: 74.29 Vendor: OneNetGl OneNet Global Check Sequence: 55 ACH Enabled: False D-507309 Dec 24 164.00 11/22/2024 0101-41920-62030 D-507309 Dec 24 337.00 11/22/2024 0101-41930-62030 D-507309 Dec 24 1,053.65 11/22/2024 0101-41910-62030 D-507309 Dec 24 159.00 11/22/2024 2130-44000-62030 D-507309 Dec 24 68.00 11/22/2024 5100-48100-62030 Check Total: 1,781.65 Vendor: OPUS21 OPUS 21 Check Sequence: 56 ACH Enabled: False 241029 Oct 24 Services 3,800.40 11/22/2024 5200-48200-63010 241029 Oct 24 Services 3,393.04 11/22/2024 5100-48100-63010 241029 Oct 24 Services 3,697-62 11/22/2024 0101-43600-63010 241029 Oct 24 Services. 5,311.80 11/22/2024 5300-48300-63010 Check Total: 16,202.86 Vendor: OReiAuto O'Reilly Auto Parts Check Sequence: 57 ACH Enabled: False 3253-447916 brake cleaner 41.88 11/22/2024 6100-48800-61020 3253-448139 door handle 29.09 11/22/2024 6100-48800-61115 3253-448161 connector 27.18 11/22/2024 6100-48800-61115 3253-448266 oil filter 15.48 1122/2024 6100-48800-61115 AP -Computer Check Proof List by Vendor (11/22/2024 - 3:31 PW Page 8 Invoice No Description Amount Pmt Date Acct Number Reference 3253-448896 connector 35.99 11/22/2024 610048800-61115 Check Total: 149.62 Vendor: Pitney3 Pitney Bowes Check Sequence: 58 ACH Enabled: False 3106917049 Postage Meter Rental / Maintenance 13.44 11/22/2024 010142200-61405 3106917049 Postage Meter Rental/Maintenance 40.33 11/22/2024 010141600-61405 3106917049 Postage Meter Rental / Maintenance 35.85 11/22/2024 520048200-61405 3106917049 Postage Meter Rental / Maintenance 17.92 11/22/2024 0101-46000-61405 3106917049 Postage Meter Rental / Maintenance 13.44 11/22/2024 010143100-61405 3106917049 Postage Meter Rental / Maintenance 4.48 1122/2024 0101-41420-61405 3106917049 Postage Meter Rental / Maintenance 4032 11/22/2024 0101-41500-61405 3106917049 Postage Meter Rental / Maintenance 53.76 11/22/2024 0101-42300-61405 3106917049 Postage Meter Rental / Maintenance 80.64 11/22/2024 5100-48100-61405 3106917049 Postage Meter Rental / Maintenance 40.32 11/22/2024 010141200-61405 3106917049 Postage Meter Rental / Maintenance 4.48 11/22/2024 0101-41300-61405 3106917049 Postage Meter Rental / Maintenance 22.41 11/22/2024 5300-48300-61405 3106917049 Postage Meter Rental / Maintenance 22.40 11/22/2024 2110-46500-61405 3106917049 Postage Meter Rental / Maintenance 35.85 11/22/2024 0101-41400-61405 3106917049 Postage Meter Rental/ Maintenance 4.48 11/22/2024 0101-41230-61405 3106917049 Postage Meter Rental / Maintenance 17.93 11/22/2024 0101-45000-61405 Check Total: 448.05 Vendor: Plunkett Plunkett's Pest Control, Inc. Check Sequence: 59 ACH Enabled: False 8873879 pest control 76.15 1122/2024 2130-44000-63010 Check Total: 76.15 Vendor: PriceCus Price Custom Homes Check Sequence: 60 ACH Enabled: False Escrow Release Esc Rel - 16767 Avocet St NW -75.00 11/22/2024 010141600-54180 Escrow Release Esc Rel - 16767 Avocet St NW 12,050.00 11/22/2024 7200-00000-24204 Check Total: 11,975.00 _ Vendor: PrintCen Print Central Check Sequence: 61 ACH Enabled: False 155757 120# Gloss Cover 12x18 245.09 11/22/2024 0101-43200-61020 155779 654 Astrobrite 4.25 x 5.5 332.89 11/22/2024 510048100-61405 AP -Computer Check Proof List by Vendor (11/22/2024 - 3:31 PM) Page 9 Invoice No Description Amount Pmt Date Acct Number Reference Check Total: 577.98 Vendor: QuenchUS Quench USA, Inc. Check Sequence: 62 ACH Enabled: False INVO8161501 10/24-01/25 186.83 11/22/2024 0101-41910-62200 INVO8161569 10/24-01/25 344.42 11/22/2024 0101-41930-62200 Check Total: 531.25 Vendor: RegalAw Regal Awards & Trophies Check Sequence: 63 ACH Enabled: False Plaques -Council Plaques- Bukkila, Butler, Nelson 144.00 11/22/2024 0101-41100-61005 Check Total: 144.00 Vendor: RockersL Lauren Rockers Check Sequence: 64 ACH Enabled: False LTS Fall LTS 09/15-11/17 407.25 11/22/2024 2130-44300-63005 Check Total: 407.25 Vendor: SmithSep Smith Septic & Excavating LLC Check Sequence: 65 ACH Enabled: False 2023-02964 Cancel permit -4060 Genie Dr NW 200.00 11/22/2024 0101-42300-52200 Check Total: 200.00 Vendor: SPSWorks SPS Works Check Sequence: 66 ACH Enabled: False IV00566500 Stamped Plain Aluminum Animal Tags 111.98 11/22/2024 0101-42500-63030 Check Total: 111.98 Vendor: S[CroixR St. Croix Recreation Fun Playgrounds, Inc. Check Sequence: 67 ACH Enabled: False 22136 Parts for Timber Shore Pk 4 -Seated Rocker 387.24 11/22/2024 010145000-61105 Check Total: 387.24 Vendor: SterlTro Sterling Trophy Check Sequence: 68 ACH Enabled: False 34354 Soccer Resin Trophies 720.00 11/22/2024 2130-44400-61055 Check Total: 720.00 Vendor: SuperVis Superior Vision Insurance Check Sequence: 69 ACH Enabled: False 0000862718 Dec24 123.56 11/22/2024 0101-00000-21222 AP -Computer Check Proof List by Vendor (11/22/2024 - 3:31 PM) Page 10 Invoice No Description Amount Pmt Date Acct Number Reference Total for Check Run: Total of Number of Checks: AP -Computer Check Proof List by Vendor (11/22/2024 - 3:31 PK 123.56 Check Total: Vendor: Timesave Timesaver M29625 City Council Meeting M29625 Park Commission Meeting 374959 Check Total: Vendor: TKDA TKDAAssociates 002024005850 In House MSA Oct 24 Total for Check Run: Total of Number of Checks: AP -Computer Check Proof List by Vendor (11/22/2024 - 3:31 PK 123.56 Check Total: Vendor: TmutWel Traut Companies 374879 861 Crosstown Well Install / Test Pumping 374958 861 Crosstown Pitless Pitless/Pump,Tank Install, 374959 Temp Water Service 11/22/2024 Check Total: Vendor: TmGreen TruGreen 202489088 Comm Ctr 202489088 city hall 202489088 Mech Shop 202489088 WTP 202489088 Mtce Shop 2,637.12 Check Total: Vendor: VectSign Vector Sign Solutions LLC Sign Reimbur Sign Reimbursement 0101-41500-52150 Check Total: Total for Check Run: Total of Number of Checks: AP -Computer Check Proof List by Vendor (11/22/2024 - 3:31 PK 123.56 11/22/2024 2130-44000-63010 379.58 11/22/2024 Check Sequence: 70 175.75 11/22/2024 0101-41100-63005 167.00 11/22/2024 OI01-45000-63005 342.75 11/22/2024 0101-41930-63010 2,055.70 Check Sequence: 71 2,637.12 11/22/2024 4140-49300-63005 2,637.12 11/22/2024 0101-41500-52150 42.26 Check Sequence: 72 4,995.00 11/22/2024 4110-49300-63010 4,845.00 11/22/2024 4110-49300-63010 5.190.00 11/22/2024 4110-49300-63010 Check Sequence: 73 388.00 11/22/2024 2130-44000-63010 379.58 11/22/2024 0101-41910-63010 708.00 11/22/2024 6100-48800-63010 200.55 11/22/2024 5100-48100-63010 379.57 11/22/2024 0101-41930-63010 2,055.70 Check Sequence: 74 42.26 11/22/2024 0101-41500-52150 42.26 74 ACH Enabled: False ACH Enabled: False ACH Enabled: False ACH Enabled: False ACH Enabled: False Page 11 Accounts Payable Computer Check Proof List by Vendor User: BrendaF Printed: 11/22/2024 - 3:1 IPM Batch: 00420.11.2024 Invoice No Description Vendor: OpmmBan Opmm Bank HSA 2024 2024 HSA Employer Contribution - M. Gallahue 2024 - 2024 HSA Employer Contribution - C. Johnson 2024 2024 HSA Employer Contribution - A. Breen Check Total: Total for Check Run: Total of Number of Checks: Amount Pmt Date Acct Number 1,750.00 11/26/2024 1,750.00 11/26/2024 3,250.00 11/26/2024 6,750.00 6,750.00 1 Check Sequence: 1 2130-44000-63010 010142200-60310 010141500-60310 Reference ACH Enabled: False AP -Computer Check Proof List by Vendor (11/22/2024 - 3:11 PM) Page I Accounts Payable Computer Check Proof List by Vendor User: BrendaF Printed: 11/27/2024 - 10:06AM Batch: 00427.11.2024 CITY O F NDfJVER Invoice No Description Amount Pmt Date Acct Number Reference Vendor: Akerpoor AKER Doors, Inc. Check Sequence: 1 ACH Enabled: False 110118 Repair North Door @ Public Works Building 448.00 11/27/2024 0101-41930-63105 Vendor: AmazonBu 1339-JNNC-D39L 1743-NCLY-3VCM 1FNH-G7HP-FR4Y 1 V9P-HN17-F6YQ 1VKP-XFD74CWD 1X4K-7K9V-J79V Check Total: Amazon Capital Services Supplies for Tree Lighting Event Training Supplies Rivet Nut Tool Stainless Steel Water Hammer Supplies for Tree Lighting Event Reusable Fastening Cable Ties Check Total: Vendor: AspenMil Aspen Mills 342019 Custom Badges 343165 Uniform for C. Johnson i3_SItDI 1,325.44 109.93 88.98 46.50 77.90 24.88 1,673.63 11/27/2024 11/27/2024 11/27/2024 11/27/2024 11/27/2024 11/27/2024 1,054.00 11/27/2024 670.16 11/27/2024 1,724.16 1,250.00 1,400.00 850.00 800.00 700.00 3,345.50 1,213.50 11/27/2024 11/27/2024 11/27/2024 11/27/2024 11/27/2024 11/27/2024 11/27/2024 Check Sequence: 2 0101-45000-61310 0101-42200-61015 6100-48800-61205 5100-48100-61005 0101-45000-61310 0101-42200-61005 Check Sequence:3 0101-42200-61305 0101-42200-61305 Check Sequence: 4 414049300-63005 4140-49300-63005 414049300-63005 4140-49300-63005 414049300-63005 417049300-63005 4120-49300-63005 ACH Enabled: False ACH Enabled: False ACH Enabled: False AP -Computer Check Proof List by Vendor (11/27/2024 - 10:06 AM) Page 1 Check Total: Vendor: Bolton Bolton & Meaky Inc. 0349760 2025 St Recon - Indian Meadow 4/5 0349760 2025 St Recon -Xenia/Vntage/161 0349760 2025 M&O - Kadles Oakwd WOCE172 0349760 2025 Reclaim - Andvr Comm Pk 0349760 2025 Reclaim - Fox/Indian Meadows 0349760 Coon Crk Crdr Trail E of Prair Rd 0349761 Fiber Optics - City Utilities i3_SItDI 1,325.44 109.93 88.98 46.50 77.90 24.88 1,673.63 11/27/2024 11/27/2024 11/27/2024 11/27/2024 11/27/2024 11/27/2024 1,054.00 11/27/2024 670.16 11/27/2024 1,724.16 1,250.00 1,400.00 850.00 800.00 700.00 3,345.50 1,213.50 11/27/2024 11/27/2024 11/27/2024 11/27/2024 11/27/2024 11/27/2024 11/27/2024 Check Sequence: 2 0101-45000-61310 0101-42200-61015 6100-48800-61205 5100-48100-61005 0101-45000-61310 0101-42200-61005 Check Sequence:3 0101-42200-61305 0101-42200-61305 Check Sequence: 4 414049300-63005 4140-49300-63005 414049300-63005 4140-49300-63005 414049300-63005 417049300-63005 4120-49300-63005 ACH Enabled: False ACH Enabled: False ACH Enabled: False AP -Computer Check Proof List by Vendor (11/27/2024 - 10:06 AM) Page 1 Invoice No Description 0349762 VIM Improve - Crosstown Blvd Check Total: Vendor: CDMAppai CDM Apparel 20241081 Snowflake Hats for Tree Lighting Event Check Total: Vendor: CoonRapi City of Coon Rapids AR -0000014538 2024 Crack Sealing AR -0000014538 2024 Trail Maintenance AR -0000014538 2024 Pavement Markings Amount Pmt Date Acct Number 7,630.50 11/27/2024 4110119300-63005 Check Sequence: 5 360.00 11/27/2024 0101-45000-63005 Check Sequence: 6 298.00 Check Total: Vendor: ChetsSho Chefs Shoes, Inc. 521263 Safety Boots for Dan Virchow 521263 Safety Boots for Erick Sohr S21263 Safety Boots for Micky Grant 521263 Safety Boots for Nate Schuh S21263 Safety Boots for Justin Overby 11/27/2024 Check Total: Vendor: CintasGK Cintas Corp 4210953573 Floor Mat Rental 4211687767 Floor Mat Rental 4212365749 Uniform Cleaning & Shop Towels 4212365811 Uniform Cleaning 4212365811 Uniform Cleaning 4212365811 Uniform Cleaning 4212365811 Uniform Cleaning 4212365811 Uniform Cleaning Check Total: Vendor: CoonRapi City of Coon Rapids AR -0000014538 2024 Crack Sealing AR -0000014538 2024 Trail Maintenance AR -0000014538 2024 Pavement Markings Amount Pmt Date Acct Number 7,630.50 11/27/2024 4110119300-63005 Check Sequence: 5 360.00 11/27/2024 0101-45000-63005 Check Sequence: 6 298.00 11/27/2024 0101-43100-61005 153.00 11/27/2024 6100-48800-61005 221.00 11/27/2024 0101-43100-61005 166.00 11/27/2024 5300-48300-61005 138.00 11/27/2024 5200-48200-61005 976.00 Check Sequence: 7 45.74 11/27/2024 0101-41920-62200 35.00 11/27/2024 0101-41910-62200 120.39 11/27/2024 610048800-61020 26.89 11/27/2024 0101-43300-61020 188.10 11/27/2024 0101-43100-61020 53.73 11/27/2024 5200-48200-61020 107.45 11/27/2024 0101-45000-61020 26.88 11/27/2024 5100-48100-61020 604.18 Check Sequence: 8 1,217.87 11/27/2024 4140-49300-63010 1,217.86 11/27/2024 4140-49300-63010 1,217.87 11/27/2024 4140-49300-63010 Reference ACH Enabled: False ACH Enabled: False ACH Enabled: False ACH Enabled: False Check Total 3,653.60 Vendor: Divisil6 Division 16 Electric, LLC Check Sequence: 9 ACH Enabled: False 9218 Well 49 Generator 6,140.21 11/27/2024 5100-48100-63115 AP -Computer Check Proof List by Vendor (11/27/2024 - 10:06 AM) Page 2 Invoice No Description Amount Pont Date Acct Number Reference AP -Computer Check Proof List by Vendor (11/27/2024 - 10:06 AM) Page 3 Check Total: 6,140.21 Vendor: DobmtzA Addison Dobmtz Check Sequence: 10 ACH Enabled: False 2024 Soccer Coaches 273.00 11/27/2024 2130-44400-63005 Check Total: 273.00 Vendor: ECM ECM Publishers, Inc. Check Sequence: 11 ACH Enabled: False 1023544 Monthly Recycling Program 265.00 11/27/2024 0101-46000-63025 1024248 Nov 26 PH 2814 Bunker Lake Blvd 84.70 11/27/2024 0101-41500-63025 1024249 Nov 26 PH Sloth Farms Sketch 78.65 11/27/2024 0101-41500-63025 Check Total: 428.35 Vendor: EganSery Egan Service Check Sequence: 12 ACH Enabled: False MNT0000025254 Andover Blvd & Crosstown Blvd RR Maint 568.67 11/27/2024 0101-43400-62300 Check Total: 568.67 Vendor: FletPrid FleetPride Truck & Trailer Parts Check Sequence: 13 ACH Enabled: False 121599705 Parts for Unit #22-182 802.62 11/27/2024 6100-48800-61115 Check Total: 802.62 Vendor: ForccAm Force America Distributing LLC Check Sequence: 14 ACH Enabled: False IN001-2019727 Cable M12 84.12 11/27/2024 6100-48800-61115 Check Total: 84.12 Vendor: Grainger Grainger Check Sequence: 15 ACH Enabled: False 9306434169 EMS/Wildland 299.09 11/27/2024 0101-42200-61305 9306718173 Unit Bearing Motor 110.22 11/27/2024 5100-48100-61120 9308622324 Inline Strainer 23.13 11/27/2024 5100-48100-61040 9316351643 YStrainer 12.78 11/27/2024 5100-48100-61040 Check Total: 445.22 Vendor: GriessTr Tracey Griess - Check Sequence: 16 ACH Enabled: False 2024 Soccer Coach 780.00 11/27/2024 2130-44400-63005 AP -Computer Check Proof List by Vendor (11/27/2024 - 10:06 AM) Page 3 Invoice No Description Amount Pmt Date Acct Number Reference Check Total: 780.00 Vendor: HBSpecia H&B Specialized Products, Inc Check Sequence: 17 ACH Enabled: False 34342 PM Inspection to Baskets in Both Gyms 1,309.00 11/27/2024 2130-44300-63105 Check Total: 1,309.00 Vendor: HachCo Hach Company Check Sequence: I8 ACH Enabled: False 14261386 Chemicals for Water Treatment Plant 584.59 11/27/2024 5100-48100-61040 Check Total: 584.59 Vendor: HenSchei Henry Schein, Inc. Check Sequence: 19 ACH Enabled: False 25875647 Combat Toumiquet & Safety Glasses 89.13 11/27/2024 0101-42200-61020 Check Total 89.13 Vendor: HoffhumB Hoffman Bros. Sod, Inc. Check Sequence: 20 ACH Enabled: False 029510 Classic Bluegrass Sod 162.25 11/27/2024 0101-45000-61130 029511 Classic Bluegrass Sod 9.23 11/27/2024 0101-45000-61130 Check Total: 171.48 Vendor: InterBat Interstate All Battery Center Check Sequence: 21 ACH Enabled: False 1901201011739 Batteries 58.80 11/27/2024 5100-48100-61135 Check Total: 58.80 Vendor: JEFFER Jefferson Fire & Safety In Check Sequence: 22 ACH Enabled: False IN320475 Extrication Gloves 387.09 11/27/2024 010142200-61020 IN320539 Fire Armor Glove Gauntlet 542.24 11/27/2024 0101-42200-61020 Check Total: 929.33 Vendor: LawBri Bri Law Check Sequence: 23 ACH Enabled: False 2024 Soccer Coach 42.00 11/27/2024 2130-44400-63005 Check Total: 42.00 Vendor: LepageSo Lepage & Sons Check Sequence: 24 ACH Enabled: False 268673 11/12/2024 Trash Removal for Parks Departmen 795.87 11/27/2024 0101-45000-62020 AP -Computer Check Proof List by Vendor (11/27/2024 - 10:06 AM) Page 4 Invoice No Description Amount Pmt Date Acct Number Reference 30737 1/2 (1/2 Cat) 4X8 OSB & Ext Screw 30738 Ice Melt 30810 Check Total: 795.87 Heavy Duty Const/Rem Adh Vendor: MacgEmer Macqueen Emergency Group 31119 Check Sequence: 25 ACH Enabled: False P11818 Blower Motor for Unit#4800 333.29 11/27/2024 6100-48800-61115 P38710 Cairns &Globe Hoods 3,433.53 11/27/2024 0101-42200-61315 Check Total: Vendor: MCKmPai Paige McKnight 2024 Soccer Coach Check Total: Vendor: McKnighP Payton McKnight 2024 Soccer Coach Check Total: Vendor: MNFire4 Minnesota Fire Service 13291 Fire Inspector I Certification Exam - R. Marinell AP -Computer Check Proof List by Vendor (11/27/2024 - 10:06 An 3,766.82 Check Sequence: 26 ACH Enabled: False 273.00 11/27/2024 2130-44400-63005 273.00 Check Sequence: 27 ACH Enabled: False 273.00 11/27/2024 2130-44400-63005 273.00 Check Total: Vendor: Menards Menards Inc 30737 1/2 (1/2 Cat) 4X8 OSB & Ext Screw 30738 Ice Melt 30810 Top Load Washer 30869 Heavy Duty Const/Rem Adh 31108 Returned Training Supplies 31119 Wrist Coil with Ring 31177 Microfiber Duster & Ceiling Duster 31206 Misc. Supplies 31411 Spring Water, 4 Cycle Gas & Fuel Premix 11/27/2024 Check Total: Vendor: MetLife MetLife TS05388399 December 2024 Premium TS05388399 December 2024 Premium Check Total: Vendor: MNFire4 Minnesota Fire Service 13291 Fire Inspector I Certification Exam - R. Marinell AP -Computer Check Proof List by Vendor (11/27/2024 - 10:06 An 3,766.82 Check Sequence: 26 ACH Enabled: False 273.00 11/27/2024 2130-44400-63005 273.00 Check Sequence: 27 ACH Enabled: False 273.00 11/27/2024 2130-44400-63005 273.00 Check Sequence: 28 ACH Enabled: False 427.37 11/27/2024 0101-42200-61015 77.94 11/27/2024 0101-41930-61120 478.00 11/27/2024 010141930-61120 14.01 11/27/2024 0101-45000-61020 -203.76 11/27/2024 0101-42200-61015 7.47 11/27/2024 0101-42200-61005 17.47 11/27/2024 0101-45000-61025 427.80 11/27/2024 0101-43100-61020 159.84 11/27/2024 0101-42200-61020 1,406.14 Check Sequence: 29 ACH Enabled: False 3,854.62 11/27/2024 0101-00000-21208 326.28 11/27/2024 7100-00000-21218 4,180.90 Check Sequence: 30 ACH Enabled: False 131.00 11/27/2024 010142200-61315 Page 5 Invoice No Description Amount Pmt Date Acct Number Reference AP -Computer Check Proof List by Vendor (11/27/2024 - 10:06 AM) Page 6 Check Total: 131.00 Vendor: MNRWA Minnesota Rural Water Assoc Check Sequence: 31 ACH Enabled: False 2024-2025 Nov 2024 - October 2025 Membership Dues 400.00 11/27/2024 5100-48100-61320 Check Total: 400.00 Vendor: MNWireCc Minnesota Wiring Co Check Sequence: 32 ACH Enabled: False 252 WM Improve -Crosstown Blvd 2,426.95 11/27/2024 4110-49300-63010 Check Total: 2,426.95 Vendor: MobVehic Mobil Vehicle Integration Check Sequence: 33 ACH Enabled: False 24-09178 Parts for Unit #22-105 478.16 11/27/2024 6100-48800-61115 24-09178 Labor for Unit #22-105 315.00 11/27/2024 6100-48800-63135 Check Total: 793.16 Vendor: MRCutEdg MR Cutting Edge Check Sequence: 34 ACH Enabled: False 6923 Ice Scraper Blade Sharpen 93.00 11/27/2024 2130-44300-61020 Check Total: 93.00 Vendor: MYHold MY Holdings, Inc. Check Sequence: 35 ACH Enabled: False 5150 Autosembbing Floor @ ANS & Sunshine 885.00 11/27/2024 0101-45000-63010 Check Total: 885.00 Vendor: Optum - Optum Financial Inc Check Sequence: 36 ACH Enabled: False 0001655806 2024 3rd Qtr HSA Fees 356.25 11/27/2024 6200-48900-63005 Check Total: 356.25 Vendor: OReiAuto O'Reilly Auto Parts Check Sequence: 37 ACH Enabled: False 3253-448905 Returned Door Handle -29.09 11/27/2024 6100-48800-61115 3253-448974 Returned Connector -35.99 11/27/2024 6100-48800-61115 3253-449258 Capsule & Oil Filters 70.45 11/27/2024 6100-48800-61115 3253-449264 Battery for Unit #16-169 158.45 11/27/2024 6100-48800-61115 3253-450254 7 -Way RV Plug Tester 46.99 11/27/2024 6100-48800-61205 3253450300 Connector 13.59 11/27/2024 6100-48800-61115 AP -Computer Check Proof List by Vendor (11/27/2024 - 10:06 AM) Page 6 Invoice No Description Amount Pmt Date Acct Number Reference 3253-450311 Core Return -22.00 11/27/2024 6100-48800-61115 3253-450604 Lug Nuts for Unit #22-182 68.16 11/27/2024 6100-48800-61115 3253-450667 Light for Unit #22-182 4.39 11/27/2024 6100-48800-61115 3253-450809 Oil Filter 5.29 11/27/2024 6100-48800-61115 3253-451356 Wheel Weight 89.39 11/27/2024 6100-48800-61020 Pest Control @ Cold Storage Check Total: 369.63 0101-41940-63010 Vendor: OTlinc OTT Inc. 136.28 11/27/2024 Check Sequence: 38 ACH Enabled: False 24-0187 Yard Waste 425.25 11/27/2024 0101-43100-63010 Check Total: Vendor: QuenchUS Quench USA, Inc. fNV08161556 Water Cooler @FS#1 Check Total: 620.00 Check Sequence: 42 157.59 11/27/2024 0101-42200-62200 157.59 ACH Enabled: False AP -Computer Check Proof List by Vendor (11/27/2024 - 10:06 AM) Page 7 Check Total: 425.25 Vendor: Plunkett Plunkett's Pest Control, Inc. Check Sequence: 39 ACH Enabled: False 8882937 Pest Control @ City Hall 136.28 11/27/2024 0101-41910-63010 8888250 Pest Control @ WTP 136.50 11/27/2024 5100-48100-63010 8888327 Pest Control @ Cold Storage 136.28 11/27/2024 0101-41940-63010 8888568 Pest Control @ Public Works 136.28 11/27/2024 0101-41930-63010 8888733 Pest Control @ Vehicle Maint 136.28 11/27/2024 6100-48800-63010 Check Total: 681.62 Vendor: PosncrE Elizabeth Posner Check Sequence: 40 ACH Enabled: False 2024 Soccer Coach 234.50 11/27/2024 2130-44400-63005 Check Total: 234.50 Vendor: PreCise PreCise MRM LLC Check Sequence: 41 ACH Enabled: False TN200-2001728 5MB Flat Data Plan US with NAF 124.00 11/27/2024 5100-48100-61320 IN200-2001728 5MB Flat Dakin Plan US with NAF 279.00 11/27/2024 0101-43200-61320 TN200-2001728 5MB Flat Data Plan US with NAF 124.00 11/27/2024 5200-48200-61320 IN200-2001728 5MB Flat Data Plan US with NAF 93.00 11/27/2024 0101-43100-61320 Check Total: Vendor: QuenchUS Quench USA, Inc. fNV08161556 Water Cooler @FS#1 Check Total: 620.00 Check Sequence: 42 157.59 11/27/2024 0101-42200-62200 157.59 ACH Enabled: False AP -Computer Check Proof List by Vendor (11/27/2024 - 10:06 AM) Page 7 Invoice No Description Amount Pmt Date Acct Number Reference Vendor: RCMSpeci RCM Specialties inc 9929 Emulsion False Check Total: Vendor: RUFFRI Ruffridge Johnson Equipment Company 50028022 Connector Pipe 946.95 Check Total: Vendor: SchroedA Abigail Schroeder 2024 Soccer Coach Check Total: Vendor: SmithAnd Andrew Smith 288785303 Refund -Never Supplied Information Request 6100-48800-61115 Check Total: Vendor: WoldSW SW Wold Construction, Inc. 1054 - Escrow 1054 168th Ave NW 1054 - Insp Fee 1054 168th Ave NW Check Total: Vendor: TahoSpl Taho Sportswear, Inc. 24TS4781 Basic T -Shirts 11/27/2024 Check Total: Vendor: TennantC Tennant Sales and Service Company 920873165 Labor to Repair Scrubber Rider 920873165 Parts to Repair Scrubber Rider Check Total: Vendor: TmutWet Ttaut Companies 375225 WM Improve - Crosstown Blvd 375226 ATM Improve - Crosstown Blvd Check Sequence: 50 ACH Enabled: False 6,375.00 11/27/2024 4110-49300-63010 4,995.00 11/27/2024 411049300-63010 AP -Computer Check Proof List by Vendor (11/27/2024 - 10:06 AM) Page 8 Check Sequence: 43 ACH Enabled: False 946.95 11/27/2024 0101-43100-61125 946.95 Check Sequence: 44 ACH Enabled: False 255.08 11/27/2024 6100-48800-61115 255.08 Check Sequence: 45 ACH Enabled: False 234.50 11/27/2024 2130-44400-63005 234.50 Check Sequence: 46 ACH Enabled: False 50.00 11/27/2024 0101-42300-52175 50.00 Check Sequence: 47 ACH Enabled: False 6,000.00 11/27/2024 7200-00000-24204 -75.00 11/27/2024 0101-41600-54180 5,925.00 Check Sequence: 48 ACH Enabled: False 1,030.75 11/27/2024 2130-44400-61055 1,030.75 Check Sequence: 49 ACH Enabled: False 970.20 11/27/2024 6100-48800-63135 1,744.70 11/27/2024 6100-48800-61115 Check Sequence: 50 ACH Enabled: False 6,375.00 11/27/2024 4110-49300-63010 4,995.00 11/27/2024 411049300-63010 AP -Computer Check Proof List by Vendor (11/27/2024 - 10:06 AM) Page 8 Invoice No Description Amount Pmt Date Acct Number Reference Check Sequence: 51 0101-43100-63010 Check Sequence: 52 0101-41200-62030 0101-42200-62030 0101-41500-62030 0101-42300-62030 010145000-62030 2130-44000-62030 0101-43300-62030 0101-43100-62030 520048200-62030 0101-41400-62030 6100-48800-62030 0101-41910-62030 5100-48100-62030 0101-41420-62030 0101-41600-62030 Check Sequence: 53 4520-49300-62020 Check Sequence: 54 0101-00000-24201 0101-45000-62200 0101-00000-24201 0101-00000-24201 0101-00000-24201 ACH Enabled: False ACH Enabled: False ACH Enabled: False ACH Enabled: False AP -Computer Check Proof List by Vendor (11/27/2024 - 10:06 AM) Page 9 Check Total: 11,370.00 Vendor: TCPropMt Twin Cities Property Maintenance Inc 238236 Lawn Mowing & Tree Removal @ 3824 174th A 297.50 11/27/2024 Check Total: 297.50 Vendor: Verizon Verizon Wireless 9978587298 Monthly Cell Phone Service 106.75 11/27/2024 9978587298 Monthly Cell Phone Service 927.44 11/27/2024 9978587298 Monthly Cell Phone Service 41.39 11/27/2024 9978587298 Monthly Cell Phone Service 162.80 11/27/2024 9978587298 Monthly Cell Phone Service 492.78 11/27/2024 9978587298 Monthly Cell Phone Service 124.17 11/27/2024 9978587298 Monthly Cell Phone Service 81.40 11/27/2024 9978587298 Monthly Cell Phone Service 293.35 11/27/2024 9978587298 Monthly Cell Phone Service 254.31 11/27/2024 9978587298 Monthly Cell Phone Service 46.39 11/27/2024 9978587298 Monthly Cell Phone Service 124.17 11/27/2024 9978587298 Monthly Cell Phone Service 46.39 11/27/2024 9978587298 Monthly Cell Phone Service 271.21 11/27/2024 9978587298 Monthly Cell Phone Service 35.01 11/27/2024 9978587298 Monthly Cell Phone Service 162.18 11/27/2024 Check Total: 3,169.74 Vendor: WalterRR Walters Recycling & Refuse Inc 210084/8337235 11/24 Rental Properly Garbage Service 463.39 11/27/2024 Check Total: 463.39 Vendor: WruckSew Wrack Sewer and Portable Rental I25263 Oct 2024 BCA Portable Toilet Rental 296.50 11/27/2024 125263 Oct 2024 Portable Toilet Rental 599.00 11/27/2024 125263 Oct 2024 ABA Portable Toilet Rental 241.50 11/27/1024 125263 Oct 2024 AAA Portable Toilet Rental 257.00 11/27/2024 125263 Oct 2024 AFA Portable Toilet Rental 357.75 11/27/2024 Check Sequence: 51 0101-43100-63010 Check Sequence: 52 0101-41200-62030 0101-42200-62030 0101-41500-62030 0101-42300-62030 010145000-62030 2130-44000-62030 0101-43300-62030 0101-43100-62030 520048200-62030 0101-41400-62030 6100-48800-62030 0101-41910-62030 5100-48100-62030 0101-41420-62030 0101-41600-62030 Check Sequence: 53 4520-49300-62020 Check Sequence: 54 0101-00000-24201 0101-45000-62200 0101-00000-24201 0101-00000-24201 0101-00000-24201 ACH Enabled: False ACH Enabled: False ACH Enabled: False ACH Enabled: False AP -Computer Check Proof List by Vendor (11/27/2024 - 10:06 AM) Page 9 Invoice No Description Check Total: Vendor: ZieglerA Alison Ziegler 2024 Soccer Coach Check Total: Total for Check Run: Total of Number of Checks: Amount Pmt Date Acct Number 1,751.75 192.50 11/27/2024 192.50 86,007.33 55 Check Sequence: 55 2130-44400-63005 Reference ACH Enabled: False AP -Computer Check Proof List by Vendor (11/27/2024 - 10:06 ADA) Page 10 Accounts Payable Computer Check Proof List by Vendor User: BrendaF Printed: 11/27/2024 - 10:19AM Batch: 00403.12.2024 Invoice No Description Vendor: Archkepr Archkey Technologies 50007256740 Upgraded Security Cameras False Check Total: Vendor: Castrejo Castrejon, Inc. Payment #1 Fiber Optics - City Utilities 29,506.00 Check Total: Vendor: JohnCont Johnson Controls, Inc 1-134651564910 Maintenance Contract - 12/01/2024 - 11/30/2025 Check Total: Vendor: MNDOH Minnesota Department of Health 1020034 2024 4th Qtr Connection Fee 4110-49300-63010 Check Total: Vendor: MNPlaygr Minnesota Playground, Inc. 2024633 Pine Hills North Building Check Total: Vendor: NoValley North Valley, Inc. Final Payment Crosstown Blvd Toil - Bluebird - Xeon False Check Total: Vendor: SteppMfg Stepp Mfg 065277 Catwalk Plat, Hose Reel, Burner Timer & Lights L-111' � J V IT Amount Pmt Date Acct Number Reference AP -Computer Check Proof List by Vendor (11/27/2024 - 10:19 AM) Page 1 Check Sequence: I ACH Enabled: False 29,506.00 12/03/2024 251046500-65600 29,506.00 Check Sequence: 2 ACH Enabled: False 133,410.40 12/03/2024 4110-49300-63010 133,410.40 Check Sequence: 3 ACH Enabled: False 23,275.00 12/03/2024 2130-44000-62300 23,275.00 Check Sequence: 4 ACH Enabled: False 17,522.00 12/03/2024 5100-48100-63050 17,522.00 Check Sequence: 5 ACH Enabled: False 48,650.00 12/03/2024 4150-49300-65200 48,650.00 Check Sequence: 6 ACH Enabled: False 40,662.53 12/03/2024 417049300-63010 40,662.53 Check Sequence: 7 ACH Enabled: False 37,765.20 12/03/2024 4110-49300-65600 AP -Computer Check Proof List by Vendor (11/27/2024 - 10:19 AM) Page 1 Invoice No Description Amount Pmt Date Acct Number Reference Check Total: Total for Check Run: Total of Number of Checks: 37,765.20 Check Total: Vendor: WSB WSB & Associates, Inc. R-022965-000-17 NightingaleNet Mem Rndbt R-022965-000-17 Nightingale/Crosstovm Rndbt R-024123-000-9 Biological Water Treatment Study R-024237-000-10 WTP Radon Mitigation Check Total: Total for Check Run: Total of Number of Checks: 37,765.20 Check Sequence: 8 7,633.90 12/03/2024 4140-49300-63005 7,633.89 12/03/2024 4140-49300-63005 179.00 12/03/2024 510048100-63005 3,036.75 12/03/2024 5100-48100-63005 349,274.67 ACH Enabled: False AP -Computer Check Proof List by Vendor (11/27/2024 - 10:19 AM) Page 2 Axbbw ..��A (.�� 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Council Members CC: Sarah Cotton, City Administratorr2C2—C:— David Berkowitz, Director of Public Works / City Enginee;h� FROM: Jason Law, Assistant City Engineer SUBJECT: Approve Change Order #1 / 23-12 / Crosstown Blvd Trail (Bluebird Street to Xeon Street) - Engineering DATE: December 3, 2024 INTRODUCTION The City Council is requested to approve Compensating Change Order 41 for Project 23-12, Crosstown Boulevard Trail — Bluebird Street to Xeon Street. DISCUSSION This compensating change order accounts for project cost increases due to additional work the City directed the contractor to complete for the proposed project, as well as actual quantities exceeding estimated bid quantities. Refer to the attached table for an itemization of specific bid items and actual vs. bid costs and quantities. The majority of the cost increases were due to an unexpected soil correction required east of Yellow Pine Street, additional gravel used for trail constructability, increase in pedestrian curb ramps area to meet ADA requirements, and additional restoration work completed up to the edge of Crosstown Boulevard compared to anticipated disturbed area. BUDGETIMPACT The project is being funded by the City's Trail Fund and American Rescue Plan Funds. COUNCIL ACTION The City Council is requested to approve Compensating Change Order #1 for Project 23-12, Crosstown Boulevard Trail — Bluebird Street to Xeon Street. Respectf ly submitted, Jason J. Law, P.E. Attachments: Resolution & Compensating Change Order #1 CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. MOTION by Council member to adopt the following: A RESOLUTION APPROVING COMPENSATING CHANGE ORDER #1 TO PROJECT NO. 23-12, CROSSTOWN BOULEVARD TRAIL — BLUEBIRD STREET TO XEON STREET. WHEREAS, the City of Andover has a contract for Project No. 23-12 with North Valley, Inc. of Nowthen. MN. NOW THEREFORE, BE IT RESOLVED by the City Council of Andover to hereby approve Compensating Change Order #1 for Project No. 23-12. Adopted by the City Council of the City of Andover this 3rd day of December 2024. CITY OF ANDOVER ATTEST: Sheri Bukkila - Mayor Michelle Hartner — City Clerk CHANGE ORDER (COMPENSATING) Change Order No.: 1 Date: 1125/24 Sheet: I of 2 Project Name: Crosstown Blvd Trail - Bluebird Street to Xeon Street Project No.: 23-12 Contractor: North Valley, Inc. You are hereby directed to make the following change to your contract dated May 10th, 2024. The change and the work affected thereby is subject to all contract stipulations and covenants. This change order will (increase) (decrease) (ae- sheAge) the contract sum by twenty five thousand three hundred thirty one and 31/100 Dollars ($25,331.31). This compensating change order accounts for project cost increases due to additional work the City directed the contractor for in completing the proposed projects. Refer to attached spreadsheet for differences in bid vs actual with notes provided for specific items. Description Contract quantities changes to complete project as directed Total Amount of Change Order Amount of Original Contract Additions Approved to Date (Change Order #� Deductions Approved to Date (Chage Order #� Contract Amount to Date Amount of this Change Order (Add) Revised Contract Amount Approval: City of Andover By: David D. Berkowitz Name Director of PW l City Engineer Title Signature Date 23-12 Change Orden -Compensating Approval: North Valley, Inc. Inerease��eereesel $25,331.31 525,331.31 By: MA -M Ec.t+bt_S Name $257,935.05 $0.00 $0.00 $257,935.05 525,331.31 $283,266.36 Title ij/zc�ay Signature Date Crosstown Blvd Trail: Bluebird St to Xeon St 149011C.P. 23.121 FINAL QUANTITIES Owner: Andover MN, City of COMPENSATING CHANGE ORDER 41 Solicitor. Andover MN. City of 0A/25/202431:1AMCDT Line Item Item Cone Item Descrl UofM Quantity North Valley, Inc. Bid Unit Price Edension RUNNINGTOTALS DIFFERENCE IN ACTUALVSBID Notes C.P. 2&13 1 2021.501 M4b11I3ation LS ] 59.805.91 r $9,605.91 QUAN I 1.00 AMOUNT $9,605.91 WAN 0.00 AMOUNT SD.OD 2 2101.524 Grubbing TREE 36 5341.78 $12.31 39.00 533,329.42 3.00 SI,025.34 Additional stumps vs plan amount 3 214.503 Sewage Para Sewer/ Aprom LF GB $24.70 52.420.60 98.00 51 0.00 $0.00 4 2104.503 Remove Curb 6 Gutter LF 89 514.69 $1.307.41 89.00 $1,307.41 0.00 $0.00 5 2104.503 Remove Pipe Culvert/Storm Sewer LF 82 $12.35 $1.012.70 82.0 $1,012.70 0.00 $0.00 6 2104.503 Sawing BN Pavement lFull Depth) LF 355 $3.81 51.352.55 320.00 $1,219.20 35.00 13133.35 7 2104.518 Remove Bituminous Pavement SF 3500 50.84 53,290.00 351 $3.29D.00 O.OD $0.00 8 2104.518 Remove Concrete Pavement SF 288 EASE $1,338.04 288.00 $1,319.04 1 0.00 $0.00 9 2105.60] Common Excavation LV CY 800 530.47 527,423.00 987.30 530,076.91 87.10 52,653.94 Subcul needed east side of Yellow Pine In low area 10 210.5.607 SelectGranular Berm LV) CY W $2732 53,381.00 87.10 $2.31.1 37.10 $1,009.86 Nll material re0uired to0111n subcutarea. 