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• AGENDA • CITY OF STILLWATER ) 1E@MEIVIEri CITY COUNCIL MEETING NO. 98-5 FEB 1 7 1998 Council Chambers, 216 North Fourth Street I February 17, 1998 SPECIAL MEETING 4:30 P.M. 1. Tour of Stillwater Public Library and discussion with members of Library Board REGULAR MEETING 7:00 P.M. CALL TO ORDER INVOCATION ROLL CALL APPROVAL OF MINUTES - February 3, 1998 Regular and Recessed Meetings, and February 10, 1998, Special Meeting. PETITIONS, INDIVIDUALS, DELEGATIONS & COMMENDATIONS 1. Commending Captain Tim Bell for dedicated service to the Stillwater Police Department OPEN FORUM The Open Forum is a portion of the Council meeting to address Council on subjects which are not a part of the meeting agenda. The Council may take action or reply at the time of the statement or may give direction to staff regarding investigation of the concerns expressed. CONSENT AGENDA* 1.Resolution 98-41: Directing Payment of Bills 2.Exemption from Lawful Gambling License - St. Croix Valley Education Program raffle 3. 1-4 day Temporary on-sale Liquor License - City of Stillwater Chamber of Commerce for Blue Moon Gathering, February 26, 1998 4.Resolution 98-42: Memorandum of Agreement for Drop Off Center Recycling Grant Distribution 5.Resolution 98-43: Municipal Licenses for sidewalk use - Marlene's Deli, Savories, and Stillwater Grill (continued from Feb. 3, 1998) STAFF REPORTS 1. Finance Director 5. Parks & Recreation 9. Fire Chief 2. Police Chief 6. City Engineer 10. Building Official 3. Public Works Director 7. Consulting Engineer 11. City Attorney 4. Community Dev. Director 8. City Clerk 12. City Coordinator PUBLIC HEARINGS 1. This is the day and time for the public hearing to consider the making of street rehabilitation improvements and sidewalk construction improvements to Curve Crest Boulevard between Greeley Street and Washington Avenue. The area proposed to be assessed is properties abutting Curve Crest Boulevard between Greeley Street and Washington Avenue. The estimated cost of the improvements is $539,813. Notice of the hearing was placed in the Stillwater Gazette on February 6 and 11, 1998 and notices sent to affected property owners. City Council Meeting 98-5 • •bruarY 17, 1998 UNFINISHED BUSINESS 1. Second reading of Ordinance 854 approving zoning ordinance and map amendments ZAT 98-1, 98- 2, 98-3, 98-4, and ZAM 98-1, 98-2, 98-3, 98-4, and 98-5. (first reading Feb. 3, 1998) 2. Results of Joint Board Meeting of February 4, 1998, for Council review and approval NEW BUSINESS 1. Aiple lease property: a) Request to obtain survey b) Approving lease extension agreement (resolution) 2. Authorization to conduct easement survey for sale of Colonial Craft site to Lakeview Hospital PETITIONS, INDIVIDUALS, DELEGATIONS & COMMENDATIONS (continued) COMMUNICATIONS/REQUESTS 1. Marguerite Rheinberger - Request to transfer leadership of celebration for sesquicentennial celebration of the Minnesota Territorial Convention to the City of Stillwater Chamber of Commerce COUNCIL REQUEST ITEMS STAFF REPORTS (continued) ADJOURNMENT * All items listed under the consent agenda are considered to be routine by the City Council and will be enacted by one motion. There will be no separate discussion on these items unless a Council Member or citizen so requests, in which event, the items will be removed from the consent agenda and considered separately. 4troktv Ilk 10/ , , � II, You are invited for a presentation Wednesday January 21 4:00 PM Stillwater Public Library J I Margaret Rivers Room Ac ,Asa 2 0 1998 Speaker ..J Hannah Donovitz, DNR "The Oak Forest: A Part of Stillwater's Natural Heritage The proposed development west of Long Lake near Rutherford School has ORIGINAL FOREST REMNANTS. The comprehensive plan of Stillwater states " Major creeks, wetlands, slopes, woodlands and other sensitive environmental features should be conserved as open space amenities and incorporated into the design of new neighborhoods." It also states " The city shall make every effort to preserve heritage trees and major groves or woodlands." • See How Woodbury Saved its Oak Forest. Why Can't Stillwater Do It, Too? C 50 THURSDAY,DECEMBER 4,1997 SAINT PAUL PIONEER PRESS Woodbury and developers cut deal to save oak trees BROHDE ST MI WRITER bonus on the remaining 100 acres dard"In size,some as small as 50 produce." between the city and the develop- in the Puk Family Farm subdivi- feet