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Documents Sent for Recording RECORDING FOR: Corner Addition Date: F^ 7 - 2_4l Enclosed are the following: /Final Plat Mylars no larger than 22" x 34". Per Andrea Poehler, do not mark "Official Copy" on the County copy, or they may reject the mylars. Three, 1" = 200' scale paper copy of the final plat (Carver County Auditor, Assessor and Surveyor) Other: Cumu4y ,fay; duly ftee0. %U-e, i Of- Variance Document (City will provide) Appointment of Personal Representative Copy of letter and death certificate A recent copy of the title commitment enclosed/emailed (date: )vl`1 23,2 0 ` 9 ) If there isn't a development contract, a copy of the resolution approving final plat (City will provide) The City of Chanhassen has: /Final Plat Mylars ("City Copy") f1" = 200' scale mylar reduction of the final plat Ni 1" = 200' scale paper reduction of the final plat (with street names and lot and block numbers only) /Cash fee: $ 17,666.20 Digital copy of the final plat in .dxf and .tif formats (.pdf compatible) in Carver County coordinates Notified the developer that the current year property taxes must be paid in full and any delinquent property taxes or green acres taxes must also be paid before the plat can be filed. Emailed the developer, city planner and building official regarding the status of filing the plat Provide confirmation that the documents have been submitted for recording by email to mwalters@ci.chanhassen.mn.us, or fax to 952-227-1132 NOTES: ADDITIONAL INSTRUCTIONS: G:\PLAN\2019 Planning Cases\19-02 3800 Red Cedar Point Road Sub and Var\Plat recording checklist_Comer.docx Additional instructions on reverse? Yes/No ♦ � Y o 0,6. CITY OF cHANHAssENNN p s Chanhassen is a Community for Life-Providing for Today and Planning for Tomorrow March 1, 2019 Jeremy and Beth Cone 6320 Minnewashta Woods Drive Excelsior, MN 55331 Dear Mr. and Ms. Cone: This letter is to formally notify you that on February 25, 2019,the City Council adopted the following motion: "The Chanhassen City Council approves the preliminary and final plat for a two-lot subdivision and approves a lot frontage variance for Lot 1,Block 1, Corner Addition as shown in plans dated December 5,2018 subject to the conditions of approval,adopts the findings of fact and decision, and adopts the attached resolution. Building: 1. Demolition permits required for the removal of any existing structures. 2. A final grading plan and soils report must be submitted to the Inspections Division before permits can be issued. Engineering: 1. Lot 1 shall have a 10-foot drainage and utility easement along its front lot line(northernmost lot line) prior to recording of final plat. 2. An accurate soils report indicating soil conditions,permeability, slope,and groundwater elevations shall be provided upon the submittal of grading permits. 3. The contact information for the responsible person(s) for erosion and sediment control best management practices shall be updated on the plans prior to issuance of grading permits. 4. Review and approval of the use of silt fence and bio rolls for perimeter control shall be conducted by the city prior to the issuance of grading permits. 5. Add city detail 5302B—Erosion Control for Individual Lots,to the detail sheet. 6. If the 1974 sanitary and water services stubbed off Red Cedar Point Road that will service Lot 2 are inadequate for use,they shall be abandoned in accordance with city standards and re-installed. 7. The developer of Lot 2 will be required to pay all required city WAC and SAC fees associated with service connections for the rate in force at the time of building permit application. PH 952.227.1100 • www.ci.chanhassen.mn.us • FX 952.227.1110 7700 MARKET BOULEVARD •PO BOX 147 •CHANHASSEN • MINNESOTA 55317 Jeremy and Beth Cone Corner Addition March 1,2019 Page 2 Environmental Resources: 1. Any trees removed in excess of what is shown on the grading plan dated 12/5/18 will be required to be replaced at a ratio of 2:1 diameter inches. Additionally, a birch and maple on Lot 1 are not shown on the tree inventory,but are larger than the 10"dbh minimum for the inventory. They will be preserved on Lot 1. 