11 2112.5]9 Subgrade Preparation RDST 25 5248.91 56.222.75 25.00 16322.75 0.00 50.00 12 2211.509 AggregateBaseClei IN I 680 $17.26 1 $11,391.60 800.40 $13.814.90 14D,40 52,423.30 Wrawidtholgrav tmdionvspianformnstMOSbRfty. 13 2232.504 MITI Bituminous Surface (1.5') BY 20 $16.33 $326.811 43.00 $702.19 23.00 $375.59 14 235].506 Bituminous Material ForTack Coat GA 40 $10.$9 5435.80 40.00 $435.60 0.011 $0.00 IS 2360.508 SP 9.5 Wearin Course Mix (2,C -Street Patch TN 9D $153673 $13.835.70 95.46 $14,65.6 5.46 $839.37 16 2360.509 SP 9.5 WearingCourse Mix (2.B) -Tails IN 3]0 5104.8 $38.509.60 3A9.93 $36,420.71 (20.07) 152.01.891 17 2501.502 Insta$PipeApron EACH 1 5343.11 $343.11 1.00 5343.11 O.OD ULDO 18 2501.502 IF RC Apron EACH 1 $1.372.45 $1.3]245 1.00 $1,372.45 0.00 50.00 19 2501.502 2V CS Safe Apron B Grate Des 3128 EACH 2 $1.029.34 $2.058.68 2.00 $2,058.68 0.00 $0.00 20 2501.603 ISHDPEPIpe Culvert U, SO $82.35 $6.588.0 80.00 56.588.00 0.00 $0.00 21 2503.503 Install Pipe Sewer IF 82 $43.92 $3.601.44 82.00 53.601.44 0.00 60.00 2503.503 IS' RC Pipe Sewer ClarsV LF 10 $102.93 51,029.30 10.00 51,029.30 0.0 50.00 2503.503 18' RC Pipe Sewer Class V LF 50 582.35 $4,117.50 50.00 14.117.50 O.DO 50.00 251.603 let Clean and Televise Storm Sewer LF 254 $20.58 $5.228.88 254.00 55.229.88 0.00 WDD 25(,4.602 Irri ation System Modl0catiom EACH 6 511.33 5979.98 5.D0 5816.65 11.00) 1$163.331 2504.802 AGustValveBox EACH 2 $119.78 5239.56 2.1 5239.56 0.00 $0002504.602 F31 A4ust Valve Box- FBI New Val"Box To EACH 2 $2$8.55 357].10 2.1 $577.10 0.00 $0.002506.502 Cason AcaemW -Storm EACH 3 $1.248.74 53.740.22 3.00 53,]40.22 0.00 $0.002508.802 Corrsimct Dralna eStructure, 4091 Din. EACH 2 S6,5B7.76 533,175.52 200 513.175.52 0.00 30.00 2506.602 Construct Dralna eStructure.T 420.2'x3' EACH 1 $2.470.41 $2,470.41 1.00 $2,470.41 0.00 50.00 2511.507 Random Riprap Ctass 111 CY 8 5171.56 $1.372.48 8.00 $1.372.48 0.0 W.1 32 2521618 6' Concrete Walk - S ial SF 385 $9.80 53.773.00 5]6.00 55,666.80 191.1 $1,871.80 Red ramps constructed larger than Wan to meet ADA requirements. 33 2531.51 Concrete Curb and Gutter Surmountable LF 244 s1.11 59398.86 248.00 39.451.28 4.00 5352,44 34 211.618 Tmncaled Domes SF ea $11.33 $11,106.44 9131 $15.69.88 28.00 $4,573.24 Ped ramps constructed larger than plan to meet ADA requirements. 35 251.601 Tighe Control LS I 1 $4,681 54.682.1 1.00 54.682.09 0.DD 50.00 38 2573.502 Sloan Grain Intel Protection EACH 6 $147.00 6882.00 6.00 $882.00 0.00 50.00 37 2573.51 Sediment Control Log Type Wood Chip U, 300 $4.3$ 53.314.00 240.1 $1.051.20 Imm 5262.80 38 264.507 Loam Topcillarrew LV) CY 720 33645 326344.00 9041 532.950.$0 184.1 18.71.80 Disturbed area restored up to edge of street. 39 264.51 FertlllzerTypel LB 280 $1.25 $325.1 420.00 $525.1 180.00 5200.00 40 2575.504 Rolled Erosion Prevention Category 20 SY 915 53.13 $2.81.95 324.00 $1.014.12 591.00 53,849.83 Used additional h roseed Instead of blanket. 41 265.505 Saddln T lawn BY Al 112.52 55,01.00 41.1 $5.01.1 0.1 $0.01 42 2575.505 Seeding ACRE 1.3 $1.251.88 $1,627.44 2.001 1111 0.70 1$76.32 IDIsturned area restored up to edge of street. 03 I 2575.505 Weed Spreyin ACRE 1.3 5250.38 3325.49 0.1 50.00 (1.30) (325.49) Not needed. 44 2575.51 Seed Mbdure25-131 LB 280 $5.01 $1,302.60 420.00 $2,104.20 160.00 $801.60 Disturbed area resrored upto edge of street. 45 265.508 H raullc Mulch Matrix LB 3250 Ili 38.125.00 561.0 $14,000.1 2350.00 $5,875.00 Disturbed area restored up to edge of street. A8 2582.51 IB' Solid Line Paint LF 40 $7.55 $302.00 11.1 $$00.31 66.00 $498.30 ReDainla dregs tlue toasphalltmcks 47 2582.518 Pavement Message Paint SF 182 $9.07 51,74144 222.1 52.013.5,4 30.0 5272.10 %p!rix!areastlue to asphalltrucks Base Bld Total: 1 $257,935.05 1 $28338836 $25.331.31 LDOVE y. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council CC: Sarah Cotton, City Administrator L0� FROM: Michelle Hartner, City Clerk SUBJECT: Approve Application for Exempt Permit/Anoka Area Chamber of Commerce DATE: December 3, 2024 INTRODUCTION Anoka Area Chamber of Commerce has submitted an application for a raffle at an event they are hosting on February 21, 2025 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 Hartner City Clerk Attach: Application MINNESOTA LAWFUL GAMBLING LG220 Application for Exempt Permit 4/23 Dano 1 of z 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 PP • awards less than $50,000 in prizes during a calendar is postmarked or received 30 days or more before the event, the year, application fee is $100; otherwise the fee is $150. 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 Organization �] 11,, /nl / Previous Gambling Name: rl Vl/9K.� /TIe�� ��1 �CVn lx/ 6"i- �Gyyiyi/"J PGC Permit Number: X - Minnesota Tax ID �j Federal Employer ID Number, if any:�hI Number (FEIN), if any: 1 l% 7f GSL// MailingAddrjess: �7. 61'gec: gUG�e //- City: 7iV�G�lc�t State: �-f=A At Zip: 5 3�3 V - County: �hG4l Name of Chief Executive Officer (CEO): PC f e r Tu ro K 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 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 ❑ IRS 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 // (for raffles, list the site where the drawing will take place): I—A,= ef Oy/�Y'q 45 Physical Address (do not use P.O. box): 13SY /i7G( /"�1 n �j j'(' -t , �nGID MAI Check one: ®City: N�DUG� Zip: 5�53C)Y County: 11)YIG�e1 Township: Zip: I County: Date(s) of activity (for raffles, indicate the date of the drawing): y 'e J ✓ "eq'- L/ Z o 2_5 Check each type of gambling activity that your organization will conduct: Bingo F-1 Paddlewheels = Pull -Tabs =Tipboards F/El 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. 4/23 LG220 Application for Exempt Permit D,,. , „F , LOCAL UNIT OF GOVERNMENT ACKNOWLEDGMI the Minnesota Gambling Control Board) CITY APPROVAL for a gambling premises located within city limits The application is acknowledged with no waiting period. The application is acknowledged with a 30 -day waiting period, and allows the Board to issue a permit after 30 days _(60 days for a 1st class city). application is denied. Print City Name: Signature of City Personnel: The city or county must sign before submitting application to the Gambling Control Board. COUNTY APPROVAL for a gambling premises located in a township The application is acknowledged with no waiting period. The application is acknowledged with a 30 -day waiting period, and allows the Board to issue a permit after 30 days. application is denied. Print County Name: Signature of County Personnel: TOWNSHIP (if required by the county) On behalf of the township, I acknowledge that the organization is applying for exempted gambling activity within the township limits. (A township has no statutory authority to approve or deny an application, per Minn. Statutes, section 349.213.) Print Township Name: Signature of Township Officer: Title: Date: CHIEF EXECUTIVE OFFICER'S SIGNATURE (required) The information provided in this application is complete and ,su oto the best of my knowledge. I acknowledge that the financial report will be completed and returned to the Board withi 0 da r f th event date. Chief Executive Officer's Signature: Date: (p V (Signatur st be CEO's signature; designee may not sign) Print Name: e��r �J_t -o K Complete a separate application for: Mail application with: • all gambling conducted on two or more consecutive days; or a copy of your proof of nonprofit status; and • all gambling conducted on one day. Only one application is required if one or more raffle drawings are application fee (non-refundable). If the application is conducted on the same day. postmarked or received 30 days or more before the event, 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: To: Minnesota Gambling Control Board A financial report form will be mailed with your permit. Complete 1711 West County Road B, Suite 300 South and return the financial report form to the Gambling Control Board. Roseville, MN 55113 Questions? Your organization must keep all exempt records and reports for 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. ---- --- . •w .... — on this form (and any attachments) will be used oyNu1ouvu. �vui myan.<euurrs name ana address will be public information when received ment or Public Safety; Attorney General; 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.00V TO: Mayor and City Council rlO-G CC: Sarah Cotton, City Administrator FROM: Michelle Hartner, City Clerk SUBJECT: Approve 2025 Cannabinoid Licenses DATE: December 3, 2024 INTRODUCTION Cannabinoid licenses expire on December 31, 2024. DISCUSSION The following have applied for renewal of their license, paid the appropriate fees, and been approved by the Sheriff's Office: CBD RS —13650 Hanson Blvd., Suite 104 Pure Xhale —14029 Round Lake Blvd. Smokey's Tobacco & Vape —1714 Bunker Lake Blvd. Clocktower Wine & Spirits —15190 Bluebird St. #109 G -Will Liquors —13973 Round Lake Blvd. Top Ten Liquors —13627 Quinn St. ACTION REQUIRED The City Council is requested to approve the above licenses for the period January 1, 2025 through December 31, 2025. Respectfully submitted, Michelle Hartner City Clerk Attach: License Applications 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. CANNABINOID LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. - aL- z,4dMom, L FULL NAME (First, Middle, Last) - - n , a HOME ADDRESS CITY BIRTI-T STATE /ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: (�__ _ ALTERNATE NUMBER: ( EMAIL ADDRESS: _ DRIVER'S LICENSE #: _. r / 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 r101 vears, please list previous addresses. Y Have you ever been denied a licen a to -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 (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, have you been cpnvi ed 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. 9UDOVE T Y O FR 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: t= 1365,0 YAAIS PAJ &tJO i)VV d ! 0 `i 4A1D0%1F'to N1 AJ S"S3 v' f BUSINESS ADDRESS/PHYSICAL LOCATION OF LICENSED PREMISE CITY STATE ZIP 0?�9g f—rcE.Mo.vT- A/c S /LI7-."f,74tP4L-rs M,0 SSLIOs MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the y� individual that will same as the City Contact person for the license application and license related questions. /�A-ut- 1 ?CFF►eye- NAME (First, Last) A - / 6UJIINCOo HUum=JJCITY AZO 8 ire E.t1lN1 i= S 'It j:41 ►_719 Ld'S STATE til 41 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 Business Location Contact person, i.e. Store Manager. 1-36571P �,��, ���fl �,� ,�y AVflQj1eA SAI BUSINESS ADDRESS CITY STATE ZIP ;z;R p i /U%rt/NtE*yf® Lc!. MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ( _ ALTERNATE NUMBER: EMAIL ADDRESS: 1686 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 66304 • (763) 766-6100 FAX (763) 766-8923 • 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: K License Application, fully completed. NT Annual Fee $600.00 taovernment Issuea Iaentiticanon as evidence that applicant is at least eighteen (18) years of age. AV Workers Compensation Form (State requirement) L�' Tax Clearance Form (State requirement) Ji Tennessen Warning Form (State requirement) "Innesota 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: 1A;?o;et License Fees:_ $500.100 License #._rt7 Action by.CityCouncil: Approved Denied Date:: all 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. FULL DATE OF BIRTH HOME ADDRESS ' CITY / STATE 'ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: t - - EMAIL ADDRESS: DRIVER'S LICENSE #: ALTERNATE NUMBER:( ) EXPIRATION DAT 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 licens 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 ou been co 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.AN DOVE RM N.GOV BUSINESS INFORMATION: BUSINtSS AUURtSS/PHYSICAL LOCATION OF LICENSED PREMISE CITY' - STATE ZIP l.(C�% D. ,yam /tic% c""c (IF CITY LICENSE CONTACT INFORMATION: List the inal that will serve as the City Contact person for the license application and license related questions. ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER ALTERNATE NUMBE EMAIL ADDRESS: . BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. 0 F DIFFERENT FROM ,. I CITY PHONE NUMBER: ALTERNATE NUMBER: (_ EMAIL ADDRESS: _ ZIP . 0 F^ 0 NVT 1685 CROSSTOWN BOULEVARD N.W. o ANDOVER. MINNESOTA 66304 o (763) 756.5100 FAX (763) 766.8923 • WWW.ANDOVERMN DOV 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. El Annual Fee $500.00 Government Issued Identification as evidence that applicant Is at least eighteen (18) years of age. o Workers Compensation Form (State requirement) Tax Clearance Form (State requirement) Tennessen Warning Form (State requirement) 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 famlllar 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 wwmandovermn.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, Date; _2— Title; 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. CANNABINOID LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual�mJust be the business owner r a co pJo%rat ofFicer FULL NAME (First, Middle, Last) ' vni yr b1KIN HOME ADDRES CITY STATE ur MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER:, L` / ALTERNATE NUMBER: ( ) EMAIL ADDRESS: DRIVER'S LICENSE #: � — .� , ,. - � , � ".PIRATION DATE: r � v PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. A . / TE OF ISSUANCE:., . _ If you have resided at the above address for less thap ten (10) years. oleaar r�r u _ Have you ever been deniedp4lcense 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 (if�'es you must provide details; description date and location) Attach additional sheets as necessary. ea_ei7/r a�,'o21 r�41' Z©A'n At any time, havel9pbeen convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? YesNo (if yes you must provide details; date of often e, type of offense and location of offense) Attach additional sheets as necessary.�/ L lGi701 mmmOVIN411- 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 thg City Contact person for the license application and license related questions. MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: i`�� ALTERNATE NUMBER: ( 1 EMAIL ADDRES BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Busines pLocation contact person, i.e. Store Manager. MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP . .-7 PHONE NUMBER: T_ _ _ _ ALTERNATE NUMBER: ( ) EMAIL ADDRESS: u.. v�- w IF 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 65304 - (763) 755-5100 .FAX (763) 766-8923 • WWW,ANDOVERMN.00V 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. o Annual Fee $500.00 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) 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 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 Ilcensure. I further understand that the information supplied within this application Is classified as public data and will be provided to the public upop4equest. Signature: ..................... "' Date: Approved: Denied; License Fees; $500.00 License # OAr L a 4 tion by City Counall:. 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. CANNABINOID LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. ,) 1i tJ Ii�Vv A�k���n I✓ I FULL NAME (First, Middld, Last) DATE OF BIRTH t i _ I I�ttkjy. I! LL fit i\j VV 1 `, HOME ADDRESS CITY STATE ur MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBEF EMAIL ADDRESS: DRIVER'S LICENSE....., ALTERNATE NUMBER: ( 1 EXPIRATION DF 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. ATE OF ISSUANC r --C-- —A / Have you ever been denied a license tq 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� (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, havebeets wnnviclad of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic ou violation? Yes (� N(if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. C ; '12 4"1 11 Arml 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: NAME 0 'S) vv LOCATION OF 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. Last) ur MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ( 1 EMAIL ADDRESS: ALTERNATE NUMBER: ( ) BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. )�'V�'-} .2 S Ut'\)-0e ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: (—� EMAIL ADDRESS: ALTERNATE NUMBER: ( 1 C II T Y �0 F A N 'y .fie 1665 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 a (763) 755.5100 FAX (763) 755-8923 . 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: Llcense Application, fully completed. Annual Fee $500.00 Government Issued Identification as evidence that applicant is at least eighteen (18) years of age. 0 Workers Compensation Form (State requirement) 1:1 Tax Clearance Form (State requirement) 13 Tennessen Warning Form (State requirement) El 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 sot 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 Cltywebslte 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: /\ Date: (( I a 1 �� Title: Approved: Denied: Sheriff's 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. NAME (First, HOME ADDRESS CITY BIRTH SIAIE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: (_ _ ALTERNATE NUMBER: (_ EMAILADDRES£ V DRIVER'S LICENSE #:1 _ _ 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. 1— STATE OF ISSUANCE 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 trafficviolation? Yes No ZI (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 � NDOVER� 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.AN DOVE RM N.GOV BUSINESS INFORMATION: Cz)C-�P Gigs .T r. LEGAL NAME OF SINESS TRADE ZIP LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions. NAME MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER:(. — EMAIL ADDRESS: ALTERNATE NUMBER:(_ BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. NAME (First, Last) —di% BUSINESS ADDRESS n�1CITY STATE ZIP RieQ A14 i\ may/ /I�Gc� C--ak rZry. /Yw .t5c� MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER:I'ERNATE NUMBER: (_ / EMAIL ADDRESS: _ Qv A �7T T Y � ]O T66 `y Ar R^ 1665 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 66304 • (763) 756-5100 FAX (763) 755-8823 e WWW AN DOVE RMN 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. O Annual Fee $500.00 Government Issued Identification as evidence that applicant is at least eighteen (18) years of age, 0 Workers Compensation Form (State requirement) 0 Tax Clearance Form (State requirement) 0 Tennessen Warning Form (State requirement) 0 Minnesota Department of Revenue License Application (State requirement) 1 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 Ate and will be provided to the /public uponreque t. Signature: Date: Approved: X Denied: FAI 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. 3.t1 Ga'VL- l' Hci Middle, Last) HOME ADDRESS IF DIFFERENT PHONE NUMBER: EMAIL ADDRESS: DRIVER'S LICENSE 4 DATE OF BIRTH CITY + STATE ZIP l)A i VN rn3 oq'x' W1 ' m (,j S> S 4 ALTERNATE NUMBER 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. TE OF ISSUANCE: 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 K (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. • 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: ",4j(,\y 11-1 G-, flt.d 0 1 . O -C' OZUt"V-1 s'cv'-Pt- 9W hnaw;-zA- tAo S530 -- BUSINESS ADDRESS/PHYSICAL LOCATION OF LICENSED PREMISE CITY STATE ZIP 57 S� �!'� Sz• .Ci:ak� 3+ 2 -au Wn�zaLtil`- f/iN 354'i 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. O'k S CITY 15,34 1.2 ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: EMAIL ADDRESS ALTERNATE NUMBER: ( 1 J` BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. C;O'S'y 1"e' W2I ! S ')--1 (-Cvt h sr) S&. N W tl� 553U.4 ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: EMAIL ADDRESS: D ALTERNATE NUMBER: ( 1 C II T Y �O%F 1�1d .;fie 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 5.5304 . (763) 756.5100 FAX (763) 755-8923 . 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: License Application, fullycomplet¢d. Annual Fee $500.00 lZm �e ; e(y w i -Hi UVor /To bra ceo (Car, na bt`t.otat Government Issued Identification as evidence that applicant Is at least eighteen (18) years of age. �7 Workers Compensation Form (State requirement) Tax Clearance Form (State requirement) Tennessen Warning Form (State requirement) Minnesota Department of Revenue License Application (State requirement) 1 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.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, Signature: Date:6'u- 2 Approved: )( Denied; •YDOV� � _���- 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council CC: Sarah Cotton, City Administrator (6 FROM: Michelle Hartner, City Clerk SUBJECT: Approve 2025 Tobacco Licenses DATE: December 3, 2024 INTRODUCTION Tobacco licenses expire on December 31, 2024. 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 General Store — 15246 Bluebird Street Clocktower Wine & Spirits — 15190 Bluebird Street, Suite 109 CZ River Styx —15825 7th Avenue 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 Northstar Plus 4 — 13652 Crosstown Boulevard Pure Xhale — 14029 Round Lake Boulevard Smokey's Tobacco & Vape —1714 Bunker Lake Boulevard Speedway — 13727 Hanson Boulevard Top Ten Liquors — 13627 Quinn Street Walgreens — 2134 Bunker Lake Boulevard Walmart —1851 Bunker Lake Boulevard Y and Z LLC —1574 154th Avenue, Suite 107 ACTION REQUIRED The City Council is requested to approve the above licenses for the period January 1, 2025 through December 31, 2025. Respectfully submitted, Lf6w-xv`-1'� Michelle Hartner City Clerk Attach: License Applications 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. Last) HOME ADDRESS CITY DATE OF BIRTH SIAIt ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: (_ 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. OF ISSUANCE:, 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 X (if 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 traffic ou violation? Yes �] No Z (id 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: .,,t OF LICENSED PREMISE NG CITY STATE 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: ( _ _ ALTERNATE NUMBER: ( _ EMAIL ADDRESS: _ ) !r BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location contact person, i.e. Store Manager. �i� . _ . .r STATE FROM ABOVE) PHONE NUMBER ---ALTERNATE NUMBER:( EMAIL ADDRESS: 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 a (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: EJ License Application, fully completed. C1 Annual Fee $250,00 Government Issued Identification as evidence that applicant is at least eighteen (18) years of age, Workers Compensation Form (State requirement) L1 Tax. Clearance Form (State requirement) O Tennessen Warning Form (State requirement) IJ 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: JC/, { GJ "-�' ' J Date: //G, 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. DOUGLAS MARSHALL BEECH FULL NAME (First, Middle, Last) UA fE OF BIRTH ' ADDRESS CITY STATE Zip SE CONVENIENCE BLVD ANKENY IA 50021 PHONE NUMBER _ ALTERNATE NUMBER: ( ) EMAIL ADDRESS- I Ir- 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 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, 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 �] No © (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. - Y�a 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 NAME (dba) 15246 BLUEBIRD ST NW ANDOVER 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 LAME (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" EMAIL ADDRESS ALTERNATE NUMBER: ( ) BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. 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 NUMBS ALTERNATE NUMBER: ( ) EMAILADDRESf __ _. � • 6r.y ice' 1686 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 66304 • (763) 7866100 FAX (763) 766-8023 • WWW AND )Y. ggMN OOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL, CRECKLIST OF REQUIRED DOCUMENTATION: 0 License Application, fully completed. LI Annual Fee $260.00 Government Issued Identification as evidence that applicant Is at least eighteen (16) years of age. 0 Workers Compensation Form (State requirement) 0 Tax Clearance Form (State requirement) o Tennessen Warning Form (State requirement) o 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 webslte at www an„_,clovermn.,Wv_ 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: Pk. i1J �lL' Date: 10110/24 Title: ASSISTANT SECRETARY FOR CASEY'S RETAIL COMPANY Approved: _ Denied: e Fees: $260.00 License 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 otFcer. DATE OF BIRTH HOME ADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMB-.-,,.,,, - .J ALTERNATE NUMBER!( ) EMAIL ADDRESS DRIVER'S LICENSEenPIRATION DATE. STATE OF ISSUAN�__ 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 1\,I^ (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, haveou beer�((coon-nvicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor trafficviolation? Yes �] No(1fyes you must provide details; date of offense, type ofoffense 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: Phi i'� Pu/et -u 1 \(\ t, LEGAL NAME OF BUSINESS J C\0(k;-k0,,1Qy U�1tri �'Pi"�S TRADE NAME (dba) td '^ rr 11 C + °\ ��y/'� l/� J �+ �,/� t n ('^ ) �j S) V` �� V� 1�.. J) Y C3 J � t1 4 \n A I " 1 Ai � l Aj"/ j) — �I V : m � 1 'S / ^`v1"i 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. r NAME 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. Last) MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ( 1 ALTERNATE NUMBER: ( ) EMAIL ADDRESS: C� TI T Y O F L� 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 755.5100 FAX (783) 756.8923 • 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: 111 License Application, fully completed. ❑ Annual Fee $250.00 Government issued Identification as evidence that applicant Is at least eighteen (18) years of age. El Workers Compensation Form (State requirement) E3 Tax Clearance Form (State requirement) E3 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 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. 1 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 licensure. I further understand that the Information supplied within this application is classified as public data and will be provide the public upon request. Signature: Approved K Denied: Date: l ( 1 • / OF IAS.' 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. Middle, Last) - DA E O BIRTH HOME ADDRESS PHONE NUMBER: t EMAIL ADDRESS: I DRIVER'S LICENSE STATE ZIP ZIP ALTERNATE NUMBER: ( 1 EXPIRATION DATE: 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. Have you ever been denied a licen a 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 �ny1'cted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes �] No LSI (if yes you must provide details typ date of offense, e of offense and location of offense) Attach additional sheets as necessary. '�'S 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: L -Z Ef i'. LEGAL NAME OF E C. LICENSED PREMISE I CITY 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. MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: EMAIL ADDRES: ALTERNATE NUMBER: ( 1 BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contactperson, i.e. Store Manager. Z IVJW GIflT"Af27V4--b14Aj J14A1 NAME (First, Last) "LH MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ( EMAIL ADDRESS: ALTERNATE NUMBER:( 1 14 t�f1 A � 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 . (763) 756-6100 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. O� Annual Fee $250.00 Phntnnnnv of ra lrranf AAinnaamn nriti v' i In........ AAi.... —t_ n ._J Government Issued Identification as evidence that applicant Is at least eighteen (18) years of age. L� Workers Compensation Form (State requirement) 12 Tax Clearance Form (State requirement) `r� Tennessen Warning Form (State requirement) FA 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.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 pr9ylged to the public upon request. Tltle: ye Approved: Denied: Date: 10 6:7 2u 2 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 oiFcer. Last) HOME ADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: (_ EMAIL ADDRESS: C/ DRIVER'S LICENSE #: ALTERNATE NUMBER: (_ EXPIRATION DATE:, _ 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. i ii�ui r r1i 5 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, 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 M (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. AC I T Y O F NDOVERy 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: LEGAL i LICENSED STATE 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: ( - ALTERNATE NUMBER: (- e_ / EMAIL ADDRESS' v BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. PHONE NUMBEF EMAIL ADDRESS: _ v CITY ALTERNATE NUMBER: ( ZIP STATE ZIP c�Ti�rY or 1V60 1665 CROSSTOWN BOULEVARD N,W. • ANDOVER, MINNESOTA. 56304 • (763) 765-5100 FAX (763) 755.6023 • 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 Government Issued Identification as evidence that applicant Is at least eighteen (18) years of age. El Workers Compensation Form (State requirement) El Tax Clearance Form (State requirement) E3 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 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 dounderstand that providingfalse 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; P�& / 7 e Title: .z,r+"i e5.�.�, Approved Denied: r 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 it P- EMAN E -t IV & FULL NAME (First, HOME ADDRESS CITY DATE OF s 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 0 No �a (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 F�L (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. / • ' 'ray►.� 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 . WWW.ANDOVERMN.GOV BUSINESS INFORMATION: T< l- �rovDS LEGAL NAME OF BUSINESS INCos e0ur.,Ty Mg2l!ri 31 3 5 2t>JI"0 L -P'" aL-u ", NtvOpUl=(Z. Y I1 INNrsSyT-A 5 5304 BUSINESS ADDRESS/PHYSICAL LOCATION OF LICENSED PREMISE CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contactperson for the license application and license related questions. TO 14 N I I-Irorna-s 13'13 S O L.Ad-c_ rel IUSINESS ADDRESS 4 t'ZOV bZ r(\ I N pl �c s crA 6530 STATE MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: C EMAIL ADDRESS: ALTERNATE NUMBER: BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location contact person, i.e. store Manager. (OHk-) NAME (First, 13-735 jZ0u" L-PyLC 13"t, AN D GU F e- N\ IIA C- S ETA 5 53 0 BUSINESS ADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBEF EMAIL ADDRESS: ALTERNATE NUMBER: 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8023 • 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: o License Application, fully completed. ❑ Annual Fee $260.00 O Phntnrnnv of Barran+ M1Alnnacn+� 11.n Government Issued Identification as evidence that applicant is at least eighteen (18) years of age. E3 Workers Compensation Form (State requirement) El 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 selzure 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 denlai 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 Em.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: J� p Date: Title: DW N E (L Approved 14 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. Scott Paul ZIA= FULL NAME (First, Middle, Last) DATE OF BIRTH HOMEADDRESS CITY STATE ZIP P.O. Box 2107 La Crosse WI 54602-2107 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ( _ 1 _ _ ALTERNATE NUMBER: ( )•) EMAIL ADDRESS: DRIVER'S LICENSE C. EXPIRATION DATE —_ 3TATE 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 It 0) 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] (if yes you must provide details; description, date and location) Attach additional sheets as necessary. Please see enclosed list of retail store violations in Minnesota. 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 V (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. 