wide. Single-family lots In the subdivi- era. sion at Pioneer Drive and Lake But from the start, the city's cion will have an average width of "mere was lots of give and last-growing Woodbury,devel- Road.That clears the way for 221 planning staff and parks commis- 58 feet. take,"he added,"and we came up opal could have decided to de- single-family homes and 234 town- sion rallied behind the proposal, "Bigger lots, of course, would with something that's a little bit stray an oak stand to make way homes. and praised the developers for offer more private open space," out of the ordinary." for 300-plus single-family homes. "you might call it our first true willingness to provide almost four Jorgensen said. "But there's a Urban clusters are few and far It's perfectly legal under city son- urban cluster," city associate times the amount of parkland cus- trade-off.Owners of those smaller between in the Twin Cities area. intste planner Marty Jorgensen said, tomarily required by the city. lots are getting easy access to .mss isn't a new concept for ad,a deal was worked out and it might be used as a model "The planning commission's vi- public.open apace." Orrin Thompson,"Pritchard said. Orrin Thompson Homes and for others to follow.We're putting sion of a preferable community," The developers also will set "We have built urban-density clus- Centex Homes will give to the city limits on urban sprawl and pre- Jorgensen said, "includes larger aside a private, 3-acre corridor tars in other places,particularly 57 acres — 37 percent of their serving an oak savanna all at the lot sizes to produce a more open running north-south through Puk in Denver and Florida." 157-acre tract — for a public same time." appearance around the structures. Family Farm,Including trails con- park.Hundreds of oak trees,some The development met with op- The staff's vision encourages set- necting to the city's oak-tree park. Puk Family Farm prices are up to 150 years old,vtill be in the position last summer from the ting aside large amounts of public Bill Pritchard,a spokesman for expected to range from 880,000 to park. city's planning commission, pri• park and open space and allowing Orrin Thompson Homes, said he $105,000 for townhouses and The city,meanwhile,will grant manly out of concern that 96 per- buyer preferences to determine thinks everybody is coming out a 3130,000.to 8200,000 for single- about a 50 percent housing density cent of the lots were "substan- what size lots the market should winner as a result of negotiations family homes. • • . •\ '2, 0 \• .\ „..c- .,0 ,,.. . , ?). 4Q' 0, '-----Z,Eac,c 0 00s ,)9,\b 'z 4 giv,/y/ le' r / i 0 ow S66l , \ '' d ''' .. ,.•- -.....,_, .5. „ . ,! :;\-;• f-• .,,, .,„ cv. - ' t* , r...- , ,..,, t... .•.*,, ,..... ..._ • AGENDA CITY OF STILLWATER • Council Chambers, 216 North Fourth Street CITY COUNCIL MEETING NO. 98-2 January 20, 1998 REGULAR MEETING 7:00 P.M. CALL TO ORDER INVOCATION22 ROLL CALL (� © I5 0��C5 APPROVAL OF MINUTES - January 6, 1998 Regular Meeting G-\ 1� NA 2 0 I998 i PETITIONS, INDIVIDUALS, DELEGATIONS & COMMENDATIONS 1. Ron Kroese - St. Croix Valley Community Foundation OPEN FORUM The Open Forum is a portion of the Council meeting to address Council on subjects which are not a part of the meeting agenda. The Council may take action or reply at the time of the statement or may give direction to staff regarding investigation of the concerns expressed. STAFF REPORTS 1. Finance Director 5. Parks & Recreation 9. Fire Chief 2. Police Chief 6. City Engineer 10. Building Official 3. Public Works Director 7. Consulting Engineer 11. City Attorney 4. Community Dev. Director 8. City Clerk 12. City Coordinator CONSENT AGENDA* 1.Resolution 98-17: Directing Payment of Bills 2.Gambling Premise Renewal Permits for St. Croix Valley Hockey Association at Cat Ballou's (Res. 98-18); Madcapper Saloon & Eatery (Res. 98-19) and Brines' Restaurant and Bar (Res. 98-20) 3. Certificate of Appreciation commending LaDonna "Sue" Stickan for 19 years of service to the City 4.Purchase of six lumbar supports for squad cars - Police Dept. 5.Purchase of computer- Parks Dept. 6.Purchase of tiller and blade; portable generator, drills; chemical storage and gas cabinets, ball field marking machine, fax and copy machines- Parks Dept. 7. Purchase of two computers and one new printer - Building Dept. 8.Ratification of Res. 98-5: Promotion of Steven Wicker from laborer to Junior Parkkeeper 9. Contractors