2. Tree preservation fencing shall be installed around existing trees to be saved prior to any construction activities and remain installed until completion. Fire Department: 1. The home on Lot 1, Block 1 must be addressed off of Hickory Road. Parks: 1. Park dedication fees shall be paid for one lot at the rate in force at the time of final plat approval. Planning: 1. An escrow of 110 percent(110%) of the estimated removal cost for the concrete pad on the interior lot line between Lot 1 and Lot 2 must be received, and the concrete pad removed within four months of the approval of the final plat. Water Resources: 1. All permits and approvals must be received from other regulatory agencies prior to issuing permits. 2. The applicant shall pay the SWMP fee for 1.06 acres at the rate in force at the time of final plat approval. I have included a list of items that will need to be submitted to the city for the recording of the plat and associated documents. If you have any questions,please call me at (952)227-1132 or e-mail me at mwalters(ici.chanhassen.mn.us Sincerely, MacKenzie Young-Walters Associate Planner Attachments g:\plan\2019 planning cases\19-02 3800 red cedar point road sub and var\approval letter_comer addition.docx ITEMS REQUIRED FOR FINAL PLAT RECORDING The following items are required to be submitted for recording of the following plat and associated documents: Comer Addition Two Final Plat Mylars no larger than 22"x 34". Do not mark "Official Copy"on the county copy, or the county may reject the mylars. Have county surveyor's office review preliminary final plat mylars before sending to city. One, 1"= 200' scale mylar reductions of the final plat One, 1"=200' scale mylar reductions of the final plat (with street names and lot and block numbers only) Recent copy of title commitment (cannot be more than 60 days old) SWMP Fee: $8,819.20 Sewer and Water Fees: $3,002 (Water hook-up: $2,311/unit; Sanitary Sewer Hookup: $691/unit. Note: An additional $5,393.00 water and $1,611.00 sewer per unit fee will be due with building permit). Park Fee: $5,800 GIS Fees: $45.00 Escrow: 110% of value of concrete slab removal bid Digital copy of the final plat in .dxf and .tif formats (.pdf compatible) in Carver County coordinates Zoning Letter(If requested, $25.00 fee required) Variance Document 19-02 (City will provide) Resolution 19-11 (City will provide) The following must be done before the plat can be filed: Current year property taxes must be paid in full and any delinquent property taxes or green acres taxes must also be paid. CERTIFICATION STATE OF MINNESOTA ) ) ss COUNTY OF CARVER ) I, Kim T. Meuwissen, duly appointed and acting Deputy Clerk for the City of Chanhassen, Minnesota, do hereby certify that I have compared the foregoing copy of Resolution No. 2019-11 "Approving a Final Plat with a Variance Creating Comer Addition" adopted by the Chanhassen City Council on February 25, 2019 with the original copy now on file in my office and have found the same to be a true and correct copy thereof. Witness my hand and official seal at Chanhassen, Minnesota, this 27th day of February, 2019. Kuwissen, Deput erk CITY OF CHANHASSEN CARVER AND HENNEPIN COUNTIES, MINNESOTA DATE: February 25,2019 RESOLUTION NO: 2019-11 MOTION BY: Campion SECONDED BY: Coleman A RESOLUTION APPROVING A FINAL PLAT WITH A VARIANCE CREATING COMER ADDITION WHEREAS, Colson Custom Homes has requested a subdivision of the property located at 3800 Red Cedar Point Road into two single-family lots