1665 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 Contactperson for the license application and license related questions. Jay Christianson NAME (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: 1 _ ALTERNATE NUMBER: EMAIL ADDRESS: BUSINESS LOCATION CONTACT INFORMATION: Llst the Individual that will serve as the Business Location Contactperson, i.e. Store Manager. Jennifer Oliver NAME (First, Last) 1909135th Ave NW Andover MN 55304 BUSINESSADDRESS CITY STATE ZIP P.O. Box 2107 La Crosse WI 54602-2107 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ( EMAILADDRESS: _ _ ALTERNATE NUMBER: ( 1686 CROSSTOWN BOULEVARD N.W. . ANDOVER, MINNESOTA 66304 • (763) 766.6100 PAX (763) 766.6923 • WWW,AND0VERMN OOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF R9( UIRED DOCUMENTATION: License Application, fully completed. Government Issued Identification as evidence that applicant Is at least eighteen (18) years of age. 12f Workers Compensation Form (State requirement) (� Tax Clearance Form (State requirement) Tennessan Warning Form (State requirement) 6� 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 w wv.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 Ilcensure, I further understand that the Information supplied within this application Is classified as public data and will bbee provided tot,ththe public upon request. Signature: S'� r dt""'"O4''' Date: 10/11/2024 Title: Owner / President Approved: Denied:. - G X1105 Sheriff Office Fees: $250.00 License# Q04q'...r nck3CQt'o 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 r a corporate officer. FULL NAME (First, Middle, Last) OF "17,11W HOME DATE OF BIRTH -- i STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ( - — - ) 0 ' "' 16 --3-v EMAIL ADDRESS: d„— - DRIVER'S LICENSE #: _ ALTERNATE NUMBER: 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. — OF ISSUANCE: Have you ever been denied a licen e o 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 (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At anytime, have you beenacted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes 0 No (K (if yes you must provide details,, date of offense, We 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: /10404, oS �, ie.� 41—d LEGAL NAME OF BUSINESS '��, �e.Gk9 f "fid- i3�r4 0 �oss�w.� ��✓� �VGt� ,�ivoo✓�iC_ /Nit% 'SQ-- Y j BUSINESS ADDRESS/PHYSICAL LOCATION OF LICENSED PREMISE CITY STATE ZIP // 3yo A/4, 4, r&/* /*✓ $S21-7-7 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the individual that serve as the City Contact person for the license application and license related questions. Noss- BUSINESS ADDRESS ew4w's-r- wpl/ s5o z 3 LIF MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: L ALTERNATE NUMBER: (( _ EMAIL ADDRESS: BUSINESS LOCATION CONTACT INFORMATION: List the individual that will same as the Business Location Contact person, i.e. Store Manager. NAME (First, Last) /346,C) 455ate'�SIraP Nw �y�.a W0J-'S-3Qy BUSINESS ADDRESS CI STATEN ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP .a PHONE NUMBER: ( iwg- ALTERNATE NUMBE... , A t ► i EMAIL ADDRESS: �. i/�i CMMOVER^ 1685 CROSSTOWN BOULEVARD N,W, • ANDOVER, MINNESOTA 55304 a (763) 755-5100 FAX (763) 755-8923 0 1NWW,ANDOVERMN GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED, PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: t,ler yy.lcense Application, fully completed. 1:- Annual Fee $250.00 Government Issued Identification as evidence that applicant is at least eighteen (18) years of age. korkers Compensation Form (State requirement) yax Clearance Form (State requirement) , essen Warning Form (State requirement) Inn( 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. l fully understand that it is my responsibility to be familiar with and abide by the requirements of the City, which Ts detalTe—d 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: _ �/�+^�*-- Date: 4S44— '-a'Z'y mtle: et4o e IJ�A Approved:/ ` Denied: �� L a 1 sir`.a 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) QIN'et e , nuME ADDR SS CITY DATE OF BIRTH STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER EMAIL ADDRESS: -_ ALTERNATE NUMBER: 1 ' P DRIVER'S LICENSE #: t l,, EXPIRATION DATE: _ _ r _ Y,'ATE OF ISSUANCE:.., . PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at the above addrec< f,.. I--- -- --- •--• iious addresses. -I el Have you ever been denied a icense 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 anytime, have you been conirted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes E]fr f No L 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: Ne'rA t6ar Ptus Lf LIU, LEGAL NA ME OF BUSINESS CD�wiY7hU< Cu.nrhkP����jP TRADE NAME (db 136,2 Cro55toQyl 01yj Nw AvkLvetr NknI� BUSINESS ADDRESS/PHYSICAL LOCATION OF LICENSED PREMISE CITY CTATP 7 io ,0� 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. NAME (First, Last) -01 U0s54o\Ir\ �IA �w 1h aver M�/ X530(-1 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: EMAIL ADDRES ALTERNATE NUMBER:, _ 1 BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. Last) A /\/w MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: 0 EMAIL ADDRESS: ALTERNATE NUMBER. 17W 1686 CROSSTOWN BOULEVARD N.W, . ANDOVER, MINNESOTA 65304 , (763) 766.6100 FAX (763) 766-8923 . 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: EJ License Application, fully completed. ❑ Annual Fee $250.00 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) 0 Tennessen Warning Form (State requirement) IJ 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, f 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 webslte at wwv.andovermn qov or upon request from the City Clerk and to be famlilar 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:���p�,v� TIN.- Approved,—X— IN.• Approved; Denied: Lidenge Fees: $25Q.00 License. #a Action by City Council: Approved Denied Date: ol WJ1641L .��. 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. Middle, Last) UAIEUl- A P- a . - r /��^d '�> r KS IL HOME ADDRESS CITY STATE cir MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: - ALTERNATE NUMBER: ( ) • f r _ , EMAIL ADDRESS: DRIVER'S LICENSE'.. t f �w . — ( r EXPIRATION DATEa c 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 5Q (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 trafficviolation? Yes No SSV, (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 TRADE 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. NAME -5s ZIP ADDRESS ' CITY ISTATE ZIP 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. Last) V PHONE NUMBER. v s -- i r P ALTERNATE NUMBER:( > EMAIL ADDRESS: - - '/ �- �A/R 1685 CROSSTOWN BOULEVARD N,W, 9 ANDOVER, MINNESOTA, 65304 a (763) 766.5100 FAX (763) 766-8923 • 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 - 0 License Application, fully completed. IJ Annual Fee $260.00 0 Photocoov of Current Minnesota nrN Government Issued Identification as evidence that appllcant is at least eighteen (18) years of age. 0 Workers Compensation Form (State requirement) 0 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 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 famillar with and abide by the requirements of the City, which Is detalled 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 Ilcensure. I further understand that the Information supplied within this application Is classified as public data and will be provided t0 the public upon request, Title: /n 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: H HO ADDRESS _... STATE rP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER:( EMAIL ADDRESS: n „ - ALTERNATE NUMBER: ( 1 DRIVER'S LICENSE # _ — ♦ ♦ c , EXPIRATION DATE: PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided ayhe above address for less than ten (10) years, please list previous addresses. nLt / / -- / - 7 / . A / . . 1 .-i9 2 . STE OF ISSUANCE: _ _ _ ., - ♦ ♦ -1-mil I YT9 � / B Have you ever been denied a license fi conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes ❑ No Vj (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, have yoybeen coryricted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes V j No (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. , , , r 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 person for the license application and license related questions. t I ., MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER:, .. _ f ALTERNATE NUMBER: ( ) EMAIL ADDRESS: BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the BusinesILocation Contact person, i.e. store Manager. NAME (First, Last) MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER:, j , . t EMAIL ADDRESS: ALTERNATE NUMBER:( ) 1686 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 66304 . (763) 766-6100 PAX (763) 766-8923 • 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: O License Application, fully completed. 13 Annual Fee $260.00 Government Issued Identification as evidence that applicant Is at least elghteen (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 Cade, which Is available on the City website at www.andovermn.ciov 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 ]]censure. 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: _ �7 Date: Title: Approved;4- Denied: C I T Y O F��� NDOVE^ OCT 10 2024 1685 CROSSTOWN BOULEVARD 755-8923 NDOVER, MINNESOTA 55304 • (763) 755-5100 nrtme�at FAX(7e licensing DeP 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. Davi A Lee StttTtir FULL NAME (First, Middle, Last) HOME ADDRESS ?0 i30x 13Rd�t�t MAILING ADDRESS (IF DIFFERENT FROM ABOVE) PHONE NUMBER:, i EMAIL ADDRESS: DRIVER'S LICENSE #: — DATE OF BIRTH STATE A `►5313 ALTERNATE NUMBER: ( 1 EXPIRATION DATE: TATE 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 Q No L (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, have you been cc acted 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. C I T Y O F ND OVER 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 7'�i�Y FAX (763) 755-8923 • WWW.ANDOVERMN.GOV OCT 10 2024 BUSINESS INFORMATION: Licensing Department Npr.4kwn ji f tr "j,4 I LLC - LEGAL NAME OF BUSINESS SFyedwm yul1 1312'! t{ctv�srm pd taw Avtd Qo /&- MPj 5530 1 BUSINESS ADDRESS/PHYSICAL LOCATION OF LICENSED PREMISE CITY STATE ZIP P6 %y' ii ggogN 1)411613 1X 15313 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. sv Ga M I ICN w e RM NAME (First, Last) a 3200 WcvV-V-t" '2W 11MV19 TX '15O(P3 BUSINESS ADDRESS — CITY' STATE ZIP 5oiwy,yts 000TY.t. MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBEF.. ,) ALTERNATE NUMBER: ( ) EMAIL ADDRESS: �,O/ BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location contact person, i.e. store Manager. NAME (First, Last) y3 l2't AN 5530 LA MAILING ADDRESS (IF DIFFF PHONE NUMBER: EMAIL ADDRESS: Abuvt) CITY STATE ALTERNATE NUMBER: ( i ZIP 9 CNMOVEAW O 1685 CROSSTOWN BOULEVARD N.W, s ANDOVER, MINNESOTA 55304 • (763) 755.5100 FAX (763) 755.8923 • WWW.ANDOVERMN GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTA VIN IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. _/ CHECKLIST OF REQUIRED DOCUMENTAT10%,ealslingDepartnieRt bs License Application, fully completed. O , Annual Fee $250.00 Government Issued Identification as evidence that applicant is at least eighteen (18) years of age, Workers Compensation Form (State requirement) CI Tax Clearance Form (State requirement) EJ Tennessen Warning Form (State requirement) El 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.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: _ // (��YI Date: 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 ora corporate officer. \i ii Srl ek:v VlCI-Y�, FULL NAME (First, Middle, La: HOME ADDRESS r� sic S� T1� MAILING ADDRESS (IF DIFFF PHONE NUMBER: EMAIL ADDRESS: DRIVER'S LICENSE p DATE OF CITYNATE ZIP (yo',r&ac1V0kts tAtj S5 '+ ( CITY STATE ZIP ALTERNATE NUMBEF �.:PIRATION 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 (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 �] No frf yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. J� ZWV"� 10 • 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: cr.y+,1-" ba6c of a I Lire TRADE NAM (dba) A LOCATION OF CITY ss� ur —1k a'r-U4 SV -ti -2. -?2xo f .iYl'v�s)�tS 1✓'v0 55-dt-i MAILING LICENSE CONTACT INFORMATION: List the individual that will serve as the City contact person for the license application and license related questions. `a on r' i% cu-' a 0 p¢ NAME (First, Last) LESS CITY STATE 71P MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER EMAIL ADDRESS: ALTERNATE NUMBER: ( BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. CaS S i -e.. W 2 i IS C tf� � (a4,tnn Si, tsUv ArAcifr N0 ss -30+ BUSINESS ADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ( EMAIL ADDRESS: _ -L, , ALTERNATE NUMBER:( • ru;,,. 1686 CROSSTOWN BOULEVARD N.W. • ANDOVER MINNESOTA 55304 a (763) 755.5100 FAX (763) 766-8923 s www ANDOVERMN GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED, PAYMENT AND ALL REQUIRED DOCUMENTATION S REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION - License Application, Annual Fee $250.00 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.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, 1 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: 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, 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. HOME NUDRESS DIFFERENT PHONE NUMBER. EMAIL ADDRESS: DRIVER'S LICENSE # CITY �— SIHIG ZIP ALTERNATE NUMBER: —r_.. r_ EXPIRATION DATE: TATE 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 licen,conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes Q No lU, J/ (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, haveou been �o� acted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor trafficviolation? Yes 5 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.AN DOVE RM N.GOV BUSINESS INFORMATION: LEGAL NAME OF TRADE FROM PREMISE CITY t STATE LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions. NAME MAILING PHONE NUMBER EMAIL ADDRESS: _ ALTERNATE NUMBER: ( 1 BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contactperson, i.e. Store Manager. NAME (First, Last) PHONE NUMBER: _ ALTERNATE NUMBER: EMAIL ADDRESS: y Ire idd%k 1685 CROSSTOWN BOULEVARD N.W. a ANDOVER. MINNESOTA 65304 s (763) 755-5100 FAX (763) 755-8923 s 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 vove,nmom Issuoa wentiticatlon 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 informatlon 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.eov 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: odX/1 . Date: BRIAN BROWN .. Title: VICE PRESIDENT Approved:4- Denied: Office _ �.- OR_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. Sarah Catherine Little FULL NAME (First Middle, Last) DATE OF BIRTH HOME ADDRESS CITY STATE ZIP 702 SW 8th AILING ADDRESS (IF Bentonville, AR 72716 PHONE NUMBER:( ALTERNATE NUMBER: ( 1 EMAIL ADDRES' DRIVER'S LICENSE #: EXPIRATION DAl l rE 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 O No ® (if yes you must provide details; description, dale 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 5 No ® (if yes you must provide details; date of offense, We 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 . W W W.ANDOVERMN.GOV BUSINESS INFORMATION: MEIITi .0NTA LEGAL NAME OF BUSINESS Walmart #1999 ADE NAME (dba) 1851 Bunker Lake Blvd NW, Andover, MN 55304 BUSINESS ADDRESS/PHYSICAL LOCATION OF LICENSED PREMISE CITY STATE ZIP 702 SW 8th St, 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 1851 Bunker Lake Blvd NW, Andover, MN 55304 BUSINESS ADDRESS CITY STATE ZIP 702 SW 8th St, Bentonville, AR 72716 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ( EMAIL ADDRESS: ALTERNATE NUMBER: ( ) BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. Todd Vanstraten NE (First, Last) 1851 Bunker Lake Blvd NW, Andover, MN 55304 BUSINESSADDRESS CITY STATE ZIP 702 SW 8th St, I MAILING ADDRESS (IF DIFFE PHONE NUMBER: EMAIL ADDRESS: AR 72716 JIAIt ALTERNATE NUMBER: ( ) '0' 1086 CROSSTOWN BOULEVARD N.W. + ANDOVER, MINNESOTA 66304 • (763) 766-6100 FAX (763) 766.8923 a WWW ANOQV8RMN OOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIREDAT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: ❑ License Application, fully completed. 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) 0 Tennessen Warning Form (Sthte 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 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 qualifloations for said license. I do understand that providing false Information shall be grounds for dental 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:q Date: 10/11/2024 Title: Approved: / Denied: ✓ 105 77�� She a Cffice Fees: $250.00 License fp �iba�(— 0031 4 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- corporate officer. FULL NAME (First, Middle, Last) huME ADDRESS --�— _ I-1 IT PHONE NUMBER. EMAIL ADDRESS: DRIVER'S LICENSE #: DATE OF BIRTH STATE ZIP CITY STATE ALTERNATE NUMBER: (_ EXPIRATION DATE:, --TT _ J 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. - - f — / ^ 1-4iLnI , — . 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 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 12' (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: k7 41� PREMISE CITY 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. MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: (• _ v ALTERNATE NUMBER: (�_, EMAIL ADDRESS: _ BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. CITY ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: _ _ ALTERNATE NUMBER:( EMAILADDRESS: r�, _ 1686 CROSSTOWN BOULEVARD N,W. • ANDOVER, MINNESOTA 66304 • (763) 765.5100 FAX (763) 765-8923 • WWW.ANDOVERMN.00V 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 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) El Tennessen Warning Form (State requirement) 0 Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and selzure 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: Date: to /?a l2o2,41 __. Title: 0 i ✓ K,,, -- Approved: 4-- e Fees:.$250,00 License# Gate Q.`[ '-0T by City Council: Approved Denied Date: 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council / �Cr CC: Sarah Cotton, City Administratorc�` FROM: Michelle Hartner, City Clerk SUBJECT: Approve 2025 Liquor Licenses DATE: December 3, 2024 INTRODUCTION Liquor licenses expire on December 31, 2024. DISCUSSION The following have applied for renewal of their licenses and paid the appropriate fees: On -Sale Intoxicating Liquor Acapulco Restaurant— 13753 This St. Andover Cinema — 1836 Bunker Lake Blvd. Beef O'Brady's —15190 Bluebird St. #114 Mrs. Taco — 1574 15411' Ave. #102 White Rabbit — 15 190 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 Kwik Trip —1756 Bunker Lake Blvd. Speedway —13727 Hanson 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, 2025 through December 31, 2025. Respectfully submitted, Michelle Hartner City Clerk Attach: License applications Minnesota Department of Public Safety °gra Alcohol & Gambling Enforcement Division f 1'i 445 Minnesota Street, 1600 St Paul, Minnesota 55101 �a 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 Andover Acapulco of Minnesota Inc License Period Ending: 12/31/2024 Iden: 61790 Acapulco Mexican Restaurant 13753 Ibis St NW Andover, MN 55304 7633238772 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/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). .® It Lo l a Licensee Signature - DOB abN 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 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 stateAocal liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. 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: 12/31/2024 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 followina• 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 $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales are $25,000 at9 le, or $50,000 off sale). . Licensee Signature DOB 68N 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 +y.. Alcohol & Gambling Enforcement Division 2. 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: 12/31/2024 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 followina• 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 $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales are $25,000 at9 le, or $50,000 off sale). . Licensee Signature DOB 68N 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 j 445 Minnesota Street, 1600 1 ; St Paul, Minnesota 55101 \\o.' 651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2^/o 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: 12/31/2024 Iden: 74492 Andover Bhappy Hospitality LLC Beef O Brady's 15190 Bluebird St Suite 114 Andover, MN 55304 7634342700 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 anv 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 $25,000 atonsale, or $50,000 at off sale). Licensee Sign u D09 - i �. a SSN Date (Signature certi es 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 Ove years. Report violations on back, then sign here. rto.. 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: Issuing Authority: Licensee Name: Trade Name: Address: Business Phone: ONSS Andover Mrs. Taco Inc. Mrs. Taco 1574 154th Ave NW Andover, MN 55304 612-868-7837 License Fees: Off Sale: $0.00 License Period Ending: 12/31/2024 Iden: 77082 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 anv 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 Wsre sh or securities or $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt $25,000 at on sale, or $50,000 at off sale). I t re uUBSSNs 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 3.20/6 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: 12/31/2024 Iden: 75576 Issuing Authority: Andover Licensee Name: Tamrob Concepts Trade Name: White Rabbit Kitchen Address: 15190 Bluebird St NW, Suite 100 Suite 100 Andover, MN 55304 Business Phone: 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 following, Failure to report any of the following may result in civil nenaltles, 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 maybe submitted in lieu of liquor liability.(3.2liquor licenses are exempt if sales are less than $25,000 at on sale, or $50,000 at off sale). Licensee Si nature DOB SSN Date (Signature certifies all above information t b 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. "a Minnesota Department of Public Safety Alcohol & Gambling Enforcement Division Ir �) 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: 12/31/2024 Iden: 45200 Issuing Authority: Andover Licensee Name: Willy McCoys of Andover LLC Trade Name: Willy McCoys Address: 13655 Martin St Andover, MN 55304 Business Phone: 6127705444 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 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 $25,000 at on sale, or $50,000 at off sale). J --� Licensee Sign DOB T— SSN Date �r tz z (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 f St Paul, Minnesota 55101 651-201.7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.201. 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: 12/31/2024 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 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 i�sales are less than $25�sale, or $50,000 at off sale). 11 t Licensee Si�p"�t rY`re DOB SSN Date I (Signature Q i rmation 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. a 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: 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: 12/31/2024 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. 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 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.t $25,000 at on sale or $50, 0 at off sale). 26 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. a^kh, Minnesota Department of Public Safety 'c,� Alcohol &Gambling Enforcement Division 445 Minnesota Street, 1600 1 St Paul, Minnesota 55101 12,ei 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: 12/31/2024 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 sicnature on this renewal confirms the followinc• 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. Z 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 areI han $25,000 at on sale, or $50,000 at off sale). 71 to LicensSignature DD Bim' SSN Date (Signat a re 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. a 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: MWNONSB License Period Ending: 12/31/2024 Iden: 79861 Issuing Authority: Andover Licensee Name: New 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 signature on this renewal confirms the following: Failure to report an 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 $25,000 at on sale, or $50,000 at off sale). .i tDI✓1 - -- 0 agnaturJ DOB E SSN certifies all above information to be correct and license has been approved by city/county.) ate City Clerk/Auditor Signature (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) Date County Attorney Signature County Board issued licenses only(Signature certifies licensee is eligible for license). Date Police/Sheriff Signature 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 8 Alcohol & Gambling Enforcement Division a� 445 Minnesota Street, 1600 I 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: 12/31/2024 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 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, o $50,000 at off sale). �X Jo 11 aod�/ Licensee i lure DOBE' 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. a Minnesota Department of Public Safety Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 St Paul, Minnesota 55101 ss1-zola5m 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 Issuing Authority: Andover Licensee Name: Northern Tier Retail LLC Trade Name: Speedway #4477 Address: 13727 Hanson Blvd NW Andover, MN 55304 Business Phone: 7637672550 License Fees: Off Sale: $75.00 License Period Ending: 12/31/2024 Iden: 31046 OCT 10 2024 Licensing Depart e"t 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 reoort 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 th o'�62 '�A00 at on ale, or $50,000 at off sale). Licensee Signature'DOB SSN Date (Signature certifies all above info ation 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. fiv „r 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: 3.2OFSL License Period Ending: 12/31/2024 Iden: 67744 Issuing Authority: Andover Licensee Name: Walmart Inc. Trade Name: Warman 91999 Address: 1851 Bunker Lake Blvd Andover, MN 55304 Business Phone: 7633541559 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 penalties - 1 . enalties 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). Ira 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 confines 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/qLre less than at on sale, or $50,000 at off sale). - � -- Sarah Little, Assistant Secretary 10/11/2024 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 staled above.) County Attorney Signature Dale County Board issued licenses only(Signature certifies licensee is eligible :or 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. ONN 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Council Members U FROM: Sarah Cotton, City Administrator Ce SUBJECT: Approve Andover Firefighters Relief Association Bylaw Amendments DATE: December 3, 2024 INTRODUCTION The City Council is asked to consider approval of amendments to the Andover Firefighters Relief Association Bylaws. In 2024, the Andover Firefighters Relief Association went through a review of their bylaws. Members of the Relief Association approved amendments to the bylaws at the November 16, 2024, meeting. A summary of the amendments is included below and in Appendix B of the attached Bylaws of the Andover Firefighter Relief Association: • Revise Article I to add location. All subsequent article numbers updated. • Revise firefighter admission requirements to the Relief Association (Article II, Section 2). • Add language for Absentee Ballots (Article III, Section 2). • Add language to define Fiduciary Responsibility (Article VI). • Add clause to remedy incorrectly reported start dates (Article X, Section 1, Clause e). • Revise City contribution language to align with new City policy (Article XI, Section 2, Clause a). • Added language to address Negative Value Accounts (Article XI, Section 2, Clause e). • Revised Amendment language to further define process (Article XII). • Removed language and Attachments regarding financial policies from the Bylaws and inserted them into the Financial Controls policy. • Grammer, punctuation, and formatting changes throughout the entire Bylaw document With City Council approval, the bylaw amendments will become effective on January 1, 2025. BUDGETIMPACT The Bylaws have been updated to reflect an annual municipal contribution based on service credits as determined by the Andover Fire Department. For the 2024 contribution, the City established a baseline of $125/per service credit. The municipal contribution is calculated by multiplying the baseline service credit by the total number of months certified per active firefighter. In future years, the baseline per service credit will be adjusted by the cost -of -living adjustment (COLA) percent increase provided to the City non -bargaining employees. There is no budget impact related to the other bylaw amendments. r CTION RE UIRED he City Council is requested to approve the amendments to the Andover Firefighters Relief Association Bylaws as approved by the Board of Trustees and Relief Association members. Respectfully submitted, gOjal) C Sarah Cotton Attachment(s): Bylaws of the Andover Firefighters Relief Association — Red -lined Version Bylaws of the Andover Firefighters Relief Association Effective January 1, 2025 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Formatted: Lek Formatted: Font: Not Bold Formatted: Normal Formatted: Leh ARTICLE III MEMBERSHIP Section 1 — Age Restrictions Any regular active or probationary member of the Andover Fire Department wheal under 72.5 years of age shall be eligible to apply for membership. Section 2 —Application All firefighters of the Fire Department are members of the Association and shall be eligible for benefits, except as otherwise stated in these bylaws. An application for membership shall be completed on the designated Association form to become eligible for benefits in the Association. The membership application shall be submitted to and approved by the Relief Association Board. Upon the date a member completes the minimum required certifications by the Fire Department, such member shall begin to accrue service credit for all active service. The minimum required certification for the Fire Department is defined as Firefighter Certification Level 11 and EMT. Section 3 - Severance Resignation or expulsion from the Andover Fire Department shall terminate the ember's membership, so resigning, being expelled, or removed. Section 4 — Fraudulent Activity Bylaw Page I January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Any member who shall, in the opinion of a majority of the Board of Trustees, fraudulently claim benefits from, or defraud, or attempt to defraud the Association in any ••-y Theindividual shal'wav: shall be suspended from membership by the Board, and be subject to criminal prosecution. ARTICLE HI BOARD of TRUSTEES Section 1 — Board Make -U The Board of Trustees shall consist of the following: President,a Vice -President, a Secretary, a -Treasurer, and two (2; general trustees, each of whom shall be elected from the membership of this Association for a term as specified in this Article, eF-aatil-a Asseeiation. In _dditi__ .i_-.. shfiR be and three statutory ex officio members; consisting of the Chief of the Andover Fire Department, one elected municipal official, and one elected or appointed municipal official who are annually designated as representatives by the Andover City Council. Section 2 — Election of the Board Each year during the Annual meeting ef the membeFshipmembership meeting, my expiring board positions shall be elected." •Fe sh • I;e th • ele'i.....van exp fig be"" 1� As their respective terms of office expire, and at an annual meeting, the President, Vice President, Secretary, Treasurer, and the two general trustees shall be elected for a tem -e€ three years. Membership shall elect a nominee to the specific open position on the board. If a vacancy occurs during the tens of office, the remaining members of the Board of Trustees shall elect a member of the Association to serve for the unexpired term of the vacant position. Absentee Ballot. Member Voting: If permitted by the Board prior to a meeting. voting members may cast votes by submitting an absentee ballot provided by the Board that is signed by the member and deposited in the ballot box set out by the Board. Submission of an absentee ballot shall constitute a proxy to the officer of the Association designated and authorized on the ballot who is bound to cast the member's vote in accord with the member's ballot choices. The member may withdraw their absentee ballot by attending a meeting and votine in person. Use of absentee ballots may only be used on items listed Bylaw Page 2 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. on the ballot and may not be used when trustees and/or officers are elected from the floor during the meeting. Section 3 —Annual Meeting of the Board Within two weeks after the annual meeting of the membership (per Article IV, Section 1), at which the election for board members occurs, the board will conduct a meeting. During this meeting, there will be an official handoff of projects in process and guidance from previous board members. This meeting will also assign leadership roles for special projects:..... h as tho a.,nuni ...J....d._ and the Fun rest beet6 along with a.y etheF pfejeets-that may be planned or in progress. Section 4 - Fiscal It shall be the duty of the Board of Trustees to prepare modes and plans for the safe and profitable investment of the un -appropriated funds of the Association, and whenever loans or investments we made, to investigate and pass on the securities offered and to attend to the drawing and execution of the necessary papers. The Board of Trustees shall order an audit of the books and accounts of the Secretary and the Treasurer annually, according to the law, and shall submit a written report of the condition of the association to the members at the annual meeting. The Board of Trustees must also abide by the Financials Controls Policv and Investment Policv anoroved by the membership. Section 5 - Investments The investment of the funds of the Association shall be in the exclusive control of the Board of Trustees, in conformance with state statutes, and subject to the approval of the Andover City Council. Section 6 — Special Meetings Three or more members of the Board of Trustees shall cause the President to call a Special Meeting of the Board of Trustees upon receipt of written notice of the meeting and subject of the meetip discussion. Upon receipt of written toner statement, the President shall call a special meeting within 48ten calendar days and provide at least 3. three calendar day's written notice. The agenda for the Special meeting shall be limited to the written request for the special meeting. Section 7 — Fiduciary Responsibility Bylaw Page 3 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. The members of the Board of Trustees shall act as trustees with a fiduciary obligation to the State of Minnesota, to the City of Andover, and to the members of the Association. Bylaw Page 4 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. ARTICLE IVIII DUTIES of OFFICERS Section 1 -President It shall be the duty of the President to attend and preside at all meetings of the Association and the Board of Trustees. He4heThev shall enforce the due observance of the Articles of Incorporation and the By -Laws and see that the officers properly perform the dut as assigned to ;h.