Licenses: Knutson Construction Co., Minneapolis; The Roofing Center, New Richmond, WI 10. Exemption from Lawful Gambling License - St. Croix Catholic School raffle, April 4, 1998 11.Resolution 98-21: Accepting work and ordering final payment - 1996 Street Improvements, Project 9614 12.Addendum to May Township Fire Contract 13.Purchase of computer - Planning Dept. 14.Engagement letter for 1997 audit 15. Commence hiring process to replace retired employee (Junior Account Clerk) City Council Meeting 98-2 • January 20, 1998 • UNFINISHED BUSINESS 1. Review and approval of City comment on Manning Avenue corridor Extension EAW (Resolution) 2. Update: Territorial Prison Site - downtown hotel development 3. Contract for design services for Recreation Center park and ride lot improvements (Resolution) 4. Rfict,; Possible sale of city owned land to Len's Family Food t 5. Request for financial support - River Valley Arts Council i' t,,.. ,i {� ac , ; V 6. Second reading of Ordinance 853, repealing Chapter 49, Port Authority (first reading 1/6/98) -- ~--_ NEW TJSZNESS 1. Receiving report and calling hearing - Curve Crest Blvd Street Rehabilitation (Resolution) 2. Request from Middle River WMO for state funding assistance (Resolution) 3. Request for approval to submit grant for Holcomb Addition Historic Architecture Survey 4. Request for review, comment, and approval of Human Rights Commission's Hate Crime Response Plan PETITIONS, INDIVIDUALS, DELEGATIONS & COMMENDATIONS (continued) COMMUNICATIONS/REQUESTS 1. Library Board - Request for meeting COUNCIL REQUEST ITEMS STAFF REPORTS (continued) ADJOURNMENT * All items listed under the consent agenda are considered to be routine by the City Council and will be enacted by one motion. There will be no separate discussion on these items unless a Council Member or citizen so requests, in which event, the items will be removed from the consent agenda and considered separately. • AGENDA • CITY OF STILLWATER CITY COUNCIL MEETING NO. 97-29 City Council Chambers, 216 North 4th Street November 18, 1997 REGULAR MEETING 7:00 P.M. CALL TO ORDER INVOCATION NOV 1 71997 ROLL CALL RIBBON CUTTING AND DEDICATION OF CITY HALL APPROVAL OF MINUTES - November 4, 1997 Regular Meeting PETITIONS, INDIVIDUALS, DELEGATIONS & COMMENDATIONS OPEN FORUM The Open Forum is a portion of the Council meeting to address Council on subjects which are not a part of the meeting agenda. The Council may take action or reply at the time of the statement or may give direction to staff regarding investigation of the concerns expressed. CONSENT AGENDA* 1. Resolution 97-266: Directing Payment of Bills 2. Purchase of software for laptop computer - Police Dept. 3. Resolution 97-267: Change Order Nos. 6 and 7, AV systems, City Hall Building Project 4. Resolution 97-268: Traffic Control Agreement No. 75823M, Co. Rd. 5 and Highway 36 5. Resolution 97-269: Approving Sub-Grant Agreement with State of Minnesota for Federal Assistance (FEMA 1175DR-MN)) 6. Contractors License: Bjorkman Excavating (renewal) 7. Request from Stillwater Elks Club for use of tennis courts on Greeley St. for sale of Christmas trees STAFF REPORTS 1. Finance Director 5. Parks & Recreation 9. Fire Chief 2. Police Chief 6. City Engineer 10. Building Official 3. Public Works Director 7. Consulting Engineer 11. City Attorney 4. Community Dev. Director 8. City Clerk 12. City Coordinator UNFINISHED BUSINESS 1. Update: Territorial Coalition Inc. 2. Consideration of Public Safety Director/Fire Chief positions City Council Meeting 97-29 • •vember 18, 1997 NEW BUSINESS 1. Recommendation and Resolution Authorizing issuance and sale of$4,610,000 General Obligation Sports Center bonds, Series 1998A (Resolution) 2. Update on Feasibility Study for McKusick Lake Diversion and Storm Water Mitigation Plan for annexation area, Project 9626C ,lti tder.feasibility reports (Resolutions) a) Street rehabilitation of Curve Crest Boulevard b) Reconstruction of S. First Street (1998 Street Improvements) 4. Watermain Extension - Lakeside Drive, Project 9734 5. Request for City participation in Park and Ride Lot 6. Renew tobacco licenses for 1998 (Resolution) PETITIONS, INDIVIDUALS, DELEGATIONS & COMMENDATIONS (continued) COMMUNICATIONS/REQUESTS COUNCIL REQUEST ITEMS STAFF REPORTS (continued) ADJOURNMENT * All items listed under the consent agenda are considered to be routine by the City Council and will be enacted by one motion. There will be no separate discussion on these items unless a Council Member or citizen so requests, in which event, the items will be removed from the consent agenda and considered separately. 