with areas of 23,139 square feet and 23,140 square feet; and WHEREAS, the proposed subdivision complies with all requirements of the Chanhassen City Code. WHEREAS,the Chanhassen Planning Commission held a public hearing on February 19, 2019 and found the plan consistent with the Chanhassen Comprehensive Plan and Chanhassen Zoning Ordinance and recommended approval of the subdivision. NOW, THEREFORE, BE IT RESOLVED that the Chanhassen City Council hereby approve the final plat with a variance for Comer Addition, creating two lots subject to the following conditions: Building: 1. Demolition permits required for the removal of any existing structures. 2. A final grading plan and soils report must be submitted to the Inspections Division before permits can be issued. Engineering: 1. Lot 1 shall have a 10-foot drainage and utility easement along its front lot line (northernmost lot line) prior to recording of final plat. 2. An accurate soils report indicating soil conditions, permeability, slope, and groundwater elevations shall be provided upon the submittal of grading permits. 3. The contact information for the responsible person(s) for erosion and sediment control best management practices shall be updated on the plans prior to issuance of grading permits. 4. Review and approval of the use of silt fence and bio rolls for perimeter control shall be conducted by the city prior to the issuance of grading permits. 1 5. Add city Detail 5302B — Erosion Control for Individual Lots, to the detail sheet. 6. If the 1974 sanitary and water services stubbed off Red Cedar Point Road that will service Lot 2 are inadequate for use, they shall be abandoned in accordance with city standards and re-installed. 7. The developer of Lot 2 will be required to pay all required city WAC and SAC fees associated with service connections for the rate in force at the time of building permit application. Environmental Resources: 1. Any trees removed in excess of what is shown on the grading plan dated 12/5/18 will be required to be replaced at a ratio of 2:1 diameter inches. Additionally, a birch and maple on Lot 1 are not shown on the tree inventory, but are larger than the 10" dbh minimum for the inventory. They will be preserved on Lot 1. 2. Tree preservation fencing shall be installed around existing trees to be saved prior to any construction activities and remain installed until completion. Fire Department: 1. The home on Lot 1, Block 1 must be addressed off of Hickory Road. Parks: 1. Park dedication fees shall be paid for one lot at the rate in force at the time of final plat approval. Planning: 1. An escrow of 110 percent(110%) of the estimated removal cost for the concrete pad on the interior lot line between Lot 1 and Lot 2 must be received, and the concrete pad removed within four months of the approval of the final plat. Water Resources: 1. All permits and approvals must be received from other regulatory agencies prior to issuing permits. 2. The applicant shall pay the SWMP fee for 1.06 acres at the rate in force at the time of final plat approval. 2 Passed and adopted by the Chanhassen City Council this 25th day of February 2019. ATTEST: 71:74/Z164 odd Gerhardt, City Clerk/Manager E1/44A` yan, Mayor YES NO ABSENT Ryan Campion Coleman McDonald Tjornhom 3 CITY OF CHANHASSEN CARVER COUNTY,MINNESOTA VARIANCE 2019-02 1. Permit. Subject to the terms and conditions set forth herein,the City of Chanhassen hereby grants the following variance: The Chanhassen City Council approves a variance from City Code Article XII, Section 20-615(2), lot setbacks, allowing a minimum public street lot frontage of 0 feet. 2. Property. The variance is for the Comer Addition subdivision situated in the City of Chanhassen,and legally described as: Lot 1, Block 1,Comer Addition,Carver County, Minnesota,according to the recorded plat thereof. 