—their duties. He/she -They shall sign checks issued by the Treasurer and all papers requiring hislheflheir signature. He'. h Micy shall be a member of all committees except the Aid Committee and shall exercise careful supervision over the affairs of the Association. They shall receive the salary outlined in the Financial Controls Policv. Section 2 — Vice President It shall be the duty of the Vice -President to perform all of the detiesresponsibilities of the President in the absence of the President. In addition, the Vice -President shall preside over the Aid Committee. Section 3 - Secret It shall be the duty of the Secretary to keep a true and accurate record of the proceedings of all meetings of the Association and of -the Board of Trustees. HekheThey shall keep a correct record of all amendments, alterations, and additions to the Articles of Incorporation or the By -Laws in a separate book from the minute books of the Association. HeAhe-They shall cause due notice of all special meetings of the Association and the Board of Trustees to be given. Ho4heThey shall receive all cash monies due the Association and pay the same over to the Treasurer, taking a receipt for the same. Upon failure do so, h •'-h •Failure to do so. -may result in them being impeached and/or expelled from the Association. ThaHet she shall keep a roll of membership with the date of joining, resignation, discharge, dues and assessments paid and relief or pensions famished. Their#IisFhee books shall, at all times, be open to inspection by the Board of Trustees. #e-,HeThev shall, prior to entering upon the duties of hisAierthe office, give a bond in such amount and with such sureties as may be required and approved by the Board of Trustees, conditioned upon the faithful discharge of hisAwnheir trusts and the full performance of Bylaw Page 5 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. the duties of all reports and statements required by law. They shall receive the salary outlined in the Financial Controls policy."P'^`' 4,11 -' "`'_I__ as May be fixed ffem time to time by the Board ofTrustees, subjeet to appFaN a! of the Asseeiatien, and Formatted: Leh Section 4 - Treasurer It shall be the duty of the Treasurer to receive all monies belonging to the Association. klelsheThey shall keep separate and distinct accounts of the General and Special Funds_, They and -shall prepare and present to the Board of Trustees a tall -complete and detailed statement of the assets and liabilities of each fund separately priet=-tebefore the annual meeting of the Association. HefsheThey shall invest funds held by him/ber as authorized by the Board of T�steesof Trustees. Failing their: • likhe obligations, heFshethey may be impeached and/or expelled from the Association. KefsheThey shall deliver to his-herthe successor in office, or any committee appointed by the Board of Trustees to receive the same, all monies, books, papers, etc., pertaining to his/her office immediately upon the expiration of his/her term of office, resignation, or upon his/her expulsion. `l -'she shall, pfioF4eBefore entering upon the duties of his:berthe office, they shall give a bond in such amount and with such sureties as may be required and approved by the Board of Trustees, conditioned upon the faithful discharge of hia=heetheir trust and the faithful performance of the duties of hiO4etthe office. Jointly with the Secretary, he/she shall prepare and file all reports and statements required by law. They shall receive such salary as outlined in the Financial Controls policy.14eAhe Section 5 —Aid Committee There shall be an Aid Committee, composed of the Vice -President and two other members of the Association, who may or may not be members of the Board of Trustees, appointed by the President. The Vice -President shall be the chairperson of this committee, whose duty shall be to see that assistance is rendered to each sick or disabled member, and to -the survivors of any deceased member. Bylaw Page 6 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS` RELIEF ASSOCIATION INC. ARTICLE IV MEMBERSHIP MEETINGS Section 1 — Membership Meetings The AnRual Meet `hal he held a. - ^ � a-^ • 1 •' • Of r-- -- .c cell' The Association's Annual Meeting shall be held each year in January to elect trustees and conduct all other businesses. Section 2 — Special Meetings of MembershiQ Special meetings of the Association may be called by the President, and at least iwe two members of the Board of Trustees, or upon written request of six or more members of the Association. M -rah..-^ A_u b...._.:f..,d by the Se.Fata.. of^ _k. �-The Secretary of such special meetings shall notifv members- d4he. The subject of the meeting shall be stated in such notice, and such special meetings shall be limited to those items stated in the special meeting notice. Seeks 25 Upon receipt of a special meeting request, the President shall call the special meeting within 30 calendar days and provide at least 40 -ten calendar day's written notice to all members. Section 3 - Ouomm A majority of the Board of Trustees then in office, and Forty percent (40%) of the members of the Association shall constitute a quorum for the transaction of business at the Annual-Rt;f.g-Meetmg or any Special meeting. Bylaw Page 7 January 2023 Formatted: Indent Lett -0.01", Hanging: 0.01", Line spacing: Multiple 1.03 Ii Formatted: Normal, Indent: Left: 0", Line spacing: Multiple 1.08 Ii BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Section 4 — Parliamentary Procedure All meetings shall be conducted according to the QMef-Order of Business Policy. _ / Commented ISW11: This should not be deleted as it Hives direction to Board members ARTICLE VI FIDUCIARY RESPONSIBILITY Section I — Board of Trustees _ _ Formatted: Underline Formatted: Underline Each member of the Board of Directors, also acts as a trustee of the Special Fund. The Board of Directors therefore also acts as the Board of Trustees. The Board of Trustees is charged with administering retirement and ancillary benefits under the Special Fund, and the Trustees are fiduciaries subiect to the standard of care set forth in Minnesota Statutes, Section I IA 09 and Section 356A.04. This includes specifically assuming such additional duties as may be described in Association policies and procedures or required by state law, includin (a) adopting an investment policy: (b) providing written investment restrictions to brokers: Bylaw Page 8 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. (c) securing certificates of insurance; and (d) establishing a continuing education plan in order to keep abreast of their fiduciary responsibilities. Formatted: Undedine Formatted: Undedine No fiduciary of the Association shall cause the Association to engage in a transaction if the fiduciary knows or should know that a transaction constitutes one (I) of the following direct or indirect transactions: (a) sale or exchange or leasing of any real estate between the Association and a Board member (b) lending of money or other extension of credit between the Association and a Board member or member of the Association; (c) fumishing of goods, services, or facilities between the Association and a Board member (d) transfer to a Board member, or use by or for the benefit of a Board member, of any assets of the Association. Transfer of assets does not mean the payment of Association benefits or administrative expenses permitted by law; or (e) sale, exchange, loan, or lease of any item of value between the Association and a fiduciary of the Association other than for a fair market value and as a result of an arm's-length transaction. Formatted: Undedine Formatted: Underline Although the title "Trustee" is applied to members of the Board of Directors of the Association, the fiduciary standard that Directors are subiect to is two-tiered as a matter of State law. With respect to the Association's Special Fund. Trustees are required to meet a standard of care that applies to fiduciaries under Minnesota Statutes, Section I IA 09 and Section 356A.04, as described above. With respect to business and management decisions not including decisions related to the Special Fund, all Trustees are required to meet a standard of care that applies to nonprofit comoration Directors under Minnesota Statutes, Section 317A.251. These decisions include, but are not limited to, business decisions regarding fund-raising activities, and disposition of and management of the General Fund. Accordingly, in their decision-making and management. Trustees must discharge the duties of their position in good faith, in a manner the Director reasonably believes to be in the best interests of the Association, and with the care an ordinarily Prudent person in a like position would exercise under similar circumstances. Directors are not, in accord with that same statutory section considered "Trustees" with respect to the Association or with respect to propertv held or administered by the Association Bylaw Page 9 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Section 4 — Conflict of Interest Procedures. When a member(s) of the Board of Directors has a conflict: (a) Each member of the Board of Directors, whether active as a Director or as an Officer of the Association, has a dury to disclose to the Board (or to any committee of the Board) the material facts of any proposed transaction or action of the Association in which they or a Relative have a Material Financial Interest. (b) The disclosure required under (a) (above) must be made, to the extent possible, prior to any consideration of such proposed transaction or action by the Board of Directors or by any applicable committee of the Board of Directors. If a Board member does not recognize the existence of a conflict prior to the Board of Director's decision regarding the transaction, that person has a duty to disclose the material facts of the conflict as soon as the conflict is recognized. (c) The Board member having a conflict shall not participate in the deliberation or decision regarding the matter under consideration and shall leave the room during deliberations except when he has been invited by the Board or committee to participate, after consideration of the significance to the Association of the disclosed conflict. The Board of Directors or committee may also request that he provide the Association with anv relevant information known to the Board member regarding the matter. (d) Any proposed transaction or action in which the Board of Directors has determined that a Director has a conflict of interest that is not "de minimis" is to be approved by a maiority of all the Board of Directors then -serving, who would be entitled to vote and who are not interested Board members at a meeting at which a quorum is present (i.e., by a Supermaiority of the entire Board of Directors not including a Board member(s) who has a conflict of interest), even though the non -conflicted directors may constitute less than a quorum). Deliberations by the Board of Directors regarding the conflict shall be documented in Board minutes no later than 60 days following the subiecl meeting The votes of each Board member in support or in opposition to the transaction or action shall be noted. (e) All Board members are obligated to notify the Board of Directors if they believe another Board member has failed to disclose a conflict, and this orocedme shall be followed by the Board of Directors in all such instances. Bylaw Page 10 January 2023 Formatted: Underline Formatted: Underline Formatted: Normal. Right: 0" BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. ARTICLE VII GENERAL FUNDS & FUND DISBURSEMENTS Section 1 — General Fund Revenue All funds received by this Association shall be kept in the General Fund of the Association ori;he beeks of the Treasurer and ._ be diSb _ _a fO_ " pwpese .._. bly _elai d to the welfare of the Asseetat An OF its .....tub -_sper the Financial Controls Policv Rreauirements. Section 2 —General Fund Disbursements meet ng of the Ass ^. Disbursed for any purpose reasonably related to the welfare of the Association or its members as outlined in the Financial Controls oolicv. Section 3 — Special Fund Revenue All money belonging to this Association shall be deposited to the efedit-ef t`- asseeiatieaassociation's credit' , saN,ings and loan __________F_tu.._ deP0S*.t0.__ _Bthe o_.._a 4TRbstees may designate.per the Investment Policv. Section 4 —Special Fund Disbursements No money or refunds of the Special Fund of the Association shall be disbursed except for those purposes spee&+eaUyr Lnressty authorized by state statutes and approved by a majority of the Board of Dkee�Tmstees Section 5 — Sienatures Required All disbursement of GEA'{b4I eFSPECIAL FUNDS of this Association shall be made by checks drawn by the Treasurer and countersigned by one of two Board of Trustee members as designated by the Board of Trustees. Except when issued for salaries, Bylaw Page 11 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. pensions, and other fixed charges, the amount of which has previously been determined and authorized by the Board of Trustees. Section 56 - Reports All reports and resolutions shall be submitted in writing, and no report from a committee shall be accepted unless it is the report of a majority of said committee, provided, however, that a minority shall be permitted to present its views in writing. Bylaw Page 12 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. ARTICLE VIII APPLICATION FOR BENEFITS Section I — Anolications General All applications for relief or pension benefits shall be made in writing on forms fumished by the Secretary. Section 2 — Disability Anolications All applications for disability benefits shall be submitted to the Board of Trustees at a regular or special meeting of the Board. The application shall be accompanied by a certificate from the attending physician or surgeon setting forth the nature of the illness or injury, the cause and duration thereof, the length of time the applicant has been unable to perform hie:hertheir duties as a firefighter, and an estimate of the future time during which the applicant will be unable to perform his/her duties as a firefighter. Section 3 — Pension Applications All applications for pensions shall be submitted to the Board of Trustees, - neeindadanee with Aniele X!, Sestien 3, Clause (c). Applioat e I oath of the app4ieantAn oath ofthe applicant shall verify applications. and -It shall state the age -afthe epplieantapplicant's aee, the period of service in and the date of retirement from the Andover Fire Department, the length of time ho4he ltasthey have been a member of the Association, and such other information as the Board of Trustees may require. Section 4 - Approval All benefits or pensions shall be paid once a maiority vote of the Board of Trustees has approved the application. Na he :cr4t1... shall be __�a until .appliGatign a___f __ has b,.__ apple ed L. _^e Ahe Beard efTrustees. Decisions of the Board shall be final as to the payment of such benefits or pensions. No person receiving a pension shall be paid any other benefits by the Association. Bylaw Page 13 January 2023 BY-LAWS of the ANDOVER FHtEFIGHTERS' RELIEF ASSOCIATION INC. ARTICLE VIH IX SICK AND DISABILITY BENEFITS Section 1 —Response Related If a member of this Association shaWbecomes disabled due to an Andover Fire ^ pai4ma..,,.ent- '-'WDepartment-related event while operatine as a function of these bylaws • to the extent that a physician or surgeon acceptable to the Board of Trustees shall certify that such disability will permanently prevent said member from performing theirhisFhee duties in the Andover Fire Department, the Association shall, upon approval of the Board of Trustees, pay the balance of the member's account to the member after 100 days of disability. Application for disability benefits must be made prieFtehefore departure from the Andover Fire Department. If a member who has received such a disability pension should subsequently recover and return to active duty in the Andover Fire Department, any amount paid to hintAa them as a disability pension shall be deducted from his4wrtheir retirement pension accrued at the time of such disability. Section 2 —Temporary Disability If a temporary disability is sustained during an Andover Fire Department incident or training event while operating as a function of these bylaws, the memberz 4 e shall continue accruing months of service with the Association ^`-"�.,R,-�a.,�,,-' -•• inthe -eveata Asseeiation shall be eeatisuaus Section 3 —Non Fire Department Related Disability If a member becomes temporarily or penman •ntly disabled due to activity or events outside the Andover Fire Department, vested pension benefits will not be paid until the member reaches age 50. ••- `^^--• ^"•-^'^^ ' """-"' Bylaw Page 14 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. ARTICLE XV4II SERVICE PENSION & DEATH BENEFITS Section I — Service Pensions Clause (a). Eligibility requirements. To be eligible to receive a service pension, a member must meet all of the following requirements: Item (i). Be at least 50 years of age; Item (ii). Have retired from the Fire Department of the Municipality of Andover, Minnesota; Item (iii). Have completed at least five years (which yeer need not be continuous) of active service with such department before retirement; and Item (iv). Have been a member in good standing of the Association at least five years; OF `... _ `..-_ _ ._.. _b__,.f.h. A _'l -""F F __ p_..... _... p.._.._ the __._ the Assoc ._...,.... _., ..,...._.. ........ _....... ....Formatted: Indent Hanging: 0.88", Right: 0.04", Line time W; RetiVe .....b.__ _fIll , n _ spacing: single Bylaw Page 15 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Clause (b). Service pension. Each member meeting the requirements of clause (a) shall be entitled to a defined contribution lump sum service pension as authorized by Minnesota Statutes, Section 424A.02, subd. 4. An individual account for each member shall be established. To each individual -member's account shall be credited a right to an equal share of, (1). Any aR+WJRt,-amount of State Fire aid received by the Association; (2). Any amounts of municipal contributions to the Association from tax levies or other available revenue sources; (3). Any amounts transferred from the General Fund; and Bylaw Page 16 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. ARTICLE vrrl r.,.._.. �rFormatted: Left Indent: Lek: 0", Line spacing: Multiple 1.15 li, No widow/orphan control, Border. Top: (4). Any amounts equal to the share of the assets of the Special Fund (No border), Bottom: (No border), Left (No border), to the credit of: Right: (No border), Between : (No border) service (a) any former member who terminated active service with the Fire Department of the City of Andover prieF4@before meeting the minimum service requirement provided for in clause (a) and has not returned to active service with the Fire Department for a-peeied-efat least five years or (b). any retired member who retired peief4e1jefore obtaining a full non -forfeitable interest in the amounts credited to the individual member account pursuant to clause (b); (5). Any interest or investment income less an equal share of administrative expenses, and a proportionate share of investment expenses, earned on the assets of the Special Fund. At the time of retirement, a member meeting the qualifications of clause (a) shall be entitled to the portion of the assets of the Special Fund to his/her credit which is nonforfeitable according to the following table based on the number of years to theirhis:4mer credit: Completed years Nonforfeitable portion of of Service annual or pfe-Fate rp o_rata pension amount 5 40% 6 52% 7 64% 8 76% 9 88% 10 and thereafter 100% Bylaw Page 17 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Clause (c). Deferred service pension. A member of the Association who meets all of the requirements of clause (a) except for a item (i), the minimum age requirement, who separates from active service ptieF4abefore reaching the age of 50 years shall be entitled to a deferred service pension to commence upon-hisfhee them reaching the age of 50 years and upon his/her making a valid written application therefore to the Association. The Association shall pay interest on the fully vested and partially vested deferred lump sum service pension during the period-efdeferFaldeferral ep riod. Each deferred member's account shall be credited with the gains or losses at the rate aetually-eamed by the Association on the investment of Special Fund assets less an equal share of administrative expenses, and a proportionate share of investment expenses. Interest shall be compounded annually based on calendar year balances. The deferred service pension shall be governed by state and federal law, the Articles of Incorporation, and the Bylaws applicable on the date ea-whieh the member is separated from active service in the Fire Department and the Association. Clause (d). The Association may, at the written request of the applicable retiring member or, following the death of the active member, at the written request of the deceased member's surviving spouse, directly transfer the eligible member's lump sum pension or the death, funeral, or survivor benefit attributable to the member, whichever applies, to the requesting person's account of their choice. Clause (e). To remediate the inaccurate reported start dates for all former and active members of the Relief Association that have not received their benefits and were members under effective bylaws as of December 31.2024: each member will have their vesting date for their benefit calculated as of their hire date as reported by the Fire Department. No adjustments shall be made to their benefit valuation of the Special Fund. Section 2 — Death Benefits Clause (a). Upon the death of any member of the Association who is in good standing at the time of hisFher heir death, the Association shall pay the beneficiary so designated by the member or if none were designated, to the estate of such deceased member the balance of the member's account as of the date of death. Clause (b). Upon the payment by the Association of a lump sum Ssurvivor Bbenefit or Bylaw Page 18 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Ffuneral bBenefit to a survivor of a deceased active volunteer firefighter or of a deceased deferred volunteer firefighter, the Association may pay a supplemental survivor benefit to the survivor of the deceased active or deferred volunteer firefighter from the Special Fund of the Association. The amount of the supplemental Ssurvivor Bbenefit is Ttwenty percent (20%) of the sSurvivor bBenefit or tFuneral bBenefit, but not to exceed $2,000. Section 3 For purposes of computing benefits payable under Articles V411 -and- IX and X, a "year of service" shall be defined as a period of twelve full months of active duty in the Andover Fire Department, beginning on the anniversary of the date when the individual became a member of said Fire Department. If a member's period of active service is not continuous, parts of years may be added together to compute full years. Bylaw Page 19 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. ARTICLE XI SPECIAL FUND INCOME & ALLOCATIONS Section 1 - Allocations All funds received by this Association from any Fire State Aid moneys, any tax sources, and all funds or property donated, given, granted or devised by any person which is specified for use for the support of the Special Fund, and any interest or investment return earned upon the assets of the Special Fund, shall be kept in a Special Fund on the books per the investment policy, and shall not be disbursed for any purpose except those authorized by law.Of the c..,,-,..__ __a the 44AM .....,_a ShRUH01 be diSb -..,, r -. Section 2 — Member Accounts Clause (a) Each member shall have an account maintained by the Association Treasurer. Each member will be credited with a proportionate share of State contributed aid, G ty eentnbuoens, and any other contributions each year. The City will contribute to the special fund annually based on service credits as determined by the Fire Department, and that contribution amount will be based on the following formula. The baseline will be S/per service credit and calculated by multiplying the baseline per service credit by the total number of months certified ver active firefighter. Additionally, the baseline per service credit will be adjusted by the cost -of -living adjustment (COLA) percent increase provided to the City non -bargaining employees The amount determined for each active member by the City will be credited to their account each year. All eam ngs and `eFf k •-^^ `eF4he y a^ annual earnings and forfeitures will be credited and/or debited to each member's account based upon the member's account balance at December 31" of each year. An account calculation policy approved by the Board of Trustees shall be used as the basis for calculating each member's share. A statement of account will be made to each member upon completion of the yeaF endvear-end audit. A monthly fund report will also be provided to the membership a.._,.....,.atil,., the pef-...,.a flee Of the fund o demonstrate the fund's performance. The monthly report is not an individual statement of account. Bylaw Page 20 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Clause (b) After satisfying the requirements for a service pension, a member, deferred member, eligible survivor or the estate of a deceased member, may apply for the balance of a member's account. Application on a retirement benefit forth supplied by the Secretary of the Association, must be presented to the Secretary at least 30 days p4ar,4ebefore the requested date of retirement detersnination. Clause (c) Upon receipt of an application by the Secretary or TFPA,'urer--Treasurer for retirement benefits by an eligible member, the Board of Trustees shall meet within five business days, or as soon as a meeting can be arranged, to order an immediate audit. —The recalculated balance shall determine the basis for the applicant's retirement account balance. Payment will be made within'^''---- "-}s.- a reasonable amount of time to conduct an audit and determine the member's valuation. Clause (d) The Association will conduct an audit of the Special Fund as required by State law as of December 31" of each year. In addition, the Board of Trustees may conduct an audit as of June 30" if requested for the disbursement of pension(s). An application for benefits must be received by May 31" for the June 30`h audit to be performed. The results of the audit closest following the application will be used upon request of the applicant for pension at no charge to the applicant. Any eligible member(s), individually or collectively, may choose to apply for benefits outside of June 30' and December 3l" and the member(s) shall be responsible for the fees for an additional audit. The costs will be divided equally between multiple applicants per audit. Clause a Negative Value Accounts. For an Inactive Member's Account that has a Formatted: Indent: Left: o", Hanging: 0.01' negative Valuation when determined at the Valuation Date. the Account shall be set to a zero value for the duration of the Inactive Member's status. No Allocations, Beneficial Interest, adjustment for earnings or adjustment for expenses shall be credited to the Inactive Member's Account. Once an Inactive Member's Account is set to zero and that member is notified through an annual statement for the Year when that Valuation was determined, that member shall no longer receive an annual statement. However. the Account shalt still be maintained in the database until the scheduled forfeiture date of the Inactive Member. if an Inactive Member were to return to Active Service after the valuation of said Member's Account was set to zero. that Participant shall accrue Benefits based on the Valuation of the Participant's Account upon return to Active Service. Bylaw Page 21 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. ARTICLE XII MILITARY SERVICE Section 1 - Authorization Subject to limitations stated in this Article, a firefighter who is absent from firefighting service due to service in the uniformed services as defined in United States Code, title 38, section 4303(13), shall ebtaitFcontinue accrnine months of service credit for the period of uniformed service, not to exceed five years, unless a longer period is required under United States Code, title 38, section 4312 and subject to the limitations set forth below. Section 2 - Limitations Clause (a). To be eligible for service credit or an investment return allocation as though an active member under this section, the firefighter must return to firefighting service with coverage by this Association or its successor upon discharge from service in the uniformed service within the time frame required in United States Code, title 38, section 4312(e). Clause (b). An allocation of any Fire State Aid, any municipal contributions, any transfers from the General Fund, and any investment return is not authorized if the firefighter separates from uniformed service with a dishonorable or bad conduct discharge or under other than honorable conditions. Investment allocation is not authorized if the firefighter fails to prevideetenoti' the fire department that the individual is leaving to provide service in the uniformed service, unless it is not feasible to provide that notice due to the emergency nature of the situation. Formatted: Left Indent: Left: 0", First line: 0" ARTICLE Xltl The -Bo laws of this r4sseeiatien and -anti aparoved golides may be amended at ani, vetine-u ro vided-that-e-u ameadtnents- Shall -he- by __ fi fi • the mpmhem at a Fegular or svee•el _.