612 430 0903 • 0\-kit _ it-ts ep • r co LLD Friends of Long Lake Homeowners Association,Inc Co p.sci 2962 Marine Circle Stillwater,MN 55082 Oak Park Heights City Council November 15, 1996 14168 N. 57th Street Oak Park Heights, MN 55082 Dear Mayor Schaaf and Council Members, Thank you for the opportunity to discuss the flooding issues on Long Lake. As discussed, we are at risk of floodin within the current storm water desi l s of both Stillwater and Oak Park.Unfortunately, it will require months or years Park for al likely watershed district to form and address the problems. In the interim, Oak initiate commercial construction that will only increase the cost of remedial actions that may be required by the watersheddistrict. lease Stillwaterpsuch changes, but all ement jurisdictions undertaking ons to your storm water system now, to help reduce our risk jurisdictions in the watershed must cooperate to reduce our risk. Thank you for considering our request. Since Y, auri Maher, Chair • AGENDA CITY OF STILLWATER • CITY COUNCIL MEETING NO. 97-28 November 4, 1997 Note: Council will convene at 4:30 p.m. and adjourn no later than 6 p.m., in compliance with Minnesota Statutes prohibiting public meetings between 6 - 8 p.m. on election day. Council will not reconvene after 8 p.m. 11 l � --_ ,� 4:30 P.M. _-- REGULAR MEETING / NOV - 3 CALL TO ORDER ROLL CALL STAFF REPORTS 1. Finance Director 5. Parks & Recreation 9. Fire Chief 2. Police Chief 6. City Engineer 10. Building Official 3. Public Works Director 7. Consulting Engineer 11. City Attorney 4. Community Dev. Director 8. City Clerk 12. City Coordinator APPROVAL OF MINUTES -October 28, 1997, Special and Regular Meetings PETITIONS, INDIVIDUALS, DELEGATIONS & COMMENDATIONS OPEN FORUM The Open Forum is a portion of the Council meeting to address Council on subjects which are not a part of the meeting agenda. The Council may take action or reply at the time of the statement or may give direction to staff regarding investigation of the concerns expressed. CONSENT AGENDA* 1. Resolution: Directing Payment of Bills. (Resolution No. 97-263) UNFINISHED BUSINESS 1. Requests from Downtown Parking Commission for pedestrian yield signs and crossings (continued from Oct. 28,1997) 2. Possible second reading of ordinance amending City Code, Chapter 45, Taxicabs 3. Possible second reading of ordinance amending City Code, Chapter 41, Peddlers and Solicitors NEW BUSINESS PETITIONS, INDIVIDUALS, DELEGATIONS & COMMENDATIONS (continued) COMMUNICATIONS/REQUESTS COUNCIL REQUEST ITEMS STAFF REPORTS (continued) ADJOURNMENT * All items listed under the consent agenda are considered to be routine by the City Council and will be enacted by one motion. There will be no separate discussion on these items unless a Council Member or citizen so requests, in which event, the items will be removed from the consent agenda and considered separately. tel E r' , • • CONTINUANCE OF MEMORANDUM for the Cities of Stillwater, Oak Park Heights, and Bayport JANUARY 1 - DECEMBER 31, 1997 It is hereby agreed that Goodwill/Easter Seal (hereinafter Goodwill) will provide collection services to the Cities of Stillwater, Oak Park Heights and Bayport, Mn (hereinafter cities). The scope of services includes the acceptance of household materials for reuse, as identified in Attachment A. To provide said services, Goodwill will maintain an Attended Donation Center in its store at 14460 N. 60th Street, Stillwater, Mn. The term of this continuance of original agreement is for January 1 - December 31, 1997. Goodwill agrees to maintain its liability insurance to cover the Attended Donation Center. The Cities agree to pay $.50 per household for the collection of reuse material to Goodwill, as identified in Attachment B and to provide advise and counsel to Goodwill for the services provided by Goodwill. Other than stated in this memorandum, the provisions of the original agreement shall remain in force. Passed and adopted this 9 day of L , 1997. � ' Date: a//g/y 7 , By: City of Stillwat- . 