1 Dated: February 25, 2019 CITY OF CHANHASSEN BY: '/(4,�+ /74/____-- (SEAL) Elise Ryan, Mayor AND: . :--/1„A,jii Todd Gerhardt, City Manager STATE OF MINNESOTA ) (ss COUNTY OF CARVER ) The foregoing instrument was acknowledged before me this 'day of �Pbruu iy 2019 by Elise Ryan, Mayor, and Todd Gerhardt, City Manager, of the City of Chanhassen, a Minnesota municipal corporation, on behalf of the corporation and pursuant to authority granted by its City Council. -,7) r______ n,,,.4 1 , ` A k(-zIZ�.21QM--- NOTARY PUBLIC J ;6674 KIM T. MEUWISSEN �,��`r " Notary Public-Minnesota 'O;; `` My Commission fres Jan 31,2020 DRAFTED BY: City of Chanhassen 7700 Market Boulevard P.O. Box 147 Chanhassen, MN 55317 (952) 227-1100 2 Property Card Parcel ID Number 254100020 BVI -Nr. I 1 Taxpayer Information -- Taxpayer Name RICHARD H COMER I II Mailing Address .....," 3800 RED CEDAR POINT RD EXCELSIOR, MN 55331-7765 Property Address Address 3800 RED CEDAR POINT RD City <:u r ` EXCELSIOR, MN 55331 Parcel Information Uses Res 1 unit GIS Acres 1.06Net Acres •Deeded Acres Plat LEACH ADDITION Lot 002 Block 001 Tax Description t Building Information Above Grade 1850 Bedrooms 4 Building Style 1 Story Frame Finished Sq Ft Year Built 1928 Garage N Miscellaneous Information School District Watershed District Homestead Green Acres Ag Preserve 0276 WS 062 MINNEHAHA CREEK Y N N .Assessor Information Estimated Market Value 2018 Values 2019 Values (Payable 2019) (Payable 2020) Last Sal€ Land $136,100.00 $142,900.00 Date of Sale •C Building $105,300.00 $111,500.00 Sale Value Total $241,400.00 $254,400.00 The data provided herewith is for reference purposes only.This data is not suitable for legal,engineering,surveying or other similar purposes.Carver County does not guarantee the accuracy of the information contained herein.This data is furnished on an'as is'basis and Carver County makes no representations or warranties,either expressed or implied,for the merchantability or fitness of the information provided for any purpose. This disclaimer is provided pursuant to Minnesota Statutes§466.03 and the user of the data provided herein acknowledges that Carver County shall not be liable for any damages,and by using this data in any way expressly waives all claims,and agrees to defend,indemnify,and hold harmless Carver County,its officials,officers,agents,employees,etc.from any and all claims brought by anyone who uses the information provided for herein,its employees or agents,or third parties which arise out of users access.By acceptance of this data,the user agrees not to transmit this data or provide access to it or any part of it to another party unless the user includes with the data a copy of this disclaimer. Nednesday,August 7, 2019 Carver County, MI` Trademark Title Services Inc. OWNERS AND ENCUMBRANCES REPORT Trademark Title Services, Inc. File No. 19-3129 Property Address: 3800 Red Cedar Point Road,Excelsior,MN 55331 County: Carver Property Type: Abstract Legal Description: Lot 2,Block 1,Leach Addition, Carver County,Minnesota. EFFECTIVE DATE: June 19, 2019 DATE COMPLETED: July 23, 2019 RECORD OWNER: Richard H. Comer WARRANTY DEED: GRANTOR: James D. Leach and Margaret Leach,husband and wife GRANTEE: Dorothy M. Comer and Richard H. Comer,husband and wife as joint tenants DATED: December 21, 1955 FILED: December 30, 1955 DOCUMENT NO: 89019(Book 60 Deeds page 593) CONVEYS: Beginning at the Northwest corner of Section 8, Township 116,Range 23, Carver County, Minn. and running thence East along the North line of said Section 8, a distance of 670 feet to a point in the Center of State Aid Road#3, as said road is now laid out and constructed;thence running South 6 degrees 14 minutes West along the center line of said road a distance of 516.3 feet to a point;thence South 13 degrees 35 minutes West a distance of 197.8 