--•:..e Bylaw Page 22 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Board of Trustees and by a maiority of the Active Members. The exception is changing the relief association's physical address: in that case. the Board of Trustees may amend the Articles of Incorporation without member approval. If an amendment is initiated by the Directors, proper notice of the proposed amendment must precede a meeting of the members at which the amendment will be considered and must include the substance of meeting of the Board of Trustees within 60 days for consideration of the proposed amendment if a regular meeting of the Board would not occur within 60 days. `Formatted: Font: Not Bold I Formatted: Centered Formatted: Underline Formatted: Font: Not Bold, Underline Formatted: Underline Formatted: Font Not Bold, Underline Formatted: Font: Not Bold Formatted: Font: Not Bold Formatted: Underline Formatted: Font: Not Bold, Underline Formatted: Underline the Board of Trustees by the affirmative vote of a majority of the Trustees then in office Formatted: Font Not Bold, Underline at a meeting for which notice of the meeting and the proposed amendment have been Formatted: underline given. The members may prospectively revoke the authority of the Board to exercise the Formatted: Font Not Bold power of the members to amend the Articles, with the exception of amending the relief association's phvsical address, which the Board can amend without member aooroval Nothing in this Section shall be construed to permit the Board to adopt amend or repeal provisions in the Articles that would alter the rights of the membership Section,3 —Amendment of Bylaws by Board ---4 Formatted: Font: Not Bold Formatted: Font: Not Bold, Underline The Bylaws of the Association may be Amended by the Board at any regular or s ecial Formatted: Font: Not Bold meeline of the Board by a vote of the majority present and voting, provided that a Formatted: Font: Not Bold Bylaw Page 23 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. quorum is present and provided further that a notice of date time place purpose of the meeting and proposed amendment be posted on the bulletin board of the Association, or if no bulletin board, on the door of its usual meeting room, and in accord with Minnesota Statutes Section 317A.231 each Trustee has been provided at least three 3 but not more than sixty (60) days before the meeting. (excluding the date of the meeting) with notice setting forth the date, time, place, purpose of the meeting and proposed amendment. Formatted: Font: Not Bold, Italic, Underline Formatted: Font: Not Bold Formatted: Font Not Bold hereto Formatted: Font: Not Bold (b) Changing the vesting schedule set forth in the Plan attached hereto (c) Membership (d) Compensation (e) Elections M Member Ouorum (g) Revise the number of Members required to amend the Bylaws (h) or limit the right of at least ten percent of the membership to propose a resolution for action by the members to adopt, amend, or repeal Bylaws that the Board has taken action Formatted: Font: Not Bold to adopt amend or repeal pursuant to this section Formatted: Font: Not Bold ection 4 — Amendment of Bylaws by Members Formatted: underline Formatted: Font: Not Bold, Underline The Bylaws of the Association may be mended at any regulator special meetin b a Formatted: underline ma'ori vote of the Active Members present and young, provided that a quorum is resent and provided further that notice of my proposed mendment s shall be given by Formatted: Font: Not Bold, underline posting or reading the same at any regular ors ecial meeting not less than five 5 but Formatted: Underline not more than thirty-one 31 days Preceding that upon which such mendment s are to Formatted: Font: Not Bold be acted upon (excluding the date of the meeting). Formatted: Font Not Bold Formatted: Left Formatted: Font: Not Bold Formatted: Font: Not Bold Formatted: Font: Not Bold Formatted: Font: Not Bold Formatted: Font: Not Bold Formatted: Left Indent: Left: 0.5", First line: 0" Bylaw Page 24 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. ealculated an RPFBFatedmenthlybasis, ani a month pongtitutesa5s `amu.,. the+F A1109at'on pfo Fated as of Dee 3 14 of !he e. ent year. Bylaw Page 25 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. __J. e members. Bylaw Page 26 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Bylaw Page 27 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Bylaw Page 28 January 2023 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. The Bylaws of the Relief Association are hereby amended in their entirety and restated effective as of January 1, 2025. ARTICLE I LOCATION The principal office of the Andover Fire Relief Association, at which the general business of the Association shall be transacted and where the records of the Association shall be kept, shall be at Andover Fire Station #1, 13875 Crosstown Blvd NW, Andover, MN 55304 ARTICLE II MEMBERSHIP Section 1 —Age Restrictions Any regular active or probationary member of the Andover Fire Department under 72.5 years of age shall be eligible to apply for membership. Section 2 — Application All firefighters of the Fire Department are members of the Association and shall be eligible for benefits, except as otherwise stated in these bylaws. An application for membership shall be completed on the designated Association form to become eligible for benefits in the Association. The membership application shall be submitted to and approved by the Relief Association Board. Upon the date a member completes one (1) year as of their hire date and meeting requirements of the Fire Department, such member shall begin to accrue service credit for all active service. If a member has completed the minimum required certifications by the Fire Department prior to their hire date and upon the date the member completes six (6) months as of their hire date, such member shall begin to accrue service credit for all active service. The minimum required certification for the Fire Department is defined as Firefighter Certification Level II and EMT. Section 3 - Severance Resignation or expulsion from the Andover Fire Department shall terminate the member's membership so resigning, being expelled, or removed. Bylaw Page 1 January 2025 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Section 4 — Fraudulent Activity Any member who shall, in the opinion of a majority of the Board of Trustees, fraudulently claim benefits from, or defraud, or attempt to defraud the Association in any way: shall be suspended from membership by the Board and be subject to criminal prosecution. ARTICLE III BOARD of TRUSTEES Section 1 — Board Make -Un The Board of Trustees shall consist of the following: President, Vice -President, Secretary, Treasurer, and two general trustees, each of whom shall be elected from the membership of this Association for a term as specified in this Article, and three statutory ex officio members; consisting of the Chief of the Andover Fire Department, one elected municipal official, and one elected or appointed municipal official who are annually designated as representatives by the Andover City Council. Section 2 — Election of the Board Each year during the Annual membership meeting, any expiring board positions shall be elected. As their respective terms of office expire, and at an annual meeting, the President, Vice President, Secretary, Treasurer, and the two general trustees shall be elected for three years. Membership shall elect a nominee to the specific open position on the board. If a vacancy occurs during the term of office, the remaining members of the Board of Trustees shall elect a member of the Association to serve for the unexpired term of the vacant position. Absentee Ballot. Member Voting: If permitted by the Board prior to a meeting, voting members may cast votes by submitting an absentee ballot provided by the Board that is signed by the member and deposited in the ballot box set out by the Board. Submission of an absentee ballot shall constitute a proxy to the officer of the Association designated and authorized on the ballot who is bound to cast the member's vote in accord with the member's ballot choices. The member may withdraw their absentee ballot by attending a meeting and voting in person. Use of absentee ballots may only be used on items listed on the ballot and may not be used when trustees and/or officers are elected from the floor during the meeting. Bylaw Page 2 January 2025 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Section 3 — Annual Meeting of the Board Within two weeks after the annual meeting of the membership (per Article V, Section l), at which the election for board members occurs, the board will conduct a meeting. During this meeting, there will be an official handoff of projects in process and guidance from previous board members. This meeting will also assign leadership roles for special projects, that may be planned or in progress. Section 4 - Fiscal It shall be the duty of the Board of Trustees to prepare modes and plans for the safe and profitable investment of the un -appropriated funds of the Association, and whenever loans or investments are made, to investigate and pass on the securities offered and to attend to the drawing and execution of the necessary papers. The Board of Trustees shall order an audit of the books and accounts of the Secretary and the Treasurer annually, according to the law, and shall submit a written report of the condition of the association to the members at the annual meeting. The Board of Trustees must also abide by the Financials Controls Policy and Investment Policy approved by the membership. Section 5 - Investments The investment of the funds of the Association shall be in the exclusive control of the Board of Trustees, in conformance with state statutes, and subject to the approval of the Andover City Council. Section 6 — Special Meetings Three or more members of the Board of Trustees shall cause the President to call a Special Meeting of the Board of Trustees upon receipt of written notice of the meeting and subject of the discussion. Upon receipt of written statement, the President shall call a special meeting within ten calendar days and provide at least three calendar day's written notice. The agenda for the Special meeting shall be limited to the written request for the special meeting. Section 7 — Fiduciary Responsibility The members of the Board of Trustees shall act as trustees with a fiduciary obligation to the State of Minnesota, to the City of Andover, and to the members of the Association. Bylaw Page 3 January 2025 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. ARTICLE IV DUTIES of OFFICERS Section 1 - President It shall be the duty of the President to attend and preside at all meetings of the Association and the Board of Trustees. They shall enforce the due observance of the Articles of Incorporation and the By -Laws and see that the officers properly perform their duties. They shall sign checks issued by the Treasurer and all papers requiring their signature. They shall be a member of all committees except the Aid Committee and shall exercise careful supervision over the affairs of the Association. They shall receive the salary outlined in the Financial Controls Policy. Section 2 — Vice President It shall be the duty of the Vice -President to perform all of the responsibilities of the President in the absence of the President. In addition, the Vice -President shall preside over the Aid Committee. Section 3 - Secretary It shall be the duty of the Secretary to keep a true and accurate record of the proceedings of all meetings of the Association and the Board of Trustees. They shall keep a correct record of all amendments, alterations, and additions to the Articles of Incorporation or the By -Laws in a separate book from the minute books of the Association. They shall cause due notice of all special meetings of the Association and the Board of Trustees to be given. They shall receive all cash monies due the Association and pay the same over to the Treasurer, taking a receipt for the same. Failure to do so, may result in them being impeached and/or expelled from the Association. They shall keep a roll of membership with the date of joining, resignation, discharge, dues and assessments paid and relief or pensions furnished. Their books shall, at all times, be open to inspection by the Board of Trustees. They shall, prior to entering upon the duties of the office, give a bond in such amount and with such sureties as may be required and approved by the Board of Trustees, conditioned upon the faithful discharge of their trusts and the full performance of the duties of all reports and statements required by law. They shall receive the salary outlined in the Financial Controls policy. Bylaw Page 4 January 2025 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Section 4 - Treasurer It shall be the duty of the Treasurer to receive all monies belonging to the Association. They shall keep separate and distinct accounts of the General and Special Funds. They shall prepare and present to the Board of Trustees a complete and detailed statement of the assets and liabilities of each fund separately before the annual meeting of the Association. They shall invest funds held by him/her as authorized by the Board of Trustees. Failing their obligations, they may be impeached and/or expelled from the Association. They shall deliver to the successor in office, or any committee appointed by the Board of Trustees to receive the same, all monies, books, papers, etc., pertaining to his/her office immediately upon the expiration of his/her term of office, resignation, or upon his/her expulsion. Before entering upon the duties of the office, they shall give a bond in such amount and with such sureties as may be required and approved by the Board of Trustees, conditioned upon the faithful discharge of their trust and the faithful performance of the duties of the office. Jointly with the Secretary, they shall prepare and file all reports and statements required by law. They shall receive such salary as outlined in the Financial Controls policy. Section 5 — Aid Committee There shall be an Aid Committee, composed of the Vice -President and two other members of the Association, who may or may not be members of the Board of Trustees, appointed by the President. The Vice -President shall be the chairperson of this committee, whose duty shall be to see that assistance is rendered to each sick or disabled member and the survivors of any deceased member. ARTICLE V MEMBERSHIP MEETINGS Section 1 — Membership Meetings The Association's Annual Meeting shall be held each year in January to elect trustees and conduct all other business. Section 2 — Special Meetings of Membership Special meetings of the Association may be called by the President, and at least two members of the Board of Trustees, or upon written request of six or more members of the Association. The Secretary of such special meetings shall notify members. The subject Bylaw Page 5 January 2025 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. of the meeting shall be stated in such notice, and such special meetings shall be limited to those items stated in the special meeting notice. Upon receipt of a special meeting request, the President shall call the special meeting within 30 calendar days and provide at least ten calendar day's written notice to all members. Section 3 - Quorum A majority of the Board of Trustees then in office, and Forty percent (40%) of the members of the Association shall constitute a quorum for the transaction of business at the Annual Meeting or any Special meeting. Section 4 — Parliamentary Procedure All meetings shall be conducted according to the Order of Business Policy. ARTICLE VI FIDUCIARY RESPONSIBILITY Section 1 — Board of Trustees Each member of the Board of Directors, also acts as a trustee of the Special Fund. The Board of Directors therefore also acts as the Board of Trustees. The Board of Trustees is charged with administering retirement and ancillary benefits under the Special Fund, and the Trustees are fiduciaries subject to the standard of care set forth in Minnesota Statutes, Section I IA. 09 and Section 356A.04. This includes specifically assuming such additional duties as may be described in Association policies and procedures or required by state law, including: (a) adopting an investment policy; (b) providing written investment restrictions to brokers; (c) securing certificates of insurance; and (d) establishing a continuing education plan in order to keep abreast of their fiduciary responsibilities. Bylaw Page 6 January 2025 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Section 2 — Prohibited Transactions No fiduciary of the Association shall cause the Association to engage in a transaction if the fiduciary knows or should know that a transaction constitutes one (1) of the following direct or indirect transactions: (a) sale or exchange or leasing of any real estate between the Association and a Board member; (b) lending of money or other extension of credit between the Association and a Board member or member of the Association; (c) furnishing of goods, services, or facilities between the Association and a Board member; (d) transfer to a Board member, or use by or for the benefit of a Board member, of any assets of the Association. Transfer of assets does not mean the payment of Association benefits or administrative expenses permitted by law; or (e) sale, exchange, loan, or lease of any item of value between the Association and a fiduciary of the Association other than for a fair market value and as a result of an arm's-length transaction. Section 3 — Fiduciary Responsibilities Apart from the Special Fund Although the title "Trustee" is applied to members of the Board of Directors of the Association, the fiduciary standard that Directors are subject to is two-tiered as a matter of State law. With respect to the Association's Special Fund, Trustees are required to meet a standard of care that applies to fiduciaries under Minnesota Statutes, Section 11A. 09 and Section 356A.04, as described above. With respect to business and management decisions not including decisions related to the Special Fund, all Trustees are required to meet a standard of care that applies to nonprofit corporation Directors under Minnesota Statutes, Section 317A.251. These decisions include, but are not limited to, business decisions regarding fund-raising activities, and disposition of and management of the General Fund. Accordingly, in their decision-making and management, Trustees must discharge the duties of their position in good faith, in a manner the Director reasonably believes to be in the best interests of the Association, and with the care an ordinarily prudent person in a like position would exercise under similar circumstances. Directors are not, in accord with that same statutory section, considered "Trustees" with respect to the Association or with respect to property held or administered by the Association. Section 4 — Conflict of Interest Procedures When a member(s) of the Board of Directors has a conflict: Bylaw Page 7 January 2025 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. (a) Each member of the Board of Directors, whether acting as a Director or as an Officer of the Association, has a duty to disclose to the Board (or to any committee of the Board) the material facts of any proposed transaction or action of the Association in which they or a Relative have a Material Financial Interest. (b) The disclosure required under (a) (above) must be made, to the extent possible, prior to any consideration of such proposed transaction or action by the Board of Directors or by any applicable committee of the Board of Directors. If a Board member does not recognize the existence of a conflict prior to the Board of Director's decision regarding the transaction, that person has a duty to disclose the material facts of the conflict as soon as the conflict is recognized. (c) The Board member having a conflict shall not participate in the deliberation or decision regarding the matter under consideration and shall leave the room during deliberations except when he has been invited by the Board or committee to participate, after consideration of the significance to the Association of the disclosed conflict. The Board of Directors or committee may also request that he provide the Association with any relevant information known to the Board member regarding the matter. (d) Any proposed transaction or action in which the Board of Directors has determined that a Director has a conflict of interest that is not "de minimis" is to be approved by a majority of all the Board of Directors then -serving who would be entitled to vote and who are not interested Board members at a meeting at which a quorum is present (i.e., by a Supermajority of the entire Board of Directors not including a Board member(s) who has a conflict of interest), even though the non -conflicted directors may constitute less than a quorum). Deliberations by the Board of Directors regarding the conflict shall be documented in Board minutes no later than 60 days following the subject meeting. The votes of each Board member in support or in opposition to the transaction or action shall be noted. (e) All Board members are obligated to notify the Board of Directors if they believe another Board member has failed to disclose a conflict, and this procedure shall be followed by the Board of Directors in all such instances. ARTICLE VII GENERAL FUNDS & FUND DISBURSEMENTS Section 1 — General Fund Revenue All funds received by this Association shall be kept in the General Fund of the Association per the Financial Controls Policy requirements. Bylaw Page 8 January 2025 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Section 2 — General Fund Disbursements Disbursed for any purpose reasonably related to the welfare of the Association or its members as outlined in the Financial Controls policy. Section 3 — Special Fund Revenue All money belonging to this Association shall be deposited to the association's credit per the Investment Policy. Section 4 —Special Fund Disbursements No money or refunds of the Special Fund of the Association shall be disbursed except for those purposes expressly authorized by state statutes and approved by a majority of the Board of Trustees Section 5 — Signatures Required All disbursement of SPECIAL FUNDS of this Association shall be made by checks drawn by the Treasurer and countersigned by one of two Board of Trustee members as designated by the Board of Trustees. Except when issued for salaries, pensions, and other fixed charges, the amount of which has previously been determined and authorized by the Board of Trustees. Section 6 - Reports All reports and resolutions shall be submitted in writing, and no report from a committee shall be accepted unless it is the report of a majority of said committee, provided, however, that a minority shall be permitted to present its views in writing. ARTICLE VIII APPLICATION FOR BENEFITS Section 1 — Applications General All applications for relief or pension benefits shall be made in writing on forms furnished by the Secretary. Bylaw Page 9 January 2025 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Section 2 — Disability Applications All applications for disability benefits shall be submitted to the Board of Trustees at a regular or special meeting of the Board. The application shall be accompanied by a certificate from the attending physician or surgeon setting forth the nature of the illness or injury, the cause and duration thereof, the length of time the applicant has been unable to perform their duties as a firefighter, and an estimate of the future time during which the applicant will be unable to perform his/her duties as a firefighter. Section 3 — Pension Applications All applications for pensions shall be submitted to the Board of Trustees. An oath of the applicant shall verify applications. It shall state the applicant's age, the period of service in and the date of retirement from the Andover Fire Department, the length of time they have been a member of the Association, and such other information as the Board of Trustees may require. Section 4 - Approval All benefits or pensions shall be paid once a majority vote of the Board of Trustees has approved the application. Decisions of the Board shall be final as to the payment of such benefits or pensions. No person receiving a pension shall be paid any other benefits by the Association. ARTICLE IX SICK AND DISABILITY BENEFITS Section 1 — Response Related If a member of this Association becomes disabled due to an Andover Fire Department -related event while operating as a function of these bylaws, to the extent that a physician or surgeon acceptable to the Board of Trustees shall certify that such disability will permanently prevent said member from performing their duties in the Andover Fire Department; the Association shall, upon approval of the Board of Trustees, pay the balance of the member's account to the member after 100 days of disability. Application for disability benefits must be made before departure from the Andover Fire Department. If a member who has received such a disability pension should subsequently recover and return to active duty in the Andover Fire Department, any amount paid to them as a disability pension shall be deducted from their retirement pension accrued at the time of such disability. Bylaw Page 10 January 2025 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Section 2 — Temporary Disability If a temporary disability is sustained during an Andover Fire Department incident or training event while operating as a function of these bylaws, the member shall continue accruing months of service with the Association. Section 3 — Non Fire Department Related Disabilitv If a member becomes temporarily or permanently disabled due to activity or events outside the Andover Fire Department, vested pension benefits will not be paid until the member reaches age 50. ARTICLE X SERVICE PENSION & DEATH BENEFITS Section I — Service Pensions Clause (a). Eligibility requirements. To be eligible to receive a service pension, a member must meet all of the following requirements: Item (i). Be at least 50 years of age; Item (ii). Have retired from the Fire Department of the Municipality of Andover, Minnesota; Item (iii). Have completed at least five years (which need not be continuous) of active service with such department before retirement; and Item (iv). Have been a member in good standing of the Association at least five years; Bylaw Page 11 January 2025 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Clause (b). Service pension. Each member meeting the requirements of clause (a) shall be entitled to a defined contribution lump sum service pension as authorized by Minnesota Statutes, Section 424A.02, subd. 4. An individual account for each member shall be established. To each member's account shall be credited a right to an equal share of, (1). Any amount of State Fire aid received by the Association; (2). Any amounts of municipal contributions to the Association from tax levies or other available revenue sources; (3). Any amounts transferred from the General Fund; and (4). Any amounts equal to the share of the assets of the Special Fund to the credit of: (a) any former member who terminated active service with the Fire Department of the City of Andover before meeting the minimum service requirement provided for in clause (a) and has not returned to active service with the Fire Department for at least five years or (b). any retired member who retired before obtaining a full non - forfeitable interest in the amounts credited to the individual member account pursuant to clause (b); (5). Any interest or investment income less an equal share of administrative expenses, and a proportionate share of investment expenses, earned on the assets of the Special Fund. At the time of retirement, a member meeting the qualifications of clause (a) shall be entitled to the portion of the assets of the Special Fund to their credit which is nonforfeitable according to the following table based on the number of years to their credit: Bylaw Page 12 January 2025 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Completed years Nonforfeitable portion of of Service annual or pro -rata service pension amount 5 40% 6 52% 7 64% 8 76% 9 88% 10 and thereafter 100% Clause (c). Deferred service pension. A member of the Association who meets all of the requirements of clause (a) except for item (i), the minimum age requirement, who separates from active service before reaching the age of 50 years shall be entitled to a deferred service pension to commence upon them reaching the age of 50 years and upon their making a valid written application therefore to the Association. The Association shall pay interest on the fully vested and partially vested deferred lump sum service pension during the deferral period. Each deferred member's account shall be credited with the gains or losses at the rate earned by the Association on the investment of Special Fund assets less an equal share of administrative expenses, and a proportionate share of investment expenses. Interest shall be compounded annually based on calendar year balances. The deferred service pension shall be governed by state and federal law, the Articles of Incorporation, and the Bylaws applicable on the date the member is separated from active service in the Fire Department and the Association. Clause (d). The Association may, at the written request of the applicable retiring member or, following the death of the active member, at the written request of the deceased member's surviving spouse, directly transfer the eligible member's lump sum pension or the death, funeral, or survivor benefit attributable to the member, whichever applies to the requesting person's account of their choice. Clause (e). To remediate the inaccurate reported start dates for all former and active members of the Relief Association that have not received their benefits and were members under effective bylaws as of December 31, 2024; each member will have their vesting date for their benefit calculated as of their hire date as reported by the Fire Department. No adjustments shall be made to their benefit valuation of the Special Fund. Bylaw Page 13 January 2025 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Section 2 — Death Benefits Clause (a). Upon the death of any member of the Association who is in good standing at the time of their death, the Association shall pay the beneficiary so designated by the member or if none were designated, to the estate of such deceased member the balance of the member's account as of the date of death. Clause (b). Upon the payment by the Association of a lump sum Survivor Benefit or Funeral Benefit to a survivor of a deceased active volunteer firefighter or of a deceased deferred volunteer firefighter, the Association may pay a supplemental survivor benefit to the survivor of the deceased active or deferred volunteer firefighter from the Special Fund of the Association. The amount of the supplemental Survivor Benefit is twenty percent of the Survivor Benefit or Funeral Benefit, but not to exceed $2,000. Section 3 For purposes of computing benefits payable under Articles IX and X, a "year of service" shall be defined as a period of twelve full months of active duty in the Andover Fire Department, beginning on the anniversary of the date when the individual became a member of said Fire Department. If a member's period of active service is not continuous, parts of years may be added together to compute full years. ARTICLE XI SPECIAL FUND INCOME & ALLOCATIONS Section 1 - Allocations All funds received by this Association from any Fire State Aid moneys, any tax sources, and all funds or property donated, given, granted or devised by any person which is specified for use for the support of the Special Fund, and any interest or investment return earned upon the assets of the Special Fund, shall be kept in a Special Fund on the books per the investment policy, and shall not be disbursed for any purpose except those authorized by law. Bylaw Page 14 January 2025 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Section 2 — Member Accounts Clause (a) Each member shall have an account maintained by the Association Treasurer. Each member will be credited with a proportionate share of State contributed aid, and any other contributions each year. The City will contribute to the special fund annually based on service credits as determined by the Fire Department, and that contribution amount will be based on the following formula. The baseline will be $/per service credit and calculated by multiplying the baseline per service credit by the total number of months certified per active firefighter. Additionally, the baseline per service credit will be adjusted