4 _ / �/ Date:(9475/9 17 , By: City of Oak • -r eight ,/ / ,/ Date: 4A/f/97 , By: City of Bayport % �' - 7.41K, w lib wif1 Date:/--/J—j'7 , By: Goodwill/Easter Se- ,- �! ,1 ftVRI591IL • • 1 • ATTACHMENT A ATTENDED DONATION CENTER Cities of Stillwater, Oak Park Heights, and Bayport GOODWILL -ADC ACCEPTABLE MATERIALS 1997 *clothing *games and toys *lamps *curtains *linens *knick-knacks *hardware and tools *small working appliances *portable working tv's and stereos *good condition furniture, bed frames, tables, sofas, etc. (acceptable at the store locations only) GOODWILL -ADC UNACCEPTABLE MATERIALS - 1997 *hazardous waste *house-hold hazardous waste *tires *carpet, carpet scraps & pads *plumbing fixtures *large counsel stereos &tv's *household batteries *scrap metal * large appliances (refrigerators, freezers, stoves/ovens, washers, dryers, air conditioners, dehumidifiers, furnaces, garbage disposals, microwaves, trash compactors, water heaters, etc.) * automotive items (lead acid batteries, lubricants, additives and oils, antifreeze, etc.) * mattresses, box springs (including water bed mattresses) * recyclables (glass, aluminum, newsprint, cardboard, office paper and plastic) • • ATTACHMENT B CONTRACT COSTS ARE SHARED ON A PER COPITA BASIS BETWEEN THE CITIES, DETERMENDED BY THE MOST RECENT CENSUS DATA. 1997 Total Cities Population = 7,795 x .50 - $3,897.50 Stillwater 5,582 x .50 = $2,791.00 Oak Park Heights 1,427 x .50 = $ 713.50 Bayport 786 x .50 = $ 393.00 • r • • i CCC• OWE FEB 91995 ii • ORDINANCE NO. 801 • AN ORDINANCE AMENDING THE STILLWATER CITY CODE BY ADDING DEFERRAL OF ASSESSMENTS FOR PERMANENTLY DISABLED PROPERTY OWNERS THE CITY COUNCIL OF THE CITY OF STILLWATER DOES ORDAIN: SECTION 1. AMENDING Section 56.05, Subdivision 1 of the Stillwater City Code is hereby amended to hereafter rad as follows: Subdivision 1. PROVIDING FOR DEFERRAL OF ASSESSMENTS. From and after the adoption of this Ordinance the City Council of the City of Stillwater may, in its discretion, defer the payment of any special assessment heretofore or hereinafter made for local improvements constructed by the City within the City of Stillwater when, in its discretion, it determines by a three-fifths vote of the Council that one or more of the owners of said property is sixty-five years of age or over, or is retired by reason of permanent disability regardless of age, and that payment of the assessment would be a hardship for the owner thereof. SECTION 2. In all other ways the Chapter 56.05 shall remain in full force and effect. SECTION 3. This ordinance shall be in full force and effect from and after its passage and publication according to law. Adopted by the City Council this 17th day of January;1995. City of Stillwater of,y7,e44.-A/7. Attest: B'tk- Ciy Clerk Publish: Stillwater Gazette January 20, 1995 . S • • • MEMORANDUM TO: Administration/Finance Staff FROM: City Coordinator SUBJECT: Application Process for Garbage Waiver and Special Assessment Deferrals DA 1'h: Jannary27 , 1995 The application forms for waiver of garbage and rubbish collection charge have been revised. The forms have been revised to include all information,etc. related to the application. Please use the new forms as of the date of this memo. In regards to the application process,please use the'following process: 1. Keep application forms in drawer by counter. 2. Forms shall be submitted to City Clerk a. City Clerk shall review forms for completeness and route to Finance Director. 3. Finance Director shall review financial data and approve or disapprove application and return to City Clerk. (Met Council, Section 8 Housing Income Guidelines shall be used to determine financial hardship.) 4. If application is in order(even if the application is to be disapproved), the City Clerk shall place the item on the consent agenda for Council action. 5. Council action shall be communicated to appropriate staff: a. Waiver of garbage and rubbish collection charges shall be given to utility billing clerk; (Sue Stickan); and b. Deferrals of special assessments shall be given to assessment clerk(Monica Price). Please note that the information contained on the application form(except for the name and address) is PRIVATE DATA. Therefore, the forms should not be disseminated to the public or even within City offices. Further, only the Council action form should be included in the packet. If anyone has any questions regarding the application forms or the process,please feel free to see me. • • Application No. CITY OF STILLWATER APPLICATION AND FINANCIAL DISCLOSURE STATEMENT FOR DEFERRAL OF SPECIAL ASSESSMENTS PUBLIC DATA: NAME ADDRESS I, (WE),the undersigned, declare under penalties of perjury,the following financial information to the City of Stillwater to be used to evaluate my(our)request for deferral of Special Assessments levied against my(our) property. PRIVATE DATA "'*** 1. Is anyone in your family who is living with you now, currently employed? Yes No If YES, please list the individual who is working, the employer and how much he or she makes each month. INDIVIDUAL EMPLOYER MONTHLY SALARY 2. Please check which of the following applies: A. One or more of the owners of said property is sixty-five years of age or older. B. One or more of the owners is retired due to permanent disability. C. Both of the above. 