feet to a point; thence turning and running South 66 degrees 44 minutes East along the center line of Red Cedar Point Road, as now laid out and constructed, a distance of 722.0 feet to a point in said road; thence running South 68 degrees 48 minutes East a distance of 79.4 feet to a point where the center line of said Red Cedar Point Road intersects the East line of Government Lot#1, said Section 8, which is the point of beginning of the tract to be herein described; thence running North along the East line of said Government Lot 1, a distance of 624.00 feet more or less to the shore line of Lake Minnewashta; thence running Northwesterly along the shore line of said Lake, a distance of 100 feet to a point; thence running Southerly to a point in the center of Red Cedar Point Road,which said point is 150 Northwesterly of the point of beginning; thence running Southeasterly 150 feet to the point of beginning. Lying and being in Government Lot 1, Section 8, Township 116, Range 23, Carver County, Minnesota. PLAT: GRANTOR: Roy A.Leach,a single man and Richard H.Comer and Dorothy M.Comer,husband and wife GRANTEE: The Public DATED: October 31, 1985 FILED: December 4, 1985 DOCUMENT NO: 74969 RE:Roy A.Leach owner of Outlot A,Red Cedar Cove and Richard H. Comer and Dorothy M. Comer owner of above land have caused the same to be surveyed and platted as LEACH ADDITION. AFFIDAVIT OF SURVIVORSHIP: AFFIANT: Richard H. Comer GRANTEE: The Public DATED: November 30,2012 FILED: September 15,2016 DOCUMENT NO: 616566 RE:Dorothy M. Comer,decedent.Affiant is surviving joint tenant in Book 60 Deeds page 593. LEGAL: Lot 2,Block 1,Leach Addition OPEN MORTGAGES AND LIENS: NONE NAME SEARCHES The following names have been searched for State Tax Liens,Federal Tax Liens,District Court Judgments and Bankruptcies: Richard H.Corner All of the above names were clear with the exception of: NONE This Owner and Encumbrances Report is based on a search of the public records by TRADEMARK TITLE SERVICES,INC. The Report is NOT a title examination,title opinion,title insurance commitment or title insurance policy. TRADEMARK TITLE SERVICE,INC.shall not be responsible or liable for any claims,demands,injuries,damage actions or causes of action caused by inaccuracies contained herein arising from any acts of negligence by its servants,agents,or employees. STATE OF MINNESOTA FIRST JUDICIAL DISTRICT COUNTY OF CARVER Filed in District Court DISTRICT COURT PROBATE DIVISION APR 17 2019 Court File No. 10-PR-19-23 Estate of State of Minnesota LETTERS TESTAMENTARY Richard H. Comer, also known as Richard Henry Comer and Richard Comer, Decedent 1. The Decedent died on February 2, 2019. 2. Beth M. Cone has been appointed Personal Representative of Decedent's Estate in 0 an informal unsupervised O a formal unsupervised O a formal supervised administration and is now qualified to act as Personal Representative of the Estate and has authority to administer the Estate according to law. Dated: Aipi 1)2'f 9 BY TH OURT (COURT SEAL) Judge of District Court State Of Minnesota,County Of Carver Certified to be a true and correct copy of the original on file and of record in my office and that said Letters are in full force and of M as of the date hereof and have newborn revoked. Dated /K// Mary P.Dalbec / Court Administrator MINN.STAT.