by the cost -of -living adjustment (COLA) percent increase provided to the City non - bargaining employees. The amount determined for each active member by the City will be credited to their account each year. All annual earnings and forfeitures will be credited and/or debited to each member's account based upon the member's account balance at December 31st of each year. An account calculation policy approved by the Board of Trustees shall be used as the basis for calculating each member's share. A statement of account will be made to each member upon completion of the year-end audit. A monthly fund report will also be provided to the membership to demonstrate the fund's performance. The monthly report is not an individual statement of account. Clause (b) After satisfying the requirements for a service pension, a member, deferred member, eligible survivor or the estate of a deceased member, may apply for the balance of a member's account. Application on a retirement benefit form supplied by the Secretary of the Association must be presented to the Secretary at least 30 days before the requested date of retirement determination. Clause (c) Upon receipt of an application by the Secretary or Treasurer for retirement benefits by an eligible member, the Board of Trustees shall meet within five business days, or as soon as a meeting can be arranged, to order an immediate audit. The recalculated balance shall determine the basis for the applicant's retirement account balance. Payment will be made within. a reasonable amount of time to conduct an audit and determine the member's valuation. Bylaw Page 15 January 2025 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Clause (d) The Association will conduct an audit of the Special Fund as required by State law as of December 31" of each year. In addition, the Board of Trustees may conduct an audit as of June 301 if requested for the disbursement of pension(s). An application for benefits must be received by May 3151 for the June 30`h audit to be performed. The results of the audit closest following the application will be used upon request of the applicant for pension at no charge to the applicant. Any eligible member(s), individually or collectively, may choose to apply for benefits outside of June 30`h and December 31" and the member(s) shall be responsible for the fees for an additional audit. The costs will be divided equally between multiple applicants per audit. Clause (e) Negative Value Accounts. For an Inactive Member's Account that has a negative Valuation when determined at the Valuation Date, the Account shall be set to a zero value for the duration of the Inactive Member's status. No Allocations, Beneficial Interest, adjustment for earnings, or adjustment for expenses shall be credited to the Inactive Member's Account. Once an Inactive Member's Account is set to zero and that member is notified through an annual statement for the year when that Valuation was determined, that member shall no longer receive an annual statement. However, the Account shall still be maintained in the database until the scheduled forfeiture date of the Inactive Member. If an Inactive Member were to return to Active Service after the valuation of said Member's Account was set to zero, that Participant shall accrue Benefits based on the Valuation of the Participant's Account upon return to Active Service. ARTICLE XII MILITARY SERVICE Section 1 - Authorization Subject to limitations stated in this Article, a firefighter who is absent from firefighting service due to service in the uniformed services as defined in United States Code, title 38, section 4303(13), shall continue accruing months of service credit for the period of uniformed service, not to exceed five years, unless a longer period is required under United States Code, title 38, section 4312 and subject to the limitations set forth below. Bylaw Page 16 January 2025 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. Section 2 - Limitations Clause (a). To be eligible for service credit or an investment return allocation as though an active member under this section, the firefighter must return to firefighting service with coverage by this Association or its successor upon discharge from service in the uniformed service within the time frame required in United States Code, title 38, section 4312(e). Clause (b). An allocation of any Fire State Aid, any municipal contributions, any transfers from the General Fund, and any investment return is not authorized if the firefighter separates from uniformed service with a dishonorable or bad conduct discharge or under other than honorable conditions. Investment allocation is not authorized if the firefighter fails to notify the Fire Department that the individual is leaving to provide service in the uniformed service, unless it is not feasible to provide that notice due to the emergency nature of the situation. ARTICLE XIII AMENDMENTS Section 1 — Amendment of Articles of Incorporation by Members Amendments to the Articles of Incorporation must be approved by a majority of the Board of Trustees and by a majority of the Active Members. The exception is changing the relief association's physical address; in that case, the Board of Trustees may amend the Articles of Incorporation without member approval. If an amendment is initiated by the Directors, proper notice of the proposed amendment must precede a meeting of the members at which the amendment will be considered and must include the substance of the proposed amendment. If an amendment is proposed, the members may demand a meeting of the Board of Trustees within 60 days for consideration of the proposed amendment if a regular meeting of the Board would not occur within 60 days. Section 2 — Amendment of Articles of Incorporation by Board when Authorized by Members When authorized by Active Members, the Articles of Incorporation may be amended by the Board of Trustees by the affirmative vote of a majority of the Trustees then in office, at a meeting for which notice of the meeting and the proposed amendment have been given. The members may prospectively revoke the authority of the Board to exercise the power of the members to amend the Articles, with the exception of amending the relief Bylaw Page 17 January 2025 BY-LAWS of the ANDOVER FIREFIGHTERS' RELIEF ASSOCIATION INC. association's physical address, which the Board can amend without member approval. Nothing in this Section shall be construed to permit the Board to adopt, amend, or repeal provisions in the Articles that would alter the rights of the membership. Section 3 — Amendment of Bylaws by Board The Bylaws of the Association may be amended by the Board at any regular or special meeting of the Board by a vote of the majority present and voting, provided that a quorum is present; and provided further that a notice of date, time, place, purpose of the meeting and proposed amendment be posted on the bulletin board of the Association, or if no bulletin board, on the door of its usual meeting room, and in accord with Minnesota Statutes, Section 317A.231, each Trustee has been provided at least three (3), but not more than sixty (60) days, before the meeting, (excluding the date of the meeting) with notice setting forth the date, time, place, purpose of the meeting and proposed amendment. Board Limitations ofBylaw Amendments. Nothing in this section shall be construed to permit the Board to adopt, amend or repeal provisions regarding: (a) Amending in any way the definition of "Active Service" set forth in the Plan attached hereto (b) Changing the vesting schedule set forth in the Plan attached hereto (c) Membership (d) Compensation (e) Elections ' (f) Member Quorum (g) Revise the number of Members required to amend the Bylaws (h) or limit the right of at least ten percent of the membership to propose a resolution for action by the members to adopt, amend, or repeal Bylaws that the Board has taken action to adopt, amend or repeal pursuant to this section. Section 4 — Amendment of Bylaws by Members The Bylaws of the Association may be amended at any regular or special meeting by a majority vote of the Active Members present and voting, provided that a quorum is present; and provided further that notice of any proposed amendment(s) shall be given by posting or reading the same at any regular or special meeting not less than five (5), but not more than thirty-one (3 1) days preceding that upon which such amendment(s) are to be acted upon (excluding the date of the meeting). Bylaw Page 18 January 2025 APPENDIX A ANDOVER VOLUNTEER FIREFIGHTERS RELIEF ASSOCIATION Individual Pension Account Calculation Policy Rev E ALLOCATIONS ARE BASED UPON THE FOLLOWING CALCULATIONS AS DEFINED IN ARTICLE XI: A. Funds from Current year 1. Donations, Dues, and transfers from the General Fund 2. Contributions from State Aid to Firetowns 3. City Contribution per Active Member on Relief Association as defined in Article X, Section 2, Clause a. B. Funds from hrvestments 1. Income Earned on Investments. 2. Less Expenses of the Special Fund C. Administrative Expenses of the Special Fund II ALLOCATIONS ARE MADE ON THE FOLLOWING BASIS: A. Allocations are made as of Dec. 31" of the Current year. B. Total of funds from Sec I, Aare divided by the number of active, suspended, and leave of absence members on the Relief Association roll. Money is calculated on a prorated monthly basis, and a month constitutes 30 days. 1. Members who are or have been on leave of absence or suspension shall have their allocation pro -rated as of Dec 31' of the current year. The pro -rated allocation shall be added to their individual accounts 2. A new total consisting of the remainder of funds available after prorating in section 11,13. 1. above, shall be divided by the number of active members and added to the accounts of the active members. C. Income from investments shall be allocated to each member's account proportional to the previous year's balance in that account according to the following procedure: 1. The administrative expenses shall be divided equally between the active, and deferred accounts. 2. The total funds allocated as of Dec 31" of the previous year, less the total allocated to frozen accounts, shall be divided into the income, less income generating expenses from Sec I,B to arrive at an amount per allocation dollar. 3. The balance in the member's account as of Dec 31" of the previous year shall be multiplied by the figure calculated in sec II,C.2. to arrive at the individual's income allocation. 4. The income allocation shall be added to the member's account balance. III ELIGIBLE PERSONS FOR FULL OR PARTIAL ALLOCATION: A. Must be active, suspended or on leave of absence of the current year. B. Must not have resigned, be permanently disabled or retired on Dec 311% of the current year. IV FORFEITED ACCOUNTS SHALL BE DIVIDED AS FOLLOWS: After satisfying state waiting requirements, the amount allocated for each year in the account shall be divided by the number of active members and credited to their respective accounts. APPENDIX B ANDOVER VOLUNTEER FIREFIGHTERS RELIEF ASSOCIATION Bylaw Amendment History For a complete summary of the amendments and, if applicable, the Board's rationale and purpose for the change, refer to the Board of Trustee meeting minutes listed with the effective date of the applicable amendment listed hereunder. Effective Dates Meeting Minutes Summary of Change January 1, 2025 September 19, 2024 (Board of Trustees) Amend Bylaws and Appendices to: November 16, 2024 (Membership) language clarifications and enhancements December 3, 2024 (Municipality) • Revise Article I to add location. All subsequent article numbers updated. • Revise firefighter Admission requirements to the Relief Association (Article II, Section 2) • Add language for Absentee Ballots (Article III, Section 2. • Add language to define Fiduciary Responsibility (Article VI) • Add clause to remedy incorrectly reported start dates (Article X, Section 1, Clause e). • Revise City contribution language to align with new City policy (Article XI, Section 2, Clause a) • Added language to address Negative Value Accounts (Article XI, Section 2, Clause e) • Revised Amendment language to further define process (Article XII) • Removed language and Attachments regarding financial policies from the Bylaws and inserted them into the Financial Controls policy. • Grammer, punctuation, and formatting changes throughout the entire Bylaw document NA means not available. NR means not required. TBD means to be determined 2010MNFPCDCAV6.0 A-1 ©2010 Minnesota Firefighter Pension Consultants, LLC 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council U CC: Sarah Cotton, City Administrator FROM: Michelle Harmer, City Clerk SUBJECT: Approve 2025 Animal Impound Facility Agreement DATE: December 3, 2024 INTRODUCTION Attached is the proposed animal impound facility agreement for 2025 with the Animal Human Society. DISCUSSION The proposed agreement has been reviewed by Administration. ACTION REQUIRED The City Council is requested to approve the animal impound facility agreement for the period of January 1, 2025 through December 31, 2025. Respectfully submitted, Michelle Harmer City Clerk Attach: 2025 Agreement with the Animal Humane Society 0 Animal Humane Society and City of Andover Letter of Understanding for Impound Housing Services 2025 Animal Humane Society (AHS) agrees to provide the following services: a. Housing for stray or abandoned animals that are lawfully retrieved by your municipality's community service officer (CSO) or animal control officer (ACO), or for stray animals that are brought into the shelter by a citizen and verbal permission is given by your agency via phone for intake. Housing includes kennel space, daily cleaning, food and water. b. AHS is unable to house wildlife or farm animals. i. Exceptions can be made for chickens with prior approval of the site manager at AHS. c. Herd management vaccination following our standard vaccination protocols, as well as medically necessary and/or emergency care for sick or injured animals impounded during regular business hours. d. Euthanasia services as deemed necessary by an AHS veterinarian. These services may be provided at the end of the legally required holding period or in the case of a medical situation that requires immediate euthanasia. e. Adoption services as deemed appropriate by AHS veterinary staff. The animals will be evaluated for these services at the end of the legally required holding period. f. Euthanasia services and body disposal as deemed appropriate by AHS veterinary staff. The animals will be evaluated for these services at the end of the legally required holding period. g. Provide animal rabies quarantine or diagnostic service for stray felines or canines that have bitten a person. h. Hold animal for the legally required stray holding period: 5 days in MN, 4 Days in WI if a live release, 7 days in WI if euthanized or until reclaimed by owner within this holding period. i. AHS will follow internal policy and best practice for unclaimed animals. City of Andover may request and view AHS policies at any time. 2. AHS expectations: a. AHS is not responsible for sick or injured animals that are left after hours. Outside treatment must be sought for these animals by the animal control officer or community service officer prior to leaving the animals at the AHS facility when veterinary staff members are not on duty. b. Animal Control Officer or Community Service Officer must reach out to their designated AHS contact for guidance prior to any seized animal being brought to AHS that is not stray or abandoned. Ability to house animals that are not stray or abandoned is not guaranteed through this contract. c. AHS has the sole authority for the disposition of all animals that have not been reclaimed upon the expiration of the legally designated holding period. d. AHS will not accept feral cats seized under municipal authority by your municipality's CSO or ACO. e. AHS is not responsible for collecting any fees from an owner for a municipality. City of Andover agrees to: a. Adhere to the drop off procedure set forth by AHS including animal housing at the shelter and paperwork. Drop off procedures and paperwork training for community service or animal control officers will be provided. b. Adhere to state laws and local ordinances that apply to the handling of stray or abandoned animals and the seizure and return of animals to their owners. c. Direct citizens where to take stray animals when not receiving permission for impoundment at AHS. d. Seek care for injured or sick animals prior to drop off in the event that it is after hours and/or AHS veterinary staff is not on duty. e. Pay the designated fees for each animal cared for from your municipality. i. AHS will charge a standard hold fee for stray and abandoned animals of $236 per canine or feline and a $54 fee per "other" domestic animals (rabbits, guinea pigs, birds etc.) not reclaimed by its owner. ii. AHS will charge an additional fee of $650 for stray and abandoned animals with a legally mandated hold or quarantine that is not a 5 -day stray hold. 1. This fee covers up to 10 days of care and will usually be associated with a rabies quarantine after a bite. 2. Holds lasting longer than 10 days will be charged a fee of $65 per day. 3. This fee will be charged to the municipality independent of who claims the animal. iii. Animals that are deemed dangerous or potentially dangerous or animals that require multiple runs to house safely will have an added surcharge of $75 per day. iv. AHS will charge a $27 administrative/processing fee to the municipality for each animal reclaimed by its owner in place of the standard fee. In these instances, AHS will charge the owner the additional reclaim fees. v. AHS will charge a $75 DOA (administrative/processing/cremation) fee for disposal of any cadavers brought to an AHS facility by a representative of the municipality. f. Adhere to AHS policy and best practice for unclaimed animals. City of Andover may request and view AHS policies at any time. 2 g. Adhere to building access rules and ensure that the service access door is closed and locked after use in an after-hours drop off. h. Ensure that the municipality's CSO/ACO uses his/her discretion in the field as to whether or not to impound an animal. AHS is not responsible for those decisions. i. Be available to members of your community to resolve their concerns related to the actions of your ACO/CSO officers and your municipality's procedures, policies and requirements. 4. Administration a. AHS will bill the municipality at the end of each quarter on a fiscal calendar year. Billing will be mailed in the first month following the end of the quarter. Payment is expected within 30 days of receipt of billing. b. AHS will assign a contact person who should be contacted in the event of any problems, concerns or to receive feedback regarding the program. c. Any billing disputes must be raised within 10 days of receipt of billing. d. The AHS agrees to maintain all data received from City of Andover in the same manner as City of Andover as required under the Minnesota Government Data Practices Act, Minnesota Statutes, Chapter 13. e. Insurance Requirements. i. Liability. AHS agrees to maintain commercial general liability insurance in a minimum amount of $1,000,000 per occurrence; $2,000,000 annual aggregate. The policy shall cover liability arising from premises, operations, products - completed operations, personal injury, advertising injury, and contractually assumed liability. Upon request City of Andover shall be named as an additional insured. ii. Automobile Liability. If AHS operates a motor vehicle in performing the services under this agreement, AHS shall maintain commercial automobile liability insurance, including owned, hired, and non -owned automobiles, with a minimum liability limit of $1,000,000, combined single limit. iii. Workers' Compensation. AHS agrees to comply with all applicable workers' compensation laws in Minnesota. iv. Certificate of Insurance. Upon request, AHS shall deliver to City of Andover a Certificate of Insurance as evidence that the above coverages are in full force and effect. f. Indemnification: AHS. To the fullest extent permitted by law, AHS agrees to defend and indemnify City of Andover, and its officers, employees, and volunteers, from and against all claims, damages, losses, and expenses, including attorney fees, arising out of or resulting from the performance of work under this agreement; but only to the extent caused in whole or in part by the negligent acts, errors or omissions of AHS, AHS's subcontractor(s), or anyone directly or indirectly employed or hired by AHS, or anyone for whose acts AHS may be liable. AHS agrees this indemnity obligation shall survive the completion or termination of this agreement. ii. City of Andover. To the fullest extent permitted by law, City of Andover agrees to defend and indemnify AHS, and its officers, employees, and volunteers, from and against all claims, damages, losses, and expenses, including attorney fees, arising out of or resulting from the performance of work under this agreement; but only to the extent caused in whole or in part by the negligent acts, errors or omissions of City of Andover, or anyone directly or indirectly employed or hired by City of Andover, or anyone for whose acts City of Andover may be liable. City of Andover agrees this indemnity obligation shall survive the completion or termination of this agreement. g. Audit. Pursuant to Minn. Stat. 16C.05, Subd. 5, AHS agrees that the books, records, documents, and accounting procedures and practices of AHS or other party, that are relevant to the contract or transaction, are subject to examination by the City and either the legislative auditor or the state auditor, as appropriate, for a minimum of six years. AHS agrees to maintain these records for a period of six years from the date of termination of this Agreement. This agreement is based on a one year commitment, which is renewed annually from the date your administrator signs the agreement below. If the municipality brings animals to AHS without a signed contract, it will be assumed that the agreement is extended for term of the next contract. The agreement can be ended at any time by either parry with a 30 day written notice. This agreement is entered into on the Eileen Lay, COO and CFO Animal Humane Society day of 202 by Signed on behalf of Municipal Authority Printed Name and Title Signed on behalf of Municipal Authority Printed Name and Title Email Address to send invoices • F NDOVE^ 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Councilmembers C/ CC: Sarah Cotton, City Administrator < FROM: Lee Brezinka, Finance Manager SUBJECT: Public Hearing - 2025 Proposed Levy and Budget DATE December 3, 2024 INTRODUCTION The Council has had a number of reviews of the City of Andover 2025 Proposed Budget and continued detailed review of the General Fund budget that is primarily supported by the proposed 2025 Tax Levy. This year the Andover City Council is holding a 2025 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 2025 budget and tax levy. On September 3rd, the City Council approved the 2025 Preliminary Levy certification. This approval was the outcome of the numerous budget workshops held by the Council over the summer. The Preliminary 2025 Budget proposed a total property tax levy of $20,404,084: $12,298,182 (60.28%) operational levy, $4,881,034 (23.921/o) debt service levy, and $3,224,868 (15.80%) other levies. The 2025 Proposed Property Tax Levy is proposed to increase the City's gross tax levy by 12.75%. That levy will be applied to the City's growing tax base and will reflect a 12.71 % increase in the current City tax rate. The focus of the 2025 Budget and Levy is to address inflationary items, capital replacements, an infusion of funds into the street improvement program, and address staff retention. The Council has the right to reduce or keep constant this levy until the final certification date of December 28, 2024. DISCUSSION The attachments to this staff report listed below are handouts that will be presented prior to the Public Hearing to provide background information on 2025 Proposed City Budget/Tax Levy progress to date. Attachments: Pg. 3 Pay 2025 Valuation Estimates Pg. 4 - 5 Property Tax Levy — Historical Comparisons Pg. 6 Proposed 2025 City Tax Rate Comparisons Pg. 7 Proposed 2025 Proposed Tax Breakdown Pg. 8 - 9 2025 Proposed Budget Summary by Fund Type Pg. 10 2025 Proposed Budget Summary by Revenue and Expenditure Type Pg. 11 - 17 2025 Proposed Budgets - Fund Summaries Pg. 18 2025 General Fund Revenue & Expense Summary Pg. 19 2025 General Fund — Revenue Comparison Pg. 20 2025 General Fund — Expenditure Comparison Pg. 21 - 22 2025 General Fund — Expenditure Function Graphs Pg. 23 2025 General Fund — Expenditure Budget Summary by Department Pg. 24- 26 Resolution to Approve 2025 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 2025 Proposed City Budget and Tax Levy. Respectfully submitted, 106 jl'eftz Lee Brezinka Attachments CITY OF ANDOVER Pay 2025 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 2022 Pay 2023 Pay 2024 Pay 2025 City of Andover Tax Capacity Values $60,000,000 $50,000,000 ESTIMATE $40,000,000 Pay 2022 Pay 2023 Pay 2024 Pay 2025 $0 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 $ 3,885,459,439 $ 40,210,548 $ 4,786,225,134 $ 50,267,978 $ 4,926,472,404 $ 52,292,926 $ 4,946,320,181 $ 52,684,446 Captured Tax Increment (122,976) (141,278) (210,758) (121,674) Fiscal Disparity Contribution (1,414,808) (1,368,461) (1,449,326) (1,780,176) Local Tax Rate Value 38,672,764 48,758,239 50,632,842 50,782,596 Fiscal Disparity Distribution 6,037,850 5,500,256 5,711,542 6,030,031 Total Adjusted Values $ 44,710,614 $ 54,258.495 $ 56,344,384 $ 56,812,827 21.35% 3.84% 0.83% Taxable Market Value Tax Capacity Value % Change % Change w Pay 2022 $ 3,885,459,439 Pay 2022 $ 40,210,548 Pay 2023 $ 4,788,225,134 23.18% Pay 2023 $ 50,267,978 25.01% Pay 2024 $ 4,926,472,404 2.93% Pay 2024 $ 52,292,926 4.03% Pay2025 $ 4,946.320,181 0.40% Pay 2025 $ 52,684,446 0.75% 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 2022 Pay 2023 Pay 2024 Pay 2025 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 2022 Pay 2023 Pay 2024 Pay 2025 I A General & Other Operational Levies General Operations Community Center Operations Parks Repair/Replacement Items City of Andover, Minnesota Property Tax Levy Certified Certified Cerlifled Certified Certi0ed Requested Change 2020 2021 2022 2023 2024 2025 %of Total $ % $ 9.194,032 $ 9.396,493 $ 9,868,370 $ 10,591,789 $ 11,341,126 $ 11,908.182 58.37% $ 567,056 5.00% - 155,000 155.000 155,000 155,000 155,000 0.76% $ - 0.00% 120,000 120,000 130,000 145,000 235,000 235,000 1.15% $ 0.00% Total General &Other Operational Levies 9.314,032 9.671,493 10,153,370 10,891,789 11,731,126 12.298,182 60.28% $ 567,056 4.83% Debt SeMce Levies 2010A G.O. Open Space Referendum Bonds 184,199 151,078 - - - - 2012C Taxable G.O. Abatement Bonds 976,760 973,263 974,628 969,745 973,650 969,824 2016A G.O. Equipment Certificate 143,373 - - - - - 2018A G.O. Cap Improv Plan Bonds 433,603 456,344 617,519 612,794 612,794 617,257 2019A G.O. Abatement Bonds 1,001,090 976,966 1,014,065 1,028.782 1,028,783 1,018,100 2020A G.O. Equipment Certiflcate 350,000 406,224 374,850 376,740 _ - - 2021AG.O.Equipment Certificate - 170,000 170,000 174,773 174,825 176,715 2021A G.O. Street Reconstruction Bonds - - 600,000. 603,863 651,658 649,138 2024 G.O. Equipment Certificate - - - - 450,000 450,000 2025 G.O. Street Reconstruction Bonds 1,000,000 Total Debt Service Levies 3,089,045 3,133,875 3.751,062 3,766,697 3,891,710 4,881,034 23.92% $ 989.324 25.42% Other Levies Capital Projects Levy Capital Equipment/Projecl 275.000 250,000 275,000 275.000 300.000 300,000 1.47% $ - 0.00% Facility Maintenance Reserve 355,000 $55.000 355,000 355,000 355,000 355,000 1.74% $ - 0.00% Pains Projects 15,000 15,000 15.000 15,000 15,000 15,000 0.07% $ - 0.00% Road &Bridge 1,287,469 1,342,456 1,409,579 1,619,190 1,651,822 2,400.000 11.76% $ 748,178 45.29% Pedestdon Trall Maintenance 104,040 106,121 108.243 110,408 112,616 114,868 0.56% $ 2,252 2.00% Lower Rum River Watershed 40,000 40.000 40,000 40,000 40,000 40.000 0.20% $ - 0.00% Total Other Levies 2,076.509 2,108,577 2.202,822 2,414,598 2,474,438 3,224,868 15.80% $ 750,430 30.33% Gross City Levy 14,479,686 14,913,945 16,107,256 17,073,084 18,097,274, 20,404,084 100.00% $ 2,306,810 12.75% Less Fiscal Disparities Distribution 1,896,892 1,95],824 2,153,911 1,984,687 1,767,559 1,944,871 Local Tax Rate Levy S 12,582,694 $ 12,956,121 $ 15,088,397 $ 16,329,715 I8,459,213 _L _L13,953,3413 Less LeW Based on Market Value E 184,199 E 151,078 $ $ $ $ Net Local Tax Rate Levy $ 12,398,495 $ 13,953,343 $ 15,088,397 _L16,329,715 _L18,459,213 _L12,805,043 Adjusted Tax Capacity Value" (1) $34,675,332 $ 35,898,536 _L38,672,7M S 48,758,239 _L50,632,842 $ 50,782,596 3.53% 7.73% 26.08% 3.84% 0.30% Change %Chance Tax Capacity Rate"' 35.756% 35.670% 36.081% 30.945% 32.251% 36.349% 4.098% 12.710% Tax Capacity Rate W/O LRRWSD 35.656% 35.574% 35.994% 30.873% 32.181% 36.280% Tax Capacity Rate With LRRWSD 35.942% 35.845% 36.245% 31.073% 32.378% 36.471% Voter Approved Ref -MV 0.00526% 0.00418% 0.00000% 0.00000% 0.00000% "Adjusted Value determined by adjusting for Fiscal Disparitles and Tax Increment estimates " Blended rate due to the City ofAndover levyfrgfor Lower Rum River Watershed Disbict (1) Adjusted Tax Capacity Value is subject to change. City of Andover Gross Tax Levy $23,000,000 $21,000,000 $19,000,000 0,404,084 $17,000,000 $17,073,084 Ln $15,000,000 $14,913,945 $13,000,000$14,479,586 $13,103,487 $11,000,000 $12,416,357 $9,000,000 $7,000,000 $5,000,000 2017 2018 2019 2020 2021 2022 2023 2024 2025 .-"T MUNICIPALITIES WITHIN ANOKA COUNTY Proposed 2025 City Tax Rate Comparison only Hilltop 100.118 _. Columbia Heights _ _ �4= 72.540 St. Francis 53.74 Circle Pines 47.038 Spring Lake Park 46.106 Ramsey 45.999 Fridley 44.093 Bethel 43.365 Anoka 41.864 a Z Lexington 41.775 O � Centerville 140.266 Lino Lakes 140.213 Columbus 39.632 Coon Rapids 39.460 Blaine 39.049 Andover 36 280 31.966 East Bethel#22.104 Oak Grove25.880 Nowthen243 Linwood Ham Lake 0.000 20.000 40.000 60.000 80.000 100.000 120.000 TAX RATE Y CITY OF ANDOVER 2025 Proposed Tax Breakdown Other County 3.009% 29.279% School District 32.505% City 35.207% PERCENTAGES ARE PROPORTIONAL TO REFLECT 100% RATHER THAN ACTUAL AMOUNT $4,409.40; EMV $435,300. General Fund Revenues: $15,218,547 Expenditures: $15,718,155 General Government Public Safety Public Works Other Fund Definitions CITY OF ANDOVER 2025 Budget Summary By Fund Type City of Andover - Budgeted Funds Total Revenues: $44,972,145 Total Expenditures: $51,594,341 I Governmental Funds I Special Revenue Funds Revenues: $2,517,718 Expenditures: $3,634,168 EDA Drainage & Mapping LRRWMO Forestry ROW Mgmt / Utility Construction Seal Coating Community Center Local Affordable Housing Aid Charitable Gambling CARES Act / ARPA Funding Debt Service Funds Revenues: $5,735,441 Expenditures: $4,220,262 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: $12,523,306 Expenditures: $19,266,214 Proprietary Funds Enterprise Funds Revenues: $7,007,532 Expenditures: $6,835,691 Water Trunk F Sewer Trunk IIC 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 Sewer Fund Internal Service Funds Revenues: $1,969,601 Expenditures: $1,919,851 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. CITY OF ANDOVER 2025 Budget Summary Revenues and Expenditures by Fund Type Special Debt Capital Internal General Revenue Service Projects Enterprise Service Total Fund Balance/Net Assets, January 1 $ 11,044,323 $ 2,478,986 $ 3,635,008 $ 43,061,494 $ 11,426,558 $ 1,268,093 $ 72,914,462 Revenues General Property Taxes 12,188,182 195,000 4,881,034 3,184,868 - - 20,449,084 Tax Increments - - - 70,000 - - 70,000 Special Assessments - - - 2,187,000 - - 2,187,000 Licenses and Permits 666,850 - - - - - 668,850 Intergovernmental 911,625 112,500 - 5,693,153 - - 6,717,278 Charges for Services 966,910 1,326,000 - - 6,828,858 1,965,601 11,087,369 Fines 50,500 - - - - - 50,500 Investment Income 100,000 14,250 - 77,500 62,500 4,000 258,250 User Charges - - - 260,685 - - 260,685 Meters - - - - 13,000 - 13,000 Miscellaneous 155,300 869,968 340,000 44,000 1,409,268 Total Revenues: 15,041,367 2,517,718 4,881,034 11,813,206 6,948,358 1,969,601 43,171,284 Other Financing Sources Operating Transfers In 177,180 - 854,407 710,100 59,174 - 1,800,861 Bond Proceeds Total Other Financing Sources: 177,180 854,407 710,100 59,174 1,800,861 Total Revenues and Other Sources: 15,218,547 2,517,718 5,735,441 12,523,306 7,007,532 1,969,601 44,972,145 Total Available: 26,262,870 4,996,704 9,370,449 55,584,800 18,434,090 3,237,694. 