3. List any Real Estate you own or are buying other than your home, if any: 4. if you have not made all of the payments on your home, list your monthly payment House Payment $ per month 5. List your current year's property tax: 19 $ • • 6. List the amount of money your family receives each month from any of the following sources: KINDS OF INCOME (How much is received each month and who • RECEIVED receives it?) HUSBAND WIFE MEMBERS OF FAMILY WHO LIVE WITH YOU 1. Social Security (exact amount of the check) 2. Veteran's Benefits 3. Other Retirement 4. Money from Renters 5. Unemployment Ins. 6. Workmens Comp. 7. Disability Ins. Benefits 8. Stock Dividends or Interest 9. OTHER 7. List your Total Financial Resources(if greater than ($10,000) (See attached Schedule"A"form for additional required information) $ I have read the foregoing statements and the answers I have made, and I declare them to be true and correct to the best of my knowledge. Witness Signature of Applicant Witness Signature of Applicant Approved Disapproved by Admin Date: Approved Disapproved by Finance Date: Approved Disapproved by City Council Date: Thank you very much for filling out this form. The City Council will review your request for deferment of Special Assessments against your property. You will be notified in writing of their decision. THIS PAGE IS PRIVATE DATA, DISSEMINATE ONLY TO RESPONSIBLE AUTHORITY OR THEIR DESIGNEE. • . SCHEDULE "A" Minnesota Statutes on data privacy require that you be informed that the following information which you will be asked to provide for the Deferral of Special Assessments is considered private data as it pertains to the location or amount of cash or other valuables. We ask this information to determine your eligibility to receive a deferral of Special Assessments levied against your property. Furnishing this information is voluntary, but your application for Deferment of Special Assessments may not be considered due to incomplete information. Private data is available only to you and to other persons in the City of Stillwater who have a bonafide need for that data. Public data(e.g.,names of individuals applying for deferrals) is available to anyone requesting it and consists of all data furnished in the application process which is not designated in this notice as private data. List your Financial Resources, in detail (if greater than ($10,000) Cash on Hand $ Savings Accounts $ Stocks, Bonds, or Securities $ Life Insurance $ Witness Signature of Applicant Witness Signature of Applicant THIS PAGE IS PRIVATE DATA DISSEMINATE ONLY TO RESPONSIBLE AUTHORITY OR THEIR DESIGNEE. S o • • • Application No. CITY OF STILLWATER APPLICATION FOR FINANCIAL DISCLOSURE STATEMENT FOR WAIVER OF GARBAGE AND RUBBISH COLLECTION CHARGE PUBLIC DATA: NAME ADDRESS I,(WE),the undersigned, declare under penalties of perjury, the following financial information to the City of Stillwater to be used to evaluate my(our) request for waiver of garbage and rubbish collection charge. PRIVATE DATA • 1. Is anyone in your family who is living with you now, currently employed? Yes No If YES, please list the individual who is working, the employer and how much he or she makes each month. INDIVIDUAL EMPLOYER MONTHLY SALARY 2. Please check which of the following applies: A. One or more of the members of said household is sixty-two years of age or older. B. One or more of the members is retired due to permanent disability. C. Both of the above. 