§ 524.3-601 P010 Letters?Testamentary MNCLE 2019 1 ❑General Administration State of Minnesota District Court Carver County First District Court File Number: 10-PR-19-23 I Case Type: Formal Unsupervised Filed in District Court Notice of Filing Order FILE COPY APR 15 2019 State of Minnesota In re the Estate of Richard H. Comer AKA Richard Henry Comer and Richard Comer, Deceased You are notified that on April 11, 2019 the following was filed: Order for Frml Probate of Will-Appointment of Pers Rep- Unsup Dated: April 15, 2019 Mary P. Dalbec Court Administrator Carver County District Court 604 East Fourth Street Chaska Minnesota 55318 952-361-1420 cc: PAUL DAVID MELCHERT A true and correct copy of this notice has been served pursuant to Minnesota Rules of Civil Procedure, Rule 77.04. MNCIS-PRO-127 STATE Notice of Filing of Order Revised:09/2013 10-PR-19-23 Filed in District Court State of Minnesota 4/11/2019 1:45 PM STATE OF MINNESOTA FIRST JUDICIAL DISTRICT DISTRICT COURT COUNTY OF CARVER PROBATE DIVISION Court File No. 10-PR-19-23 Estate of ORDER OF FORMAL PROBATE OF WILL AND Richard H.Comer,also known as FORMAL APPOINTMENT OF PERSONAL Richard Henry Comer and Richard REPRESENTATIVE Comer, Decedent The Petition for the Formal Probate of Will and Formal Appointment of Personal Representative, signed by Beth M. Cone, came before this Court on April 11,2019. The Court, having heard and considered the Petition, determines the following: 1. This Court has jurisdiction and venue in this County is proper. 2. The Petition is complete. 3. The Petitioner has declared or affirmed that the representations contained in the Petition are true and complete to the best of the Petitioner's knowledge or belief. 4. The Petitioner is an interested person as defined by Minnesota law. 5. Any notice required by Minnesota law has been given. 6. The Decedent died on February 2, 2019. 7. Decedent's Will is comprised of the following: L( Last will dated July 13,2004. ❑ Codicils dated ❑ Separate writings under Minnesota Statutes section 524.2-513 dated The will refers to a separate writing but none has been found. 8. The documents comprising the Will: I21 are in the Court's possession. ❑ have been probated elsewhere and an authenticated copy of the Will and statement or order probating the same accompanied the Petition. ❑ are unavailable, but a Statement of Contents of Lost, Destroyed or Otherwise Unavailable Will is in the Court's possession. 9. It appears from the Petition that the proceeding was commenced within the time limitation prescribed by Minnesota Statutes section 524.3-108. 10. The Petition indicates that there is no Personal Representative appointed in this or any other county of Minnesota whose appointment has not been terminated. MINN.STAT.§§524.3-409,524.3-414&524.3-502 P230 Order of Formal Probate of Will and Formal MNCLE®2019 1 Appointment of Personal Representative 10-PR-19-23 Filed in District Court State of Minnesota 4/11/2019 1:45 PM 11. The Petition does not indicate the existence of a possible unrevoked testamentary instrument which may relate to property subject to Minnesota law, and which is not filed for probate in this Court. 12. The person appointed below has priority and is entitled to be appointed Personal Representative and is not disqualified to serve as Personal Representative. 13. The Will specifies: El no bond 0 minimum bond 0 $ bond 0 bond not specified. 14. The Will specifies: 0 formal/unsupervised administration 0 formal/supervised administration El informal/unsupervised 0 administration not specified. 15. Decedent's heirs under Minnesota law are as identified in the Petition commencing this proceeding. 16. All persons identified as heirs have survived the Decedent by at least 120 hours. 17. (Check appropriate boxes): Lll Decedent left no surviving spouse. 0 Decedent left no surviving descendants. ❑ All descendants of Decedent are descendants of Decedent's surviving spouse. ❑ There are descendants of the Decedent that are not descendants of the surviving spouse. O There are descendants of the surviving spouse who are not descendants of the Decedent. 18. No objections to the Petition have been asserted. IT IS ORDERED: 1. The Petition is granted. 2. The Will is formally probated. 3. Beth M. Cone is formally appointed as the Personal Representative of Decedent's Estate with no bond, in El an unsupervised 0 a supervised administration. 