117,886,607 Expenditures Personal Services 7,019,657 992,122 - - 1,420,585 693,838 10,126,202 Supplies and Materials 940,041 124,420 - - 654,300 522,920 2,241,681 Purchased Services 5,365,555 304,212 - - - - 5,669,767 Other Services and Charges 2,157,902 895,314 - 14,521,126 3,474,326 703,093 21,751,761 Capital Outlay 235,000 1,008,000 - 4,176,807 364,000 - 5,783,807 Debt Service 4,220,262 - 4,220,262 Total Operating Expenditures: 15,718,155 3,324,068 4,220,262 18,697,933 5,913,211 1,919,851 49,793,480 Other Uses Operating Transfers Out 310,100- - 568,281 922,480 - 1,800,861 Total Other Uses: 310,100 568,281 922,480 1,800,861 Total Expenditures and Other Uses: 15,718,155 3,634,168 4,220,262 19,266,214 6,835,691 1,919,851 51,594,341 Fund BalancelNet Assets, December 31 $ 10,544,715 $ 1,362,536 $ 5,150,187 $ 36,318,586 $ 11,598,399 $ 1,317,843 $ 66,292,266 Change in Fund Balance $ (499,608) $ (1,116,450) $ 1,515,179 $ (6,742,908) $ 171,841 $ 49,750 $ (6,622,196) 11.52% -4&04% 41.68% -15.66% 1.50% 3.92% -9.08% CITY OF ANDOVER 2024 Budget Summary Revenues and Expenditures -All Funds Actual Budget Estimate Budget 2023 2024 2024 2025 Fund Balance/Not Assets, January 1 $ 67,251,291 $ 70,584,814 $ 70,584,814 $ 72,914,462 Revenues General Property Taxes 16,955,120 18,142,274 18,142,274 20,449,084 Tax Increments 100,476 100,475 100,582 70,000 Special Assessments 1,114,953 1,301,000 1,453,122 2,187,OOD Licenses and Permits 854,739 617,600 722,175 668,850 Intergovernmental 5,067,131 8,877,197 8.922,090 6,717,278 Charges for Services 12,337,029 10,520,592 10,775,202 11,087,369 Fines 70,683 50,500 50,500 50,500 Investment Income 2,937,476 247,400 521,40) 258,250 User Charges 805,958 409,490 1,680,355 260,685 Meters 36,544 13,000 13,000 13,000 Miscellaneous 1,399,979 1,349.868 1,333,875 1,409,268 Total Revenues: 41,680,088 41,629,396 43,714,575 43,171,284 Other Financing Sources Operating Transfers In 2,211,317 2,330,627 2,879,232 1,800,861 Bond Proceeds - 1,580,000 9,205,000 - Proceeds from Sale of Property 101,854 - 33,600 Total Other Financing Sources: 2,313,171 3,910,627 12,117,832 1,800,861 Total Revenues and Other Sources: 43,993,259 45,540,023 55,832,407 44,972,145 Total Available: 111,244,550 116,124,837 126,417,221 117,886,607 Expenditures Personal Services 8,857,561 9,509,418 9,605,255 10,126,202 Supplies and Materials 1,808,939 2,081,403 2,155,107 2,241,681 Purchased Services 5,056.108 5.677,349 5,807,718 5,669,767 Other Services and Charges 14,337,773 14,699,221 14,172,791 21,751,761 Capitol Outlay 3,215,845 15,608,000 14,383,033 5,783,807 Debt Service 5,172,193 4.496,373 4,499,623 4,220,262 Total Operating Expenditures: 38,448,419 52,071,764 50,623,527 49,793,480 Other Uses Operating Transfers Out 2,211,317 2,330,627 2,879,232 1,800,861 Total Other Uses: 2,211,317 2,330,627 - 2,879,232 1,800,861 Total Expenditures and Other Uses: 40,659,736 54AO2,391 53,502,759 51,594,341 Fund Balance/Net Assets, December 31 $ 70,564,814 $ 61,722,446 $ 72,914,462 $ 66,292,266 Change in Fund Balance $ 3.333,523 $ (8,862,368) $ 2,329,648 $ (6,622,196) 4.96% -12.56% 3.30% -9.08% 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 2025 Budget Summary Revenues and Expenditures Fund Summary Actual Adopted 2023 2024 $ 67,251,291 14,804,988 3,472,475 4,725,197 10,630,622 8,225,111 2,134,866 43,993,259 111,244,550 13,219,879 3,129,622 4,397,157 10,817,874 7,399,867 1,695,337 40,659,736 $ 70,584,814 $ 3,333,523 4.96% $ 70,584,814 14,506,539 2,769,968 4,737,010 14,758,797 6,878,484 1,889,225 45,540,023 116,124,837 14,975,613 2,953,603 4,470,420 21,848,120 8,315,168 1,839,467 54,402,391 $ 61,722,446 $ (8,862,368) -12.56% Estimate Budget 2024 2025 $ 70,584,814 14,749,691 3,084,593 4,744,310 24,486,104 6,878,484 1,889,225 55,832,407 126,417,221 15,254,818 2,921,891 4,928,575 20,071,940 8,494,568 1,830,967 53,502,759 $ 72,914,462 $ 2,329,648 3.30% $ 72,914,462 15,218,547 2,517,718 5,735,441 12,523,306 7,007,532 1,969,601 44,972,145 117,886,607 15,718,155 3,634,168 4,220,262 19,266,214 6,835,691 1,919,851 51,594,341 $ 66,292,266 $ (6,622,196) -9.08% City of Andover 2025 Budget - General Fund Statement of Revenues, Expenditures and Changes in Fund Balance 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 $ 9,964,341 $ 11,549,450 $ 11,549,450 $ 11,044,323 10,663,259 854,739 977,028 1,447,506 70,683 377,355 185,646 14,576,216 11,621,126 617,600 868,657 897,610 50,500 75,000 154,800 14,285,293 11,621,126 722,175 834,259 1,042,220 50,500 100,000 158,165 14,528,445 12,188,182 668,850 911,625 966,910 50,500 100,000 155,300 15,041,367 228,772 221,246 221,246 177,180 Total Revenues and Other Sources: 14,804,988 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 24,769,329 6,043,746 711,174 4,299,053 1,755,904 210.002 13,019,879 200,000 13,219,879 $ 11,549,450 $ 1,585,109 16% 14,506,539 26,055,989 6,583,354 910,213 5,175,463 2,071,583 235,000 14,975,613 14,975,613 $ 11,080,376 $ (469,074) -4% 14,749,691 26,299,141 6,675,191 961,467 5,188,477 2,070,983 265,000 15,161,118 93,700 15,218,547 26,262,870 7,019,657 940,041 5,365,555 2,157,902 235.000 15,718,155 15,254,818 15, 718,155 $ 11,044,323 $ 10,544,715 $ (505,127) $ (499,608) -4% -5% Actual 1 Adopted 1 Estimate 1 Adopted 1 Description 2023 2024 2024 2025 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 $ 9,964,341 $ 11,549,450 $ 11,549,450 $ 11,044,323 10,663,259 854,739 977,028 1,447,506 70,683 377,355 185,646 14,576,216 11,621,126 617,600 868,657 897,610 50,500 75,000 154,800 14,285,293 11,621,126 722,175 834,259 1,042,220 50,500 100,000 158,165 14,528,445 12,188,182 668,850 911,625 966,910 50,500 100,000 155,300 15,041,367 228,772 221,246 221,246 177,180 Total Revenues and Other Sources: 14,804,988 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 24,769,329 6,043,746 711,174 4,299,053 1,755,904 210.002 13,019,879 200,000 13,219,879 $ 11,549,450 $ 1,585,109 16% 14,506,539 26,055,989 6,583,354 910,213 5,175,463 2,071,583 235,000 14,975,613 14,975,613 $ 11,080,376 $ (469,074) -4% 14,749,691 26,299,141 6,675,191 961,467 5,188,477 2,070,983 265,000 15,161,118 93,700 15,218,547 26,262,870 7,019,657 940,041 5,365,555 2,157,902 235.000 15,718,155 15,254,818 15, 718,155 $ 11,044,323 $ 10,544,715 $ (505,127) $ (499,608) -4% -5% w w City of Andover Special Revenue Funds 2025 Budget Summary - All Special Revenue Funds Statement of Revenues, Expenditures and Changes in Fund Balance 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 $ 1,973,431 $ 2,316,284 $ 2,316,284 193,630 616,536 1,560,172 125,618 976,519 3,472,4T5- 195,000 412,500 1,273,000 8,400 856,068 2,744,968 195,000 512,500 1,383,000 28,100 965,993 3,084,593 3,472,475 2,744,968 3,084,593 5,445,906 5,061,252 906,759 114,131 757,055 254,941 788,436 2,821,322 942,630 116,170 407,886 753,917 400,000 2,620,603 5,400,877 942,630 138,620 425,986 657,117 449,538 2,613,891 308,300 308,000 308,000 3,129,622 $ 2,316,284 $ 342,853 17% 2,928,603 $ 2,132,649 $ (183,635) -8% 2,921,891 $ 2,478,986 $ 162,702 7% $ 2,478,986 195,000 112,500 1,326,000 14,250 869,968 2,517,718 2,517,718 4,996,704 992,122 124,420 304,212 895,314 1,008,000 3,324,068 310,100 3,634,168 $ 1,362,536 $ (1,116,450) -45% Actual Adopted 1 Estimate 1 Adopted Description 2023 2024 2024 2025 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 $ 1,973,431 $ 2,316,284 $ 2,316,284 193,630 616,536 1,560,172 125,618 976,519 3,472,4T5- 195,000 412,500 1,273,000 8,400 856,068 2,744,968 195,000 512,500 1,383,000 28,100 965,993 3,084,593 3,472,475 2,744,968 3,084,593 5,445,906 5,061,252 906,759 114,131 757,055 254,941 788,436 2,821,322 942,630 116,170 407,886 753,917 400,000 2,620,603 5,400,877 942,630 138,620 425,986 657,117 449,538 2,613,891 308,300 308,000 308,000 3,129,622 $ 2,316,284 $ 342,853 17% 2,928,603 $ 2,132,649 $ (183,635) -8% 2,921,891 $ 2,478,986 $ 162,702 7% $ 2,478,986 195,000 112,500 1,326,000 14,250 869,968 2,517,718 2,517,718 4,996,704 992,122 124,420 304,212 895,314 1,008,000 3,324,068 310,100 3,634,168 $ 1,362,536 $ (1,116,450) -45% City of Andover Debt Service Funds 2025 Budget Summary - All Debt Service Funds Statement of Revenues, Expenditures and Changes in Fund Balance Fund Balance, January 1 Revenues General Property Taxes Investment Income Total Revenues: Other Sources Operating Transfers In Total Revenues and Other Sources: a Total Available: Expenditures Debt Service Principal Interest Other Total Expenditures: Other Uses Operating Transfers Out Total Expenditures and Other Uses: Fund Balance, December 31 Change in Fund Balance $ 3,491,233 $ 3,819,273 $ 3,819,273 $ 3,635,008 3,740,870 89,027 3,829,897 895,300 4,725,197 8,216,430 3,125, 000 1,260,997 11,160 4,397,157 4,397,157 $ 3,819,273 $ 328,040 9% 3,891,710 3,891,710 845,300 4,737,010 8,556,283 3,240,000 1,162, 366 7,200 4,409,566 60,854 4,470,420 $ 4,085,863 $ 266,590 7% 3,891,710 7,300 3,899,010 845,300 4,744,310 8,563,583 3,240,000 1,162, 366 10,450 4,412,816 515,759 4,928,575 $ 3,635,008 $ (184,265) -5% 4,881, 034 4,881,034 854,407 5,735,441 9,370,449 2,980,000 1,231,862 8,400 4,220,262 4,220,262 $ 5,150,187 $ 1,515,179 42% Actual 1 Adopted 1 Estimate 1 Adopted 1 Description 2023 2024 2024 2025 Fund Balance, January 1 Revenues General Property Taxes Investment Income Total Revenues: Other Sources Operating Transfers In Total Revenues and Other Sources: a Total Available: Expenditures Debt Service Principal Interest Other Total Expenditures: Other Uses Operating Transfers Out Total Expenditures and Other Uses: Fund Balance, December 31 Change in Fund Balance $ 3,491,233 $ 3,819,273 $ 3,819,273 $ 3,635,008 3,740,870 89,027 3,829,897 895,300 4,725,197 8,216,430 3,125, 000 1,260,997 11,160 4,397,157 4,397,157 $ 3,819,273 $ 328,040 9% 3,891,710 3,891,710 845,300 4,737,010 8,556,283 3,240,000 1,162, 366 7,200 4,409,566 60,854 4,470,420 $ 4,085,863 $ 266,590 7% 3,891,710 7,300 3,899,010 845,300 4,744,310 8,563,583 3,240,000 1,162, 366 10,450 4,412,816 515,759 4,928,575 $ 3,635,008 $ (184,265) -5% 4,881, 034 4,881,034 854,407 5,735,441 9,370,449 2,980,000 1,231,862 8,400 4,220,262 4,220,262 $ 5,150,187 $ 1,515,179 42% City of Andover Capital Projects Funds 2025 Budget Summary - All Capital Projects Funds Statement of Revenues, Expenditures and Changes in Fund Balance Fund Balance, January 1 Revenues General Property Taxes Tax Increments Special Assessments Intergovernmental Investment Income User Charges Miscellaneous Total Revenues: Other Sources Transfers In Ln 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: $ 38,834,582 $ 38,647,330 $ 38,647,330 $ 43,061,494 2,357,361 100,476 1,114,953 3,473,567 1,830,303 805,958 153,645 9,836,263 708,300 86,059 794,359 10,630,622 49,465,204 8,601,188 1,532,741 10,133,929 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 53,406,127 94,000 7,720,893 13,038,000 20,852,893 2,434,438 100,582 1,453,122 7,575,331 319,500 1,680,355 165,717 13,729,045 1,518,459 9,205,000 33,600 10,757,059 24,486,104 63,133,434 193,255 7,284,963 11,598,495 19,076,713 Other Uses Operating Transfers Out 683,945 995,227 995,227 Total Expenditures and Other Uses: Fund Balance, December 31 10,817,874 $ 38,647,330 21,848,120 $ 31,558,007 Change in Fund Balance $ (187,252) $ (7,089,323) 0% -18% 20,071,940 $ 43,061,494 $ 4,414,164 11% 3,184,868 70,000 2,187,000 5,693,153 77,500 260,685 340,000 11,813,206 710,100 710,100 12,523,306 55,584,800 14,521,126 4,176,807 18,697,933 568,281 19,266,214 $ 36,318,586 $ (6,742,908) -16% Actual Adopted 1 1 Estimate Adopted Description 2023 2024 2024 2025 Fund Balance, January 1 Revenues General Property Taxes Tax Increments Special Assessments Intergovernmental Investment Income User Charges Miscellaneous Total Revenues: Other Sources Transfers In Ln 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: $ 38,834,582 $ 38,647,330 $ 38,647,330 $ 43,061,494 2,357,361 100,476 1,114,953 3,473,567 1,830,303 805,958 153,645 9,836,263 708,300 86,059 794,359 10,630,622 49,465,204 8,601,188 1,532,741 10,133,929 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 53,406,127 94,000 7,720,893 13,038,000 20,852,893 2,434,438 100,582 1,453,122 7,575,331 319,500 1,680,355 165,717 13,729,045 1,518,459 9,205,000 33,600 10,757,059 24,486,104 63,133,434 193,255 7,284,963 11,598,495 19,076,713 Other Uses Operating Transfers Out 683,945 995,227 995,227 Total Expenditures and Other Uses: Fund Balance, December 31 10,817,874 $ 38,647,330 21,848,120 $ 31,558,007 Change in Fund Balance $ (187,252) $ (7,089,323) 0% -18% 20,071,940 $ 43,061,494 $ 4,414,164 11% 3,184,868 70,000 2,187,000 5,693,153 77,500 260,685 340,000 11,813,206 710,100 710,100 12,523,306 55,584,800 14,521,126 4,176,807 18,697,933 568,281 19,266,214 $ 36,318,586 $ (6,742,908) -16% City of Andover Enterprise Funds 2025 Budget Summary - All Enterprise Funds Statement of Revenues, Expenditures and Changes in Fund Net Assets Unrestricted Net Assets, January 1 Revenues Charges for Services Interest Meters Permits Penalties Miscellaneous Total Revenues: Other Sources Transfers In Gain on the Sale of Capital Assets a Total Other Sources: 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 $ 12,217,398 $ 13,042,642 $ 13,042,642 $ 11,426,558 7,501,501 Actual Adopted 1 Estimate 1 Adopted Description 2023 2024 2024 2025 Unrestricted Net Assets, January 1 Revenues Charges for Services Interest Meters Permits Penalties Miscellaneous Total Revenues: Other Sources Transfers In Gain on the Sale of Capital Assets a Total Other Sources: 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 $ 12,217,398 $ 13,042,642 $ 13,042,642 $ 11,426,558 7,501,501 6,464,757 6,464,757 6,828,858 482,527 62,500 62,500 62,500 36,544 13,000 13,000 13,000 54,799 44,000 44,000 44,000 8,075,371 6,584,257 6,584,257 6,948,358 133,945 15,795 149,740 8,225,111 20,442,509 1,283,446 549,843 3,087,804 684,666 775,036 6,380,795 1,019,072 7,399,867 $ 13,042,642 Change in Unrestricted Net Assets $ 825,244 7% 294,227 294,227 6,878,484 19,921,126 1,331,896 547,600 3,447,319 1,935,000 86,807 7,348,622 966,546 8,315,168 $ 11,605,958 $ (1,436,684) -11% 294,227 294,227 6,878,484 19,921,126 1,331,896 547,600 3,491,719 2,070,000 86,807 7,528,022 966,546 8,494,568 $ 11,426,558 $ (1,616,084) -12% 59,174 59,174 7,007,532 18,434,090 1,420, 585 654,300 3,474,326 364,000 5,913,211 922,480 6,835,691 $ 11,598,399 $ 171,841 2% City of Andover Internal Service Funds 2025 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 $ 770,306 1,827,850 32,646 29,370 1,889,866 245,000 2,134,866 2,905,172 623,610 433,791 637,936 1,695,337 1,695,337 $ 1,209,835 Change in Unrestricted Net Assets $ $ 1,209,835 $ 1,209,835 $ 1,268,093 1,885,225 4,000 1,889,225 1,889,225 3,099,060 651,538 507,420 680,509 1,839,467 1,839,467 $ 1,259,593 1,885,225 4,000 1,889,225 1,889,225 3,099,060 655,538 507,420 668,009 1,830,967 1,830,967 $ 1,268,093 1,965,601 4,000 1,969,601 1,969,601 3,237,694 693,838 522,920 703,093 1,919,851 1,919,851 $ 1,317,843 439,529 $ 49,758 $ 58,258 $ 49,750 57% 4% 5% 4% Actual Adopted i Estimate 1 1 Adopted Description 2023 2024 2024 2025 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 $ 770,306 1,827,850 32,646 29,370 1,889,866 245,000 2,134,866 2,905,172 623,610 433,791 637,936 1,695,337 1,695,337 $ 1,209,835 Change in Unrestricted Net Assets $ $ 1,209,835 $ 1,209,835 $ 1,268,093 1,885,225 4,000 1,889,225 1,889,225 3,099,060 651,538 507,420 680,509 1,839,467 1,839,467 $ 1,259,593 1,885,225 4,000 1,889,225 1,889,225 3,099,060 655,538 507,420 668,009 1,830,967 1,830,967 $ 1,268,093 1,965,601 4,000 1,969,601 1,969,601 3,237,694 693,838 522,920 703,093 1,919,851 1,919,851 $ 1,317,843 439,529 $ 49,758 $ 58,258 $ 49,750 57% 4% 5% 4% CITY OF ANDOVER General Fund Revenue & Expense Summary EXPENDITURES Actual Actual Actual Actual Actual Budget" Estimate Requested* Budget Change (') General Government N 2019 2020 2021 2022 2023 2024 2024 2025 $ % REVENUES 5,091,793 5,162,234 5,532,429 5,705,358 5,800,627 6,464,154 6,590,730 6,906,908 442,754 6.85% Property Taxes $ 8,864,720 $ 9,303,235 $ 9,527,670 $ 9,974,141 $ 10,663,259 $ 11,621,126 $ 11,621,126 $ 12,188,182 567,056 4.88% License and Permits 855,831 892,277 891,762 972,878 854,738 617,600 722,175 668,850 51,250 8.30% Intergovernmental Revenues 822,129 861,178 939,174 963,290 977,028 868,657 834,259 911,625 42,968 4.95% Charges for Current Services 1,133,160 1,070,788 1,036,850 1,295,429 1,447,507 897,610 1,042,220 966,910 69,300 7.72% Fines and Forfeits 62,349 47,630 53,747 55,983 70,683 50,500 50,500 50,500 0 0.00% Interest Income 208,957 148,974 (15,183) (189,494) 377,355 75,000 100,000 100,000 25,000 33.33% Miscellaneous Revenue 192,058 172,174 167,397 188,395 185,646 154,800 158,165 155,300 500 0.32% Transfers 188,008 190,688 212.031 197,081 228,772 221,246 221,246 177,180 (44,066) -19.92% TOTAL REVENUES 12,327 212 12,686,944 12 813,448 13 457,703 14,804 988 14,506 539 14 749,691 15,218.547 712,008 4.83% EXPENDITURES General Government N 2,843,957 2,906,325 3,020,260 3,222,596 3,291,004 3,985,287 3,997,845 4,110,680 125,393 3.15% OD Public Safety 5,091,793 5,162,234 5,532,429 5,705,358 5,800,627 6,464,154 6,590,730 6,906,908 442,754 6.85% Public Works 3,148,743 3,314,542 3,522,626 3,624,481 3,904,812 4,430,572 4,476,943 4,603,967 173,395 3.91% Other 15,001 1,012,778 766,109 567,396 223.436 95,600 189,300 96,600 1,000 1.05% TOTAL EXPENDITURES 11,099,494 12,395879 12,841424 13,119,831 13,219,879 14,975,613 15254,818 15,718,155 742,542 4.96% UNDER(OVER)BUDGET $ 1,227,718 $ 291,065 $ 27976 $ 337872 $ 1,585109 $ 469,074 $ 505127 $ 499,608 $ 30,534 REVENUES Property Taxes License and Permits Intergovernmental Revenues Charges for Services Fines and Forfeits Interest Income Miscellaneous Revenue Transfers TOTAL REVENUES CITY OF ANDOVER Revenue Comparison - General Fund Actual Actual Actual Budget Estimate Budget 2021 2022 2023 2024 2024 2025 Taxes r Svcs Prope $ 9,527,670 $ 9,974.141 $ 10,663,259 $ 11,621,126 $ 11,621,126 $ 12,188,182 891,762 972,878 854,738 617,600 722,175 668,850 939,174 963,290 977,028 868,657 834,259 911,625 1,036,850 1,295,429 1,447,507 897,610 1,042,220 966,910 53,747 55.983 70,683 50,500 50,500 50,500 (15,183) (189,494) 377,355 75,000 100,000 100,000 167,397 188,395 185,646 154,800 158,165 '155,300 212,031 197,081 228,772 221,246 221,246 177.180 $ 12,813,448 $ 13,457,703 $ 14,804,988 $ 14,506,539 $ 14,749,691 $ 15,218,547 Millions a Budget 2025 ■ Ea6mate 2024 ■ Actual 2023 • Actual 2022 • Actual 2021 City of Andover 2025 Revenue by Source -General Fund Misc. Rev 1% Interest Income Transfers 1% 1% Fines &Forfeits 0% Charges for Svcs 6% Intergov'I Rev 6% Licenses & Permits 5% Property Tax City of Andover 2025 Revenue Comparison - General Fund Rev Taxes r Svcs Prope odeils - Licenses 8 emits ncome Intergi A Charges Fines & Interest Mi Rev Tinsfers if 42.00 $2.00 $6.00 $10.00 $14.00 Millions a Budget 2025 ■ Ea6mate 2024 ■ Actual 2023 • Actual 2022 • Actual 2021 City of Andover 2025 Revenue by Source -General Fund Misc. Rev 1% Interest Income Transfers 1% 1% Fines &Forfeits 0% Charges for Svcs 6% Intergov'I Rev 6% Licenses & Permits 5% Property Tax Rev r Svcs odeils ncome M EXPENDITURES General Government Public Safety Public Works Other TOTAL EXPENDITURES CITY OF ANDOVER Expenditure Comparison - General Fund Actual Actual Actual Budget Estimate Budget 2021 2022 2023 2024 2024 2025 $ 3,020,260 24% $ 3,222,596 25% $ 3,291,004 25% $ 3,985,287 27% $ 3,997,845 26% $ 4,110,680 26% 5.532,429 43% 5,705,358 43% 5,800.627 44% 6,464,154 43% 6,590,730 43% 6,906,908 44% 3,522,626 27% 3,624,481 28% 3,904,812 30% 4,430,572 30% 4,476,943 29% 4,603,967 29% 766,109 6% 567,396 4% 223,436 2% 95,600 1% 189,300 1% 96,600 1% $ 12,841,424 $ 13,119,831 $ 13,219,879 $ 14,975,613 $ 15,254,818 $ 15,718,155 City of Andover 2025 Expenditure Comparison -General Fund General Govt Public Safety Public Waft Other $0.00 $1.00 $2.00 $3.00 $4.00 $5.00 $6.00 $7.00 $8.00 Millions 0 Budget 2025 0 Estimate 2024 0 Actual 2023 a Actual 2022 • Actual 2021 City of Andover 2025 Expenditures by Function - General Fund Other % M' General Govt 26% m Public Works 29% Public Safety 44% N r Publi 2! IYIIVUVII CITY OF ANDOVER 2025 General Fund Expenditures by Function Other Public Safety 43.9% amment eneral government expenditures CITY OF ANDOVER General Fund - General Government Expenditures Administration Council 78% Newsletter Human Resources Facility Mgmt 2.7% 0.9% 2.4% 19.8% Attorney 5.5% City Clerk 5.2% Elections 2.2% Engineering Finance 19.2% 9.4 /° Assessing Planning & Zoning Information Systems 3.9% 14.2% 6.8% N N public safety expenditures CITY OF ANDOVER General Fund - Public Safety Expenditures Protective inspection Emergency Management AnimalControl 8.5% 0.6% 0.2% Fire Protection 33.8% Police Protection 57.0% public works expenditures CITY OF ANDOVER General Fund - Public Works Expenditures Natural Resource Recycling Preservation 5.4% Streets & Highways 0.4% 22.9% 'x 4i. Parks & Recreation Snow & Ice 40.2% 20.1% Street Lights - Billed Street Lighting Traffic Si §keet Signs 4.0% 1 0% 5.0% 1.0% N W CITY OF ANDOVER General Fund - Expenditure Budget Summary Totals - By Department Budget Year 2025 Actual Actual Actual Actual Actual Budget- Estimate Requested- Change(*) 2019 2020 2021 2022 2023 2024 2024 2025 $ % GENERAL GOVERNMENT Mayor and Council $ 99,001 $ 95,519 $ 95,658 $ 95,366 $ 99,860 $ 112,042 $ 105,042 $ 111,874 (168) -0.15% Administration 211,898 187,758 229,314 245,222 278,092 303,714 301,114 319,666 15,952 5.25% Newsletter 24,413 22,156 22,945 24,631 27,733 36,000 32,000 36,000 0 0.00% Human Resources 15,842 16,181 20,836 19,905 21,172 134,494 134,494 99,722 (34,772) -25.85% Attorney 191,782 195,721 199,809 206,399 207,922 223,486 221,000 227,836 4,350 1.95% City Clerk 160,184 166,221 175,177 184,318 193,217 204,009 204,009 212,760 8,751 4.29% Elections 20,452 91,643 20,260 75,115 28,002 90,906 90,906 92,088 1,182 1.30% Finance 280,199 294,501 307,009 320,729 335,992 360,343 360,759 385,635 25,292 7.02% Assessing 149,033 154,482 128,829 131,097 136,705 161,000 161,000 161,000 0 0.00% Information Services 169,827 187,703 185,642 226,588 235,842 249,184 249,184 277,824 28,640 11.49% Planning & Zoning 412,282 453,133 491,395 490,576 473,193 570,506 571,111 583,871 13,365 2.34% Engineering 561,642 566,224 594,720 649,664 703,515 755,758 758,881 789,877 34,119 4.51% Facility Management 547,402 475,083 548,666 552,986 549,759 783,845 808,345 812,527 28,682 3.66% Total General Gov 2,8439957 29906,325 3,020,260 3,222,596 3,291,004 3,985,287 3,997,845 4,110,680 125,393 3.15% PUBLICSAFETY Police Protection 3,183,610 3,114,623 3,287,046 3,261,423 3,347,315 3,739,849 3,739,849 3,936,982 197,133 5.27% Fire Protection 1,391,252 1,508,854 1,706,876 1,961,915 1,926,998 2,120,451 2,251,510 2,332,343 211,892 9.99% Protective Inspection 493,955 519,183 519,787 464,560 501,561 557,917 558,434 586,874 28,957 5.19% Emergency Management 18,608 17,227 15,203 12,296 19,958 34,987 34,987 39,759 4,772 13.64% Animal Control 4,368 2,347 3,517 5,164 4,795 10,950 5,950 10,950 0 0.00% Total Public Safety 5,091,793 5,1629234 5,532,429 5,705,358 5,800,627 6,464,154 6,590,730 6,906,908 442,754 6.85% PUBLIC WORKS Streets and Highways 615,450 686,978 804,392 788,330 899,542 994,486 1,015,073 1,056,369 61,883 6.22% Snow and Iee Removal 703,647 496,668 540,226 752,396 771,857 901,461 901,461 925,753 24,292 2.69% Street Signs 202,996 257,281 196,782 194,276 169,472 221,186 221,186 229,960 8,774 3.97% Traffic Signals 26,422 23,045 33,362 28,150 29,471 44,000 44,000 44,000 0 0.00% Street Lighting 32,716 34,211 36,533 36,142 29,975 45,400 45,400 45,400 0 0.00% Streetlights - Billed 145,604 152,181 156,841 158,028 151,879 182,000 182,000 182,000 0 0.00% Park & Recreation 1,180,502 1,426,233 1,505,145 1,482,060 1,665,607 1,779,408 1,805,192 1,853,048 73,640 4.14% Natural Resource Preservatim 16,831 9,821 9,738 15,932 10,946 17,022 17,022 17,207 185 1.09% Recycling 224,575 228,124 239,607 169,167 176,063 245,609 245,609 250,230 4,621 1.88% Total Public Warks 3,148,743 3,314,542 3,522,626 3,624,481 3,904,812 4,430,572 4,476,943 4,603,967 173,395 3.91% OTHER 15,001 1,012,778 766,109 567,396 223,436 95,600 189,300 96,600 1,000 1.05% Total Other 15,001 1,012,778 766,109 567,396 223,436 95,600 189,300 96,600 1,000 1.05% GRAND TOTAL $ 11,099,494 S 12,395,879 S 12,841,424 $ 13,119,831 $ 13,219,879 $ 14,975,613 $ 15,254,818 $ 15,718,155 742,542 4.96% CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. A RESOLUTION ADOPTING THE CITY OF ANDOVER 2025 BUDGET AND 2025 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, 2024; 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, 2024. NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of Andover hereby adopts the 2025 City of Andover Budget and the 2025 property tax levy totaling $20,404,084 as listed on Attachment A. BE IT FURTHER RESOLVED that the City Council of the City of Andover hereby establishes the 2025 City of Andover Budget by fund type as follows: REVENUES General Fund Special Revenue Funds Debt Service Funds Capital Projects Funds Enterprise Funds Internal Service Funds Total Adopted by the City of Andover this ATTEST: Michelle Hartner — City Clerk $ 15,218,547 2,517,718 5,735,441 12,523,306 7,007,532 1,969,601 $ 44,972,145 day of December 2024, 24 EXPENDITURES General Fund $ 15,718,155 Special Revenue Funds 3,634,168 Debt Service Funds 4,220,262 Capital Projects Funds 19,266,214 Enterprise Funds 6,835,691 Internal Service Funds 1,919,851 Total $ 51,594,341 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 2025 Budget and 2025 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 WHEREOF, I have hereunto subscribed my hand this day of December 2024. Michelle Hartner — City Clerk 25 CITY OF ANDOVER, MINNESOTA Attachment A 2025 Property Tax Levy Proposed 2025 Levy General Fund Levy General Operations $ 11,908,182 Community Center Operations 155,000 Park Repair/Replacement Items 235,000 Total General Fund 12,298,182 Debt Service Funds Levy 2012C Taxable G.O. Abatement Bonds 969,824 2018A G.O. Capital Improvement Plan Bonds 617,257 2019A Taxable G.O. Abatement Bonds 1,018,100 2021A G.O. Equipment Certificate 176,715 2021A G.O. Street Reconstruction Bonds 649,138 2024 G.O. Equipment Certificate 450,000 2025 G.O. Street Reconstruction Bonds 1,000,000 Total Debt Service 4,881,034 Other Levies Capital Projects Levy Capital Equipment/Project 300,000 Facility Maintenance Reserve 355,000 Parks Projects 15,000 Road & Bridge 2,400,000 Pedestrian Trail Maintenance 114,868 Lower Rum River Watershed 40,000 Total Other 3,224,868 Gross City Levy $ 20,404,084 I 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 Sarah Cotton, City Administrator Lee Brezinka, Finance Manager Discuss/Adopt 2025 Debt Service Levy Changes December 3, 2024 INTRODUCTION Anoka County Property Records and Taxation Division requires a City Council resolution changing bonded indebtedness levies for 2025 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 2025 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 2025. ACTION REQUESTED The Andover City Council is requested to approve the attached resolution that would update certified bonded indebtedness levies for 2025. Respectfully submitted, vlee_ 73,�� Lee Brezmka Attachment: Resolution Updating Certified Bonded Indebtedness for 2025 Attachment A — 2025 Proposed Levy Certification Debt Changes CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA PITASC�a A RESOLUTION UPDATING CERTIFIED BONDED INDEBTEDNESS FOR 2025. 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 2025; 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 2025 as listed on Attachment A. Adopted by the City of Andover this 3rd day of December 2024. ATTEST: Michelle Hartner — City Clerk CITY OF ANDOVER Sheri Bukkila - Mayor STATE OF MINNESOTA) CK4111►YV&SI_�I:7IN, [GYMA 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 2025 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 3rd day of December 2024. Michelle Hartner — City Clerk GENERAL OBLIGATION DEBT 70 2012C GO Taxable Abatement Bonds 74 2018A GO Capital Improvement Plan Bonds 75 2019A GO Taxable Abatement Bonds 77a 2021A GO Street Reconstruction Bonds 77b 2021A GO Equipment Certificate 2024 GO Equipment Certificate 2024 GO Street Reconstruction Bonds CITY OF ANDOVER 2025 Proposed Levy Certification Debt Changes County Levy City Levy Scheduled Scheduled Levy Changes Variance $ 969,824 S 969,824 $ - Meet bona fide debt service requirements 617,257 617,257 - Meet bona fide debt service requirements 1,018,100 1,018,100 - Meet bona fide debt service requirements 649,138 649,138 - Meet bona fide debt service requirements 176,715 176,715 - Meet bona fide debt service requirements - 450,000 (450,000) New Issuance 1,000,000 (1,000,000) New Issuance Total $ 3,431,034 S4,881,034 $ (1,450,000) C I I ) 0 I ND OVE 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: COPY: FROM: SUBJECT: Mayor and City Council Sarah Cotton, City Administrator Joe Janish, Community Development Director Peter Hellegers, City Planner 0 Consider a Conditional Use Permit (CUP) Amendment for a Drive -Through Use at 2184 Bunker Lake Boulevard — PID#: 34-32-24-21-0154 - The Architects Partnership Ltd. (Applicants) - Planning DATE: December 3, 2024 R4TRODUCTION The City Council is asked to consider a Conditional Use Permit (CUP) Amendment for a drive-through for the subject property located at 2184 Bunker Lake Boulevard. City Code 12-11 requires a Conditional Use Permit (CUP) for drive-in businesses or businesses with a drive-thm window in the GB: General Business Zoning District. The applicant is proposing a drive- through window for a proposed retail banking center that will be in the Andover Station development on an area guided General Commercial. Land use guidance for the adjacent properties to the north is Urban Residential Low. The land use guidance for properties to the east, south, and west is guided for General Commercial. The proposed CUP Amendment would amend a previous approval from January of 2023 for a restaurant with a drive-throughtpick-up window. The site has some history of proposed uses with drive-throughs. In 2005, the City approved a CUP for a 5 -lane drive -up window to serve the proposed TCF bank; however, the bank was not built within one year of the approval so per City Code Section § 12-15-7-D (excerpt below): D. Time Limit on Implementing Conditional Use: If the City Council determines that no significant progress has been made in the first twelve (12) months after the approval of the Conditional Use Permit, the permit will be null and void. (Amended Ord. 8,10-21-1970) As the previous approval was not built in the 17 years that followed that approval it did not meet the City's time limit for implementation. In 2023, the City Council approved a new CUP for a drive-through on the site for a proposed Chipotle restaurant with a pick-up window. The CUP would have expired in January of 2024, but the applicant requested an extension through January of 2025. The current proposal is being processed as an amendment to the 2023 CUP. The applicant is planning to build a new 3,500 square foot (appx.), one-story retail banking center with a one -lane drive-through for a drive -up ATM/AHD on Lot 2 of Block 1 from the Andover Marketplace 2nd Addition plat. The site is generally located at the southwest corner of Bunker Lake Boulevard and Quinn Street NW. Access to the site would come from the internal access drive to the shopping center which runs west of Quinn Street. Financial Institutions are permitted uses in the GB: General Business District, though a CUP is required for drive-in businesses or those with a drive-through window. In addition to the CUP for the drive-through window, the Andover Review Committee (ARC) is currently reviewing the Commercial Site Plan for the proposed bank site. Parking Parking for commercial uses varies depending on the use within the structure. The applicant is proposing a new parking lot serving the retail banking center with 25 spaces. There are 16 existing parking spaces from the shopping center on this property which would also remain on the west side of the property. Parking is reviewed in commercial areas as each use obtains a permit for the building. City Code 12-14-8 OFF STREET PARKING REQUIREMENTS provides a list of uses and parking ratios, which offers two different use standards that the proposed parking can be evaluated against: Building Setbacks The proposed building will comply with the GB: General Business Zoning District building setbacks required by City Code 12-3-5. The building will be set back 56 feet from the north property line and will be 45 feet from the trail (which is in an easement on the northern portion of the property). Building Exterior Building and dumpster enclosure elevations are attached. Exterior