3. List any Real Estate you own or are buying other than your home, if any: 4. If you have not made all of the payments on your home, list your monthly payment House Payment $ per month 5. List your current year's property tax: 19 $ 6. List the amount of money yamily receives each month from any AR following sources: KINDS OF INCOME (How much is received each month and who RECEIVED receives it?) HUSBAND WIFE MEMBERS OF FAMILY WHO LIVE WITH YOU 1. Social Security(exact amount of the check) 2. Veteran's Benefits i 3. Other Retirement 4. Money from Renters 5. Unemployment Ins. 6. Workmens Comp. 7. Disability Ins. Benefits 8. Stock Dividends or Interest } 9. OTHER 7. List your Total Financial Resources(if greater than ($10,000) (See attached Schedule"A'form for additional required information) • I have read the foregoing statements and the answers I have made, and I declare them to be true and correct to the best of my knowledge. Witness Signature of Applicant Witness Signature of Applicant Approved Disapproved by Admin Date: Approved Disapproved by Finance Date: Approved Disapproved by City Council Date: Thank you very much for filling out this form. The City Council will review your request for waiver of garbage and rubbish collection charges for your household. You will be notified in writing of their decision. THIS PAGE IS PRIVATE DATA, DISSEMINATE ONLY TO RESPONSIBLE AUTHORITY OR THEIR DESIGNEE. • • SCHEDULE "A" Minnesota Statutes on data privacy require that you be informed that the following information which you will be asked to provide for the Waiver of Garbage and Rubbish Collection Charges is considered private data as it pertains to the location or amount of cash or other valuables. We ask this information to determine your eligibility to receive a waiver of garbage and collection charges for the household. Furnishing this information is voluntary, but your application for the waiver may not be considered due to incomplete information. Private data is available only to you and to other persons in the City of Stillwater who have a bonafide need for that data. Public data(e.g., names of individuals applying for deferrals) is available to anyone requesting it and consists of all data furnished in the application process which is not designated in this notice as private data. List your Financial Resources, in detail (if greater than ($10,000) Cash on Hand $ Savings Accounts $ Stocks, Bonds, or Securities $ Life Insurance $ Witness Signature of Applicant Witness Signature of Applicant THIS PAGE IS PRIVATE DATA DISSEMINATE ONLY TO RESPONSIBLE AUTHORITY OR THEIR DESIGNEE. • • APPLICATION NO. WAIVER OF GARBAGE AND COLLECTION CHARGES COUNCIL ACTION FORM Applicant: NAME ADDRESS Recommended Action: APPROVE DISAPPROVE REASON FOR DISAPPROVAL DATE SUBMITTED: • • APPLICATION NO. DEFERRAL OF SPECIAL ASSESSMENTS COUNCIL ACTION FORM Applicant: NAME ADDRESS PLAT PARCEL NO. Recommended Action: APPROVE DISAPPROVE REASON FOR DISAPPROVAL DATE SUBMITTED: • 0 • APPLICATION AND AUTHORIZATION FOR DELAYED PAYMENT OF TAX FOR SPECIAL ASSESSMENTS ON A HOMESTEAD PROPERTY OWNED BY A PERSON WITH A PERMANENT AND TOTAL DISABILITY- M.S. 435.193 STATE OF MINNESOTA ) County of Date 19 To: Auditor of County,Minnesota. I,the undersigned,declare under penalties of perjury: That I am retired by virtue of a permanant and total disability and it would be a hardship to make the payments. That my age is and my date of birth is That I reside at That I am the legal owner of the property described as: That my interest in the ownership of the above described property was aquired on 19 and is as follows: 1 Solo Ownership(enter"yes",if applicable) 2.Joint tenancy,held with 3. Other undivided interest(Specify) That on January 2, 19 or June 1,19 I owned and occupied the above property as my homestead and such occupancy began on 19 That the taxes for improvements on the special assessments duly adopted in ordinance by the of as of 19 which have been allocated against the subject property would create undue personal hardship on my behalf and I respectfully request that payment be delayed and that such taxes be so deferred for the years 19 to 19 Signed (Owner) I, ,Clerk of the of in County,State of Minnesota,do hereby certify that the application of above named,has been duly reviewed and that in accordance with the minutes of official record in said chambers was duly APPROVED or DENIED as of 19 That in accordance with approval granted, that the taxes on the affiants subject property levied for annual collection in the amount of$ for the year(s) should be so deferred with interest at the annual rate of %,until such time as it is deemed the applicant no longer qualifies or the • property loses its eligibility. Dated 19 (Clerk or Authorized Deputy) • Form►1718 CommbebnerotRevenue