4. Upon filing of any required bond and statement of acceptance and oath, letters testamentary will be issued. Dated: April 11, 2019 BY THE COURT ^o Eide,Kevin 2019.04.11 11:20:18-05'00' (COURT SEAL) Judge of District Court MINN.STAT.§§524.3-409,524.3-414&524.3-502 P230 Order of Formal Probate of Will and Formal MNCLE®2019 2 Appointment of Personal Representative STATE OF MINNESOTA FIRST JUDICIAL DISTRICT COUNTY OF CARVER Filed in District Court DISTRICT COURT PROBATE DIVISION APR 17 2019 Court File No. 10-PR-19-23 Estate of State of Minnesota Richard H. Comer, also known as LETTERS TESTAMENTARY Richard Henry Corner and Richard Comer, Decedent 1. The Decedent died on February 2, 2019. 2. Beth M. Cone has been appointed Personal Representative of Decedent's Estate in ❑an informal unsupervised Q a formal unsupervised ❑a formal supervised administration and is now qualified to act as Personal Representative of the Estate and has authority to administer the Estate according to law. Dated: /1,42Q 11, ( 5 BY TH OURT (COURT SEAL) Judge of District Court State Of Minnesota, County Of Carver Certified to be a true and correct copy of the original on file and of record in my office and that said Letters are in full force and effect as of the date hereof and e r been revoked. Dated /' Mary Ri; ,e Co ' ' imi",4,: i, / �j/ ..ply M1'N.STAT.§ 524.3-601 P010 Letters 2'Testamentary MNCLE A 2019 1 0 General Administration - : .eD.,x wt. . r vs-1_1 inai I I►11►'I Vh1I II ra m CERTIFICATION OF VITAL RECORD Ni; r N�1.N it A. .y. >•1..,zit,,W. 4 ',7 Y p�tis . .. .� 4 F:, N -' Nr- ..... , or,/-, CERTIFICATE OF DEATH STATE FILE NUMBER ,_- -orc—gm 2019-MN-004i DECEDENT RICHARD HENRY COMER d. LAST NAME BEFORE FIRST MARRIAGE ALSO KNOWN AS SEX MALE BORN OCTOBER 07, 1926 PLACE OF BIRTH MINNEAPOLIS MINNESOTA DATE OF DEATH FEBRUARY 02, 2019 PLACE OF DEATH CHASKA CARVER MINNESOTA MARITAL STATUS WIDOWED (AND NOT REMARRIED) SPOUSE >-:. 6* ri z� -• x -,, -. ,- LAST NAME BEFORE • `"• rI ' , , 6 s ' 4 u /4,4 „` '`. FIRST MARRIAGE � Y ' „ Y ` `e.' RESIDENCE „-, ``CHASKA CARVER MINNESOTA .. PARENT /" �7536-A LICE ELIZABETH HORSNELL �"' "\\,--'+, PARENT h` -'.'`KENNETIM NEWKIRK COMER '.' ® "`1 i 7. FUNERAL HOME - HUBER'FUNERAL HOME &CREMATION SERVICE ' DISPOSITION -• =CREMATIONori;; CAUSE OF DEATH IMMEDIATE ;`- NATURAL CAUSES },,.+ ,,".-;i-• r;t;. i_. " UNDERLYING ' "� �" "-'°" ,` 1,.,_..,, . r `,,4:!��1= :- ,,. T 4.,,_ ,=',....,,,.. !,', ,oma .., % s- 1 �-. ti "• ,e/..„;. i .1. .- y 4 OTHER CONTRIBUTING `:�3•. °^c c a , " ` ), 2 ' CONDITIONS y''�,i'2- t .i, 'IC' rt ` MANNER NATURAL {-1,\-S-,- • MEDICAL CERTIFIER PAUL ERIC BROWN, M.D. • 424 HWY 5 W,WACONIA, MINNESOTA,55387 • • THIS RECORD HAS NOT BEEN AMENDED THIS IS A TRUE AND CORRECT RECORD OF DEATH REGISTERED IN THE MINNESOTA OFFICE OF VITAL RECORDS. • (I MR&C Certificate ID NI 111111., III I��II 1 11720389 • 27E-000184150 • FILED: FEBRUARY 03,2019 u arya�xuni 11 �• ate. �. 1 roR FMIN a:' `. ':.-, Molly Mulcahy Crawfor•"11!/4 ILA"' •A Ss > M� .% $5 Luc f �- STATE REGISTRAR 0.,, VAi,��C L•.tti `- ��`_, ISSUED EjxNE? t LID 044P4 10 gC 13M§l_ENWO I�.RKED 4's ��C k'•.•. "'.•;•0.-QA ���' SECURITY PAPER WITH A SECURITY THREAD AND STATE SEAL OF MINNESOTA. * ',/ /111,C'' Py _ ��4�d p Q ; AjCZ'' 4. 4ON OF` .•�?�, Itemized Fee List for Corner Addition 1) SWMP Fee: $8,819.20 2) Sewer and Water Fees: $3002.00 3) Park Fee: $5,800.00 4) GIS Fees: $45.00 Total: $17,666.20 CITY OF CHANHASSEN P 0 BOX 147 CHANHASSEN MN 55317 08/07/2019 1 : 34 PM Receipt No. 00416045 CLERK: AshleyM PAYEE: Jeremy & Beth Cone 6320 Minnewashta Woods Drive Excelsior MN 55331- Comer Addition Park Fees 5, 800 . 00 Swamp Fees 8, 819 . 20 Sewer Hook-Up 691 . 00 Water Hook-Up 2, 311 . 00 GIS List 45 . 00 Total 17, 666 .20 Cash 0 . 00 Check 2538 17, 621 . 20 Check 2539 45 . 00 Change 0 . 00