building materials are primarily a tan cast stone block and dark brick with some silver ACM (metal) accents, with windows shown on the north, east, and west sides of the building which provide additional architectural character. The building would also have a flat roof with parapet which may provide some screening of any rooftop mechanicals; additional rooftop screening may be required. City Requirement Proposed Site Required Stalls Proposed Stalls Drive -In Establishment 1/150 s.f. of floor 3,465 s.f. floor 24 25 / Convenience Food area, not less than area 15 stalls Retail Store and Service 1/200 s.f. floor 3,465 s.f. floor 18 25 Establishment area area Building Setbacks The proposed building will comply with the GB: General Business Zoning District building setbacks required by City Code 12-3-5. The building will be set back 56 feet from the north property line and will be 45 feet from the trail (which is in an easement on the northern portion of the property). Building Exterior Building and dumpster enclosure elevations are attached. Exterior building materials are primarily a tan cast stone block and dark brick with some silver ACM (metal) accents, with windows shown on the north, east, and west sides of the building which provide additional architectural character. The building would also have a flat roof with parapet which may provide some screening of any rooftop mechanicals; additional rooftop screening may be required. Drive -Through The proposed drive-through ATM and after-hours deposit will be on the east side of the building with space for vehicles stacking around the east and south sides of the building. The applicant notes that the retail banking center is designed for 3-4 cars to be stacked but the proposed drive-thru appears to have enough space to accommodate two to three times that number before traffic from the drive-through would back into the parking area. The proposed user is a retail banking center which differs from some retail banks in that it does not have a drive-through teller window; the drive-through area would be limited to the ATM and after-hours deposit. This should also limit the number of vehicles stacked in the drive-through. However, it is important for the City to consider that a CUP would ran with the property and a subsequent building occupant might use the site as a traditional drive-through, so the site should be designed to ensure the site also works for a traditional drive-through. The drive-through lane will be set back 24 feet from the north property line, which meets the City Code requirement. This is set back further than the 16 feet in the previously approved CUP. The existing trail on Bunker Lake Boulevard currently runs across the northern portion of the property in a trail easement and the paved area of the trail dips further south in the area of the drive-through. The proposal is to keep the trail in its current location as opposed to relocating the trail to the north as per the previously approved plan. The proposed drive-through lane will be 18 feet in width and widen out to 23 feet near the drive-through ATM / AHD space to allow space for the bypass traffic. As the drive-through lane turns around the north side of the building it narrows to 15 feet to allow more room between the trail and the curb line for landscape screening of the drive-through. Staff are currently evaluating the plans through the Commercial Site Plan process. Traffic Circulation The site is designed to allow vehicles convenient access into the site from the private Quinn Street NW Internal circulation allows for easy access though the site whether using the drive-through or the standard parking area. The parking lot will have two connection points to the existing parking area and driveway from the shopping center, allowing for easy access without requiring people to exit onto adjacent streets to access other businesses in the shopping center. Trash Enclosure The trash enclosure will be constructed from the same materials as the principal building and is located near the southwest comer of the site, as shown on the site plan. Rooftop Mechanical Equipment Any mechanical equipment mounted on the roof or ground will be required to be screened to comply with City Code 12-14-5. Lighting All lighting is required to be shielded to prevent glare. Additional details for each type of fixture are reviewed through the Commercial Site Plan process to ensure adequate shielding will be provided. Screening / Landscaping A preliminary landscaping plan is attached with the site plan. The proposed plant quantities meet the requirements of City Code 12-14-6 as shown in the notes on that plan. Final adjustments to the landscaping plan will be made through the commercial site plan process. As vehicles would enter the drive through facing northeast/north toward the single-family homes on the other side of Bunker Lake Boulevard, headlight glare if not mitigated through screening could be a nuisance for those residential properties to the north of the site. Coniferous landscape plant material of sufficient height should be used to provide screening along the north/northeast side of the property to control headlight glare and will be required through the Commercial Site Plan. Previous CUPS for drive- through uses have also included a condition requiring coniferous landscaping at the north side of the drive through. The landscape plan currently shows coniferous shrubs at the northern edge of the drive-through. Landscaping will also need to be kept out of the sight triangles adjacent to the intersections and at access drives. City staff are currently evaluating the plans through the Commercial Site Plan process. Signage A monument sign is shown at the northwest corner of the property and areas for potential signage are shown on the building elevations. All signage will be reviewed through a separate sign permit process and sign permits will need to be obtained before signs can be placed on the property. Timeline for Implementation One of the typical conditions that is included on conditional use permits is a timeline for implementation as defined in Ordinance No. 8, Section 5.03 (D), which states that if substantial progress is not made within one year from approval, the City Council may revoke the CUP. CUP Review Criteria City Code 12-15-713 provides the following general review criteria to consider when granting a CUP. In granting a Conditional Use Permit, the City Council shall consider the recommendation of the Planning and Zoning Commission and: 1. The effect of the proposed use on the health, safety, moral and general welfare of the occupants of surrounding lands. Businesses with drive-through windows are regulated by City Code as conditional uses. Adjacent uses within the development include additional commercial space. CUPS for drive-through windows have been granted for similar locations with drive -up banking or ATMaccess. 2. Existing and anticipated traffic conditions, including parking facilities on adjacent streets and lands. The proposed retail banking center with a drive-through ATM and after-hours deposit is located near the intersection of two roadways which were designed to handle commercial traffic. The proposed drive-through window on the retail banking center would not create traffic beyond what these streets were designed to accommodate. Access to the site would come through the existing development and would not create new access points on Quinn Street or Bunker Lake Boulevard. 3. The effect on values of property and scenic views in the surrounding area, and the effect of the proposed use on the Comprehensive Plan. Financial Institutions are a permitted use within the GB General Business District and the area has been guided for commercial uses in the Comprehensive Plan. There are not scenic views in the surrounding area identified in the Comprehensive Plan. Staff believe the CUP will not have a negative effect on surrounding property values. PLANNING AND ZONING COMMISSION / PUBLIC HEARING — November 26, 2024 The Andover Planning Commission conducted a public hearing on the proposed CUP request at their meeting on November 26, 2024, preceded by notice as required by law. At the conclusion of the public hearing the Planning Commission recommended approval of the proposed CUP Amendment for a drive- through serving the ATM and after-hours deposit for the proposed financial institution use at that site. Resident Don Jackson, 2182 137' Lane NW, noted that he resides on the north side of Bunker Lake Boulevard across from the site and discussed the need for the screening at the north end of the drive- through to shield his and neighboring homes from headlights when people are parked at the drive-through ATM or after-hours deposit. Mr. Jackson also noted that along Bunker Lake Boulevard all the other drive-through uses face east -west, but this one would be north -south and is in a location directly across from residences. Matt Lingam from Kimley-Horn, civil engineers for the project, noted that there would be coniferous shrubs on the north side of the drive-through to mitigate headlight glare, additionally it can be more difficult to control the headlight glare from a drive-through that is parallel to the road. Commissioners discussed the orientation of the drive-through and screening at the north end of the drive- through and made the recommendation for approval with conditions as noted in the draft resolution. CITY COUNCIL REQUESTED ACTION The City Council is asked to receive the recommendation of the Planning Commission, and materials presented as part of the application and consider approval of a Conditional Use Permit (CUP) Amendment. Resp lly sub ed, P e City Planner Cc: The Architects Partnership, c/o Terron Wright (email only) Andover Station 2016, LLP, LLC c/o Chris Moe (email only) Attachments Draft Resolution of Approval Draft Resolution of Denial Location Map Applicants Narrative Preliminary Site Plan Set: Site Plan, Landscape Plan, Exterior Elevations CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. R A RESOLUTION APPROVING AN AMENDMENT TO THE CONDITIONAL USE PERMIT REQUEST FOR A DRIVE-THROUGH WINDOW, FOR THE PROPOSED BUSINESS LOCATED AT 2184 BUNKER LAKE BOULEVARD, LEGALLY DESCRIBED AS: Lot 2, Block 1, Andover Marketplace 21 Addition, Anoka County, Minnesota WHEREAS the City of Andover previously approved a conditional use permit amendment for a drive- through window at the subject property, through resolution # R009-23 on January 17, 2023, and; WHEREAS on January 2, 2024, the City of Andover approved a one-year extension for the same conditional use permit for a drive-through window at the subject property, through resolution # R003-24, and; WHEREAS the City of Andover has received an application for a Conditional Use Permit Amendment from applicant The Architects Partnership, Ltd. for a drive-through window at the subject property, with authorization from the property owner, and; WHEREAS the Conditional Use Permit Amendment for a drive-through window at the subject property, involves a change in plans from the previous approval and will require additional time to implement beyond the current January 2, 2025, time limit, and; WHEREAS the Planning and Zoning Commission held a Public Hearing on November 26, 2024, pursuant to the requirements of City Code 12-15-3, pertaining to the public hearing process, and; WHEREAS the Planning and Zoning Commission has reviewed the request and has determined that said request meets the criteria of City Code, and finds the request would not have a detrimental effect on the health, safety, and general welfare, values of property and scenic views in the surrounding area, and; WHEREAS the Planning and Zoning Commission recommends to the City Council approval of the Conditional Use Permit request., and; NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of Andover hereby agrees with the recommendation of the Planning and Zoning Commission and approves the conditional use permit amendment for a drive-through window at 2184 Bunker Lake Boulevard (PIN: 34-32-24-31- 0154), subject to the following conditions: 1. The applicant shall complete a commercial site plan review process with the City in compliance with City Code 12-15-4. 2. All other permits shall be obtained, including but not limited to the Building, Department of Health, etc. 3. The applicant shall provide coniferous/evergreen landscaping to screen headlights from vehicles in the drive-through from residential properties to the north. 4. The Conditional Use Permit shall be subject to a time limit for implementation within twelve months after approval of this Conditional Use Permit Amendment, or the permit will be null and void, as per City Code 12-15-71). Adopted by the City Council of the City of Andover on this day of 2024. CITY OF ANDOVER ATTEST: Michelle Hartner, City Clerk Sheri Bukkila, Mayor CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. R A RESOLUTION DENYING THE CONDITIONAL USE PERMIT REQUEST FOR A DRIVE- THROUGH WINDOW, FOR THE PROPOSED BUSINESS LOCATED AT 2184 BUNKER LAKE BOULEVARD, LEGALLY DESCRIBED AS: Lot 2, Block 1, Andover Marketplace 21 Addition, Anoka County, Minnesota WHEREAS the City of Andover previously approved a conditional use permit amendment for a drive- through window at the subject property, through resolution # R009-23 on January 17, 2023, and; WHEREAS on January 2, 2024, the City of Andover approved a one-year extension for the same conditional use permit for a drive-through window at the subject property, through resolution # R003-24, and; WHEREAS the applicant is The Architects Partnership, Ltd. and has requested an amendment to a conditional use permit for a drive-through window of the subject property, with authorization from the property owner, and; WHEREAS the Planning and Zoning Commission held a Public Hearing on November 26, 2024, pursuant to the requirements of City Code 12-15-3, pertaining to the public hearing process, and; WHEREAS the Planning and Zoning Commission has reviewed the request and has determined that said request meets the criteria of City Code, and finds the request would not have a detrimental effect on the health, safety, and general welfare of the City of Andover, and; WHEREAS the Planning and Zoning Commission recommends to the City Council approval of the Conditional Use Permit request, and; WHEREAS the City Council of the City of Andover disagrees with the recommendation of the Planning and Zoning Commission, and; NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of Andover hereby denies the conditional use permit amendment request for a drive-through window at 2184 Bunker Lake Boulevard (PIN: 34-32-24-31-0154); for the following reasons: 1. 2. 3. Adopted by the City Council of the City of Andover on this day of 2024. CITY OF ANDOVER ATTEST: Michelle Harmer, City Clerk Sheri Bukkila, Mayor vribN'rR 4 I• Site Location - 2184 Bunker Lake Boulevard NW (Parcel ID: 34-32-24-31-0154) N 1 i_• l r -T a IF A .7 w tr `F4�i�1.�1u�.yd. i 4 67 r �' E 1 kl n �r � ,e ►. `.. � e E Date Created: Novemper15,2024 Dsclaimer Tim pmviaermakes ho representation orwarran Hes with mspeet to the reuse of th s data. Please note Mass not a survey PropeM lineWations are approrimate and provided only to show a general bmticn of the propeM reliI ve to adjoant roads and pmxnws. BUNKER LAKE BOULEVARD NW (COUNTY ROAD NO. 116) (120 FOOT WIDE PUBLIC RIGHT OF WAY) mORuewcEeDnutt EasEMExr .. _... .. ..._._._.. _. _... ._...._ ,1 /% e_ 53.V V O " 1 5 L ... N .. �• .. R PARaxs G NK RJ O 825.6 RB '®' .. BENSRGxG ¢a v f000• 1F[ G r r r r r r .�--+ I / / 4r Til O 4F t1I ASO dG z• 3 -0:' r �� r rhe A� e)../ .. \ I R186 ..� .. ".. 18.G '. •M O � r �A r r r � � �� IO BUILDOREA i R30 F rr rrrr 119,9'! q. i N O 122.6•x/ ..._.:.. ' ' n B r III N Cb rI 1zo 1z.6 9a SIDE 9!�0 / 1DsmevARNrvc E GAO v1 '{%n, � 5MEET/ : 6ETMCK FBNLgNGSETBPLN y: II m I / P G r r r 7 / I MNNI. LnoF-wAr "C \ ��SEreAGK �II l P ck 8200 A. 0. N N ., L PRNATESIREET EMEMENT .'•/ I -\ 1 PROPERTY SUMMARY TOTALPROPERWAREA 132AC/5],29]SF DISTURBEDAREA 1.04AC/45.4925F EXISTING IMPERVIOUS AREA 0.03AC/1,337SF/2.94% W RFM BUILDING CK� SETBACK K a PROPOSEDIMPERVIOUSAREA 0.5] AC/25,219SF/S5.44% PROPOSED PERVIOUS AREA OA]AC /20,zT3 SF/44.56% I r,`.K\, — SITE DATA EXISTING ZONING GB -GENERAL BUSINESS PROPOSED LAND USE — — FRONT=20 BIDEREPR=10• RIGHT OF WAV =20• IGRCG-/ FROM=40' INTERIORSIDE=1R STREETSIDE=30' REAR=25• COUNTY ROAD SIDE- SV .EIR4CK I I- A. 0. N N ., L PRNATESIREET EMEMENT .'•/ I -\ 1 PROPERTY SUMMARY TOTALPROPERWAREA 132AC/5],29]SF DISTURBEDAREA 1.04AC/45.4925F EXISTING IMPERVIOUS AREA 0.03AC/1,337SF/2.94% EXISIINGPERVIOUSAREA 1.01AC/44.155SF/97.0S% PROPOSEDIMPERVIOUSAREA 0.5] AC/25,219SF/S5.44% PROPOSED PERVIOUS AREA OA]AC /20,zT3 SF/44.56% NET INCREASE IN DAPERVIOUS AREA 0.54AC/23.002SF SITE DATA EXISTING ZONING GB -GENERAL BUSINESS PROPOSED LAND USE FINANCIALINSTITUTION PARKINGSETBACKS FRONT=20 BIDEREPR=10• RIGHT OF WAV =20• SUILDINGSETBACKS FROM=40' INTERIORSIDE=1R STREETSIDE=30' REAR=25• COUNTY ROAD SIDE- SV LEGEND — — � PPOPERttLINE BEIBAGKUNE -------- DMINAGEPNO VNNYE93EMEHi —T---X—'�— PROPOSED FENCE PROPOSEDCURBANDGCTEA SAUDDtt AUPAN ENT O SEE DETAILS FORBECRON MENTI O SEE F1AXG FOR BE... . EEpETNL8 FOR3ECTOX TESUK .BECON DEJ FOR SECIICN SEEDETNLS F AOYE GPWU NO BATORAREA SEEGFUUDINGPLAN FOR DETARD SITE PLAN NOTES I. REFER MO E ARCRIIECTIRAL PWM$ FOR BRACT LOCATIONS AND OWENSION$ OF STOOPS MULKODGM MASH ENCLOSURES d PRECISE BUILIN NO DIMENSIONS REFERT ME8REFLE MT &PWIFMLCC MN30FPR MSED LIGMPoLES CONWRB MDELECTRICPLEOUPMEM 2 REFMTOCEMn OSIMSURMMPLOTF EUCTLOCA MOFMSTNG EASEMENR. PROPERTY BOUNDARY DIMENSIONS. PNDADJACENF RIGHF-0FVNYd PARCELINFORM4110N. 3. DIMENSCNSAND RADII ME DRANN TO ME FACE OF CURB, UNUSS OMERMSE NOTED. DMENSIOMAMRWNDEDTOMENFPRESTTFMHFMT.MDARFA$ ARE FOUNDED TO ME NEAREST SQUARE FOOT. 4. UNLESSOMUMMIES NOTED. ME CONRUCTOR SHALL BE RESPONSIBLE FOR RELOCAV NO E% MG SRE IMPRWFMEMS M CONFLICT NIM ME PROPOSED NORK MCLU DING BUT NOT LMRED TO TRAFFIC SIGNS. UGM FOUR, ABOVEGROUND UTIMER ETC PERFORM MONK IN ACCORDANCE NRII CAVERNING AUMCRMLS MOUIREMEMS AND PROJECT SITE MARK SPECIFMAT10N5 C0$T$PALLBEINCWOEOINBASSN0. R. TYF MPAN NG$TALLNMMMNSSW LBEIOFEETINW MMDIBFEETIN LENGM UNIE38 OM FRN15E I... S. MMUMEWSMI8MEDETAILEDONMEARCHRECMMLPWISMOME SNGMI FOR GRAPAGLS INFORMAlION4L PURPOSE$ONLY. COMB CTORTO VERIFY SIGN DIMENSIONS LOCOTON AND REOUMED PERMITBIR MEONNEq. T. ALL PAVEMEM M\RWNO STUPING AIME BE NNITE.A .. S. ME CURB S DEFTER MD CONCRETE VMEEL STOPS LOCATED I N FROM OF ME PROPOSED ADA STALLS S ABLE ARE TO BE FAMED SAFETY YEUM.. KEYNOTELEGEND p mNCIaTBNtaww � cmNwE.E.,D�DF,PomwD QxAr<R.�M,.oE�EDE.ArExEN.��,RR4DDE,E» pR.NP O `DUUM.ANDSONS a �FRC`DADD «D. S,Mx MD. Q .tcEssae PweNNGsrxxl � .REATwPFDMTK=rLLo+szD.D. OU<M1m SCrF 1 EEM'EL.FEMYXPef.FDRDETM81 n D E,F.UG.CP.SG....' O ��DTwN.FrnrnoDwo+Ere P.n.Ea..wD.I.EExm P..wRwR ® F EN RE DEE NE�MN.wADETAx.I O LNBRwtwm AssxureOrox'n31¢vA0M1WAxIEEEu.CHM4ry ACDEn®EDRD..wNR Oy .—MCNACNLeEEA¢OIRAN ..Av, OW WNDEMFR mv� p CMACEANaMNS..TAUM pMX�EDEF.. • G BUILDING DATA r TOTALBUILDINGAREA 3,4558F KnowwhafsbelOw. PERCENT OF TOTAL PROPERTY AREA 8.05% Call before you dig. PARKING SUMMARY REQUIRED PARKING 14SPACES �1 SPACE 1250 SF TOTAL PROPOSED PARKING 25 SPACES REQUIRED ACCESSIBLE PARKING 2 STANDARD SPACES 1 VAN ACCESSIBLE PROPOSED ACCESSIBLE PARKING 2VANACCESSISLE NORTH GRAPHIC SCALE IN FEET 0 10 20 0 � L L •E 9 4z ILJ `W 'rA V/ 0U= UN2 W a z waw a WOa. I— u 0400 a Knowwhat'sbelow. Call before you dig, I EXISTNGDECIDUOUSTREEITYPJ ZS EAWNG CONIFEROUS TREE ITYP.) N I LANDSCAPE SUMMARY BUNKER LAKE BOULEVARD NW (COUNTY ROAD NO. 916) D 7F2 - HM C 73-VJL A B FASEMFHT� ■�� A. 1 _ I 8-WLC i (� III In 1 -FFM-. ■ 11 - GLS— I■ -SEESIIEPWIS ' COMMONNAME O EDGER(IYP.) LANDSCAPE REQUIREMENTS- GENERAL BUSINESS ZONE -SBA -STING SHRUB (TYP.) LIATRIS SPICATA'KOSOLD- SEED WITH MNDOT WET DITCH CND) OS DOUBLE SHREDDED HARDWOOD MULCH(TYPJ REQUIRED: 14 TREES= 1.020 LF. SITE PERIMETER 175 LF. - OVERSTORY TREE D STATEWIDE SEED MIX MP.) \)1 ■ PROVIDED:I4TREES �_--�- © SOD (TYP.) EDGER ITYPJ 4 SEED WIT(EC0.ESSEWIESTORNTALL PRAIRIE ■Im TREETOREMAIN SHRUBS =1,020 L.F. SHE PERIMETER 115 LF. �� • APPROMMATEUMMS OF SEEDING/SEEDING GRASS MIX BY PRNRIE RESTORATONS, INT., 0 O PROTECT IN PLACE PROVIDED: 73 PROVIDED: ]3 SHRUBS W�♦ ALLDISTURBEDAREAS (rYPJ HYFJ • I ,2. PEE Ju x�l!1 REQUIRED: I8 SHRUBS=283 LF. BUILDING PERIMETER/ 15 LF WWYYU/pl, SEEDY EDGE (TYP.) 3 SOD (TYP.) E Q PRESERVE EXISTNG LAWN (TYP.) PROVIDED. 18 SHRUBS IIf1\\ OF EASING SHRUBS/ PERENNIALS TO REMAIN(TYPJ PARKING ISLAND REQUIREMENTS BUNKER LAKE BOULEVARD NW (COUNTY ROAD NO. 916) D 7F2 - HM C 73-VJL A B FASEMFHT� ■�� A. 1 _ I 8-WLC i (� III In 1 -FFM-. ■ 11 - GLS— ■ RI ■li •�'2 I 10. fl <' V,2.80L I I 1 M ./ 16- WLC SA_<.•'. vRT ,. n. ':;.. 3 -SER AIR ■ 5 -NSG I I 5- 12 - r — � — PowxnceaxalunewsE.NE,vr EYISWIN T/NGTFA/L- "__^.���■��■�■�■NNE' ._ 25 -SBA A� ; 1 17 -SLC B 8 -SER - 17 W 7 -AFD: fYJ/lll .......... ... .. ,23 -BHB' I■ -SEESIIEPWIS ' COMMONNAME 1� I CONTAINER CAL. -SBA Kae 10 KOBOLD BLAZING STAR LIATRIS SPICATA'KOSOLD- 0 -KBS IWO.C. %tr SVgERBFSBaUg ly F�X A RIMMMER BEAUTY- nT - OVERSTORY TREE I ■ \)1 ■ y 3'ql 4 / / -w `uywt `.. 2 -PEE *Y[;I 2 -BOL 4 BOULEVARD LINDEN ■Im 883 I 275 O i -NI -AFD I ,2. PEE Ju x�l!1 ■ RI ■li •�'2 I 10. fl <' V,2.80L I I 1 M ./ 16- WLC SA_<.•'. vRT ,. n. ':;.. 3 -SER AIR ■ 5 -NSG I I 5- 12 - r — � — PowxnceaxalunewsE.NE,vr EYISWIN T/NGTFA/L- "__^.���■��■�■�■NNE' ._ 25 -SBA A� ; 1 17 -SLC B 8 -SER - 17 W 7 -AFD: fYJ/lll .......... ... .. ,23 -BHB' SLB 7- / / NORTH / GRAPHIC SCALE IN FEET 0 10 20 40 a/ REQUIRED:7 TREES =1,0]1 S.F. ISLAND LANDSCAPE AREA/ 270 S.F. PROVIDED: ] TREES (6 PROPOSED+ 1 EXISTING) REQUIRED: 56 SHRUBS =1,871 S.F. ISLAND LANDSCAPE AREA 130 S.F. PROVIDED: 56 SHRUBS TOTAL REQUIRED TREES: 21 TREES TOTAL PROPOSED TREES: 22 TREES I2 EASTIMG a 22 PROPOSED) TOTAL REQUIRED SHRUBS: 142 SHRUBS TOTAL PROPOSED SHRUBS: 169 SHRUBS =(95 SHRUBS 174 ORNAMENTAL GRASSES) CREDITFOREXISTNGTREES:EXISTINGHEALTHYDECIDUOUSTREESGREATERT N4CPLIN. OR EVERGREEN GREATTHAN a PT. W., AND NOT IDEWIFIEDON CITY'S PROHIBITED PIANTNST MAY BE CREDITED TOWARD MINIMUM REQUIRED TREES ON SITE PLANTSCHEDULE / SYMBOL CODE OTY COMMONNAME v-BCJ CONTAINER CAL. -SBA Kae 10 KOBOLD BLAZING STAR LIATRIS SPICATA'KOSOLD- 0 -KBS IWO.C. %tr SVgERBFSBaUg ly F�X A RIMMMER BEAUTY- nT - OVERSTORY TREE I I' p MIlMI FIMV'HlRI(lgA��My��F��OW.SP, SPECIES #fRT.XxTQUANWTY1C / / -w `uywt 10-SEAH• 4 BOULEVARD LINDEN 3 -BHB` 883 B 275 O i -NI -AFD SLB 7- / / NORTH / GRAPHIC SCALE IN FEET 0 10 20 40 a/ REQUIRED:7 TREES =1,0]1 S.F. ISLAND LANDSCAPE AREA/ 270 S.F. PROVIDED: ] TREES (6 PROPOSED+ 1 EXISTING) REQUIRED: 56 SHRUBS =1,871 S.F. ISLAND LANDSCAPE AREA 130 S.F. PROVIDED: 56 SHRUBS TOTAL REQUIRED TREES: 21 TREES TOTAL PROPOSED TREES: 22 TREES I2 EASTIMG a 22 PROPOSED) TOTAL REQUIRED SHRUBS: 142 SHRUBS TOTAL PROPOSED SHRUBS: 169 SHRUBS =(95 SHRUBS 174 ORNAMENTAL GRASSES) CREDITFOREXISTNGTREES:EXISTINGHEALTHYDECIDUOUSTREESGREATERT N4CPLIN. OR EVERGREEN GREATTHAN a PT. W., AND NOT IDEWIFIEDON CITY'S PROHIBITED PIANTNST MAY BE CREDITED TOWARD MINIMUM REQUIRED TREES ON SITE PLANTSCHEDULE / SYMBOL CODE OTY COMMONNAME BOTANICAL NAME CONTAINER CAL. 18-O.C. Kae 10 KOBOLD BLAZING STAR LIATRIS SPICATA'KOSOLD- #1 COW. IWO.C. %tr SVgERBFSBaUg ly F�X A RIMMMER BEAUTY- #1 COW. is-O.C. OVERSTORY TREE �G �G�� !• IIID BU�LAPP�IR".It.FITW�.�fi�A11Eii'`NEIGE MIlMI FIMV'HlRI(lgA��My��F��OW.SP, SPECIES #fRT.XxTQUANWTY1C / / O./ BOL 4 BOULEVARD LINDEN TILIA AMERICPNA'BOULEVARD' 883 2.5•CAL. aFFM 3 SUGAR MAPLE ACER SACCHI\RUM'FALL FIESTA' B8B 2.5•CAL. / \ HAC 3 COMMON HACKBERRY CELT[$ OCCIDENTALIS BSB 2.FCa. / 0 • KCY 2 ESPRESSO KENTUCKY LOFFEETREE GYMNOLIADUB OIOICA'ESPRESSO' B&B 3.5•CP1. NPO 4 NORTHERN PIN OAK QUERCUS ELLIPSOIDALIS BdB 2.5 -Ga. (f W PEE 4 PRAIRIE EXPEDRION AMERICAN ELM ULMUS AMERICANA 'LELMS& CLARK' TM B&S 1.6- CAL. SYMBOL LODE OTY COMMON NAME BOTANICAL NAME CONTAINER SPACING DECIDUOUS SHRUBS OAFD 32 ARTIC FIRE DOGWOOD CORNUSSERICEA'ARTICFIRE' #SCOW. 3"O.C. ANH 5 ANNABELLEHYDRANGEA HYDRANGEA ARBORESCENS'ANNABELIE' #5 CONT. 4'D.C. / �'T'��wv>11� GLS 27 GR0.LOW FRAGRANT SUMAC RHUSAROMATCA'GRO-LOW J* cow. 4'O.C. \EVERGREEN SHRUBS 1J-`I-'+�j,f BCJ '{ 12 BLUECHIPJUNIPER JUNIPERUS HORIZONTALIS 'SLUE CHIP' "COW. 5'O.C. + 1SER ME 11 SPARTAN EASTERN REDCEDAR JUNIPERUS VIRGINLWA'SPARTAN IS COW. 3'OC ORNAMENTAL GRASSES HMS 27 HEAVY METAL SWITCHGRASS PANICUM VIRGATUM HFAW METAL' #1 CONT. SO.C. �'L� �10 j O j NSG 15 NORTHWND SWITCH GRAM PANICUM VIRGATUM'NORTH IND' 91 COW. 24.O.C. SLB 33 STANDING OVATION LITTLE BLUESTEM SCHIZACHYRIUM SCOPARIUM'STANDING OVATION #1 COW. 24.0.0. SYMBOL CODE OTY COMMON NAME BOTANICAL -NAME CTNR. SPACING BHB 66 BIRCH HYBRID BEUFLOWER CAMPANULA X'BIRCH HYBRID' #1 DONT. IS-O.C. ECH 38 RUBY STAR CONEFLOWER ECHINACEA PURPUREA'RUBY STAR' #1 CONT. 18-O.C. Kae 10 KOBOLD BLAZING STAR LIATRIS SPICATA'KOSOLD- #1 COW. IWO.C. %tr SVgERBFSBaUg ly F�X A RIMMMER BEAUTY- #1 COW. is-O.C. S: �G �G�� !• IIID BU�LAPP�IR".It.FITW�.�fi�A11Eii'`NEIGE MIlMI FIMV'HlRI(lgA��My��F��OW.SP, SPECIES #fRT.XxTQUANWTY1C •E a 0 q v h Y — a. Z w W = Q ° F fn m mSLU W a V Z Q V a W Qa F W L100 NORTH ELEVATION BUNKER LAKE BLVD. AND QUINN ST. 2184 BUNKER LAKE BLVD NW. ANDOVER, MN 55304 WEST ELEVATION ARCHITECTURAL ELEVATIONS 09.06.2024 i STOREFRONT ACM PANELS CASTSTONE COLOR: BLACK ANODIZED COLOR CLEAR ANODIZED COLOR:LIMESTONE ALUM. HEWN STONE METAL CANOPY&SUNSHADES BRICK BRICK COLOR BLACK ANODIZED COLOR: PLATINUM COLOR MIDNIGHT BLACK ALUM INTERSTATE BRICKS INTERSTATE BRICKS F-7--- F- -1 = COLUMN CLEAR GLASS COPPING CAP COLOR: CLOUD WHITE COLOR MATTE BLACK STEEL PETERSEN ALUMINUM Pr=CEIVED CITY OF ANDOVER SCALE i,=+• 0 S iV 1S ArchitectlDesigner The Architects Partnership, Ltd. 200 South Michigan Avenue Chicago, IL 60604 t: 312.583.9800 f: 312.583.9890 TAP Project Number: 24036 I STOREFRONT ACM PANELS CAST STONE COLOR BUCKANODIZED COLOR CLEAR ANODIZED COLOR LIMESTONE ALUM. HEWN STONE 20 I I METAL CANOPY& SUNSHADES BRICK BRICK COLOR: BLACKANODIZED COLOR PLATINUM COLOR MIDNIGHT BUCK --- - --- ALUM. INTERSTATE BRICKS INTERSTATE BRICKS - COLUMN CLEARGLASS COPPING CAP OOLOR CLOUD WHITE COLOR MATTE BLACK STEEL PETERSEN ALUMINUM SOUTH ELEVATION .. h G: UG E BUNKER LAKE BLVD. AND QUINN ST. 2184 BUNKER LAKE BLVD NW. ANDOVER, MN 55304 EAST ELEVATION ARCHITECTURAL ELEVATIONS 09.06.2024 SCALE= 7' o s m is- Architect/Designer s Architect/Designer The Architects Partnership, Ltd. 200 South Michigan Avenue Chicago, IL 60604 t: 312.583.9800 f: 312.583.9890 TAP Project Number. 24036 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor & Councilmembers CC: U Sarah Cotton, City Administrator FROM: Joe Janish, Community Development Director SUBJECT: Consider Denial Resolution & Findings of Fact — Planned Unit Development (PUD) for Hartmans Meadows (formerly referred to as Meadows East) — Unaddressed Property 16xxx Ward Lake Drive NW; PID# 11-32-24-41-0003 — SW Wold Construction, Inc. (Applicant) - Planning DATE: December 3, 2024 ACTION REQUESTED At the November 19, 2024 City Council meeting, the Council unanimously voted to deny a request for a Planned Unit Development (PUD) for Hartmans Meadows, and directed staff to draft findings of fact to support its decision based on the Council's review. In response, the City Council is requested to consider adopting the attached draft resolution of denial and findings of fact. 7JamsVh ed, Community Development Director Attachments Draft Resolution of Denial CC: Scott Wold (email) Craig Wensmann (email) CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA PITS aI A RESOLUTION DENYING THE CONDITIONAL USE PERMIT / PLANNED UNIT DEVELOPMENT REQUESTED BY SW WOLD CONSTRUCTION, INC, AS SHOWN AS HARTMANS MEADOWS (FORMERLY KNOWN AS MEADOWS EAST) PLAN DATED 11/8/2024, LEGALLY DESCRIBED AS: THAT PRT OF NE V4 OF SE/4 OF SEC 11 TWP 32 RGE 24 LYG ELY OF W R/W LINE OF BN R/R, EX RD SUBJ TO EASE OF REC WHEREAS, SW WOLD CONSTRUCTION, INC ("Applicant") has requested a Conditional Use Permit for a Planned Unit Development (PUD) for HARTMANS MEADOWS, and; WHEREAS, on November 12, 2024, the Planning and Zoning Commission reviewed Applicant's request and determined that said request does not meet the criteria of City Code and would have a detrimental effect upon the health, safety, general welfare, values of property and scenic views in the surrounding area, and; WHEREAS, the Planning and Zoning Commission's review further determined that the Applicant's request does not meet the criteria of City Code and 13-3-9; as the proposed PUD is in conflict with the goals of the Comprehensive Plan for the City; the proposed development is not designed in such a manner as to form a desirable and unified environment within its own boundaries; and the proposed development does not demonstrate how each modified or waived requirement contributes to achieving the purpose of a PUD; the PUD is not of composition, and arrangement that its construction, marketing, and operation are feasible as a complete unit without dependence upon any subsequent unit, and; WHEREAS, based on the foregoing, the Planning and Zoning Commission recommended to the City Council the denial of the Applicant's Conditional Use Permit request, and; WHEREAS, on November 19, 2024 the City Council of Andover received the recommendation of the Planning Commission and reviewed the Applicant's request including all materials available at the time of the Planning Commission's review, the Planning Cominission's recorded meeting, agenda materials, and presentation by the Applicant, and NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of Andover does hereby deny the Applicant's Conditional Use Permit request on the above legally described property for a Planned Unit Development for Hartmans Meadows (formerly known as Meadows East) due to the following findings: I. 13-3-9: FINDINGS REQUIRED: In order for PUD to be approved, the City shall find that the following are present: A. The proposed development is not in conflict with the goals of the Comprehensive Plan of the City. The applicant proposed 2 additional lots creating higher density than identified by the Comprehensive Plan, the applicant did not show how the additional density would create a higher quality development than could be otherwise achieved through strict application of this code. The City Council determined that the additional density did not meet or accomplish the purpose of a PUD and is in conflict with the goals of the comprehensive plan of the City. B. The proposed development is designed in such a manner as to form a desirable and unified environment within its own boundaries. The applicant did not demonstrate how the additional 2 lots proposed would create a unified environment. The property has no wetlands, no flood plain and should be able to be developed within the standard density requirements of the City Code. C. The proposed development demonstrates how each modified or waived requirement contributes to achieving the purpose of a PUD. The applicant was not able to present to the satisfaction of the City Council how the additional two lots not otherwise allowed based on density encouraged a more efficient allocation of density and intensity of land use where such arrangement is desirable and feasible. II. 13-3-12: APPROVAL OF PLANNED UNIT DEVELOPMENT: The developer must demonstrate that the amenities and qualities of the Planned Unit Development are beneficial and in the public interest to allow the development to be approved. A substantial amount of the design qualities identified in Section 13-3-11 of this chapter shall be found to be present in order to approve a PUD. The amount of amenities and type of qualities that constitute an acceptable PUD are at the sole discretion of the City Council to determine. The applicant did not demonstrate that the amenities and qualities of two additional lots within the PUD are beneficial and in the public interest to allow the development to be approved. City Council found that the parcel has no wetland and no floodplain, thereby allowing the property to be developed within the standard density requirements of the City Code. Adopted by the City Council of the City of Andover on this _ day of 2024. CITY OF ANDOVER ATTEST: Michelle Harmer, City Clerk Sheri Bukkila, Mayor 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: FROM: SUBJECT: DATE: Mayor and Council Members Sarah Cotton, City Administrator Administrator's Report December 3, 2024 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 items of interest: 1. City Department Activities 2. Update on Development/CIP Projects 3. Meeting Reminders Upon receipt of a 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. Respectfully submitted, Sarah Cotton