M:11.01'1151123RAFORMSNDEIAYASM.WK3 1111 OFFICE OF COUNTY RECORDER ) STATE OF MINNESOTA ) County of ) I hereby certify that the within Authorization was filed in this office for record on the day of A.D. 19 at o'clock M.,and that the delayed payments in the amount of$ for each of the years 19 to 19 ,subject to annual rates of interest fixed at %was duly recorded in Book ,on Page (Recorder) By Deputy AUDITORS' ORDER AND/OR NOTICE OF TERMINATION ON DEFERRED TAX FOR PERSON WITH PERMANENT AND TOTAL DISABILITY I certify that I have reviewed the application of herein named,that it has been duly approved and that taxes levied for special assessments under the subject ordinance have been officially deferred in the amount of$ for each of the following year(s) subject to annual fixed interest at %as recorded in Book Page of the records in the County Recorders office in the County,and it is so ordered. Date of Approval 19 (County Auditor) OR The above order terminated this day of 19 Reason(s): (County Auditor) • • _ APPLICATION AND AUTHORIZATION FOR DELAYED PAYMENT OF TAX , � . FOR SPECIAL ASSESSMENTS ON A HOMESTEAD PROPERTY OWNED BY SFr: A PERSON WITH A PERMANENT AND TOTAL DISABILITY M.S. 435.193' ..,,,,.-...' STATE OF MINNESOTA ) ' fr _ County of ) Date 19 To: Auditor of County,Minnesota. I,the undersigned,declare under penalties of perjury: �i 1,. �b That I am retired by virtue of a pemianant and total disability and it would be a hardship to make the payments. That my age is and my date of birth is That I reside at 'n That I am the legal owner of the property described as:• \ That my interest in the ownership of the above described property was aquired on 19 and is as follows: 1 Solo Ownership(enter"yes",if applicable) 2.Joint tenancy,held with 3.Other undivided interest(Specify) That.on January 2,19 or June 1,19 I owned and occupied the above property as my homestead and such occupancy began on 19 That the taxes for improvements on the special assessments duly adopted in ordinance by the . of as of 19 - _ which have been allocated against the subject property would create undue personal hardship on my behalf and I respectfully request that payment be delayed and that such taxes be so deferred for the years 19 to 19 Signed • (Owner) I, ,Clerk of the of County,State of Minnesota,do hereby certify that the application of above named,has been duly reviewed and that in accordance with the minutes of official record in said chambers was duly_APPROVED or_DENIED as of \))-, 19 AO That in accordance with approval granted,that the taxes on the affiants subject property levied for annual collection in the amount of$ for the year(s) should be so deferred with interest at the annual rate of %,until such time as it is deemed the applicant no longer qualifies or the V property loses its eligibility. .\* V .-- -Dated 19 ;r .r, - (Clerk or Authorized Deputy) Form#1718 CommhsbaorofRemain M:U.00U11123AAFORMSWEL►YASM.V40 r. •1..'in. . ' .. _ •110 • OFFICE OF COUNTY RECORDER ) t°* STATE OF MINNESOTA r '' County of , ;1' I hereby certify that the within Authorization was filed in this office for record on the day of A.D.19 at _ o'clock M.,and that the delayed payments in the amount . of$ for each of the years 19 to 19___,subject to annual-rates of interest fixed at %was duly recorded in Book on Page . • (Recorder) By Deputy 1 AUDITORS' ORDER AND/OR NOTICE OF TERMINATION ON DEFERRED TAX FOR PERSON WITH PERMANENT AND TOTAL DISABILITY _ - I certify that I have reviewed the application of herein named,that it has been duly approved and that taxes levied for special assessments under the subject ordinance have been officially deferred in the amount of$ for each of the following year(s) ' , • subject to annual fixed interest at %as recorded in Book r Page of the records in the County Recorders office in the County,and it is so ordered. • Date of Approval • 19 (County Auditor) OR The above order terminated this . day of 19 s Reason(s): County Autor)' ir • ,a. . :, ` ~�' �+ 5'F ' K. 4' w..- �► • 1995 MET COUNCIL HOUSING PROGRAM INCOME LIMITS Family Size Per Year Per Month* Per Hour* 1** $17,350 $1,446 $ 8.34 2 19,850 1,654 9.54 3 22,300 1,858 10.72 4 24,800 2,067 11.92 5 26,800 2,233 12.88 6 28,750 2,396 13.82 7 30,750 2,563 14.78 8 or more 32,750 2,729 15.75 * Figures based on full-time employment of 40 hours/week. ** Households of one must also be handicapped or disabled as defined by HUD regulations. • a,