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Applicant Name <br />Legacy Christian Academy <br />Applicant <br />Address <br />Street address <br />3037 NW Bunker Lake Blvd. <br />City <br />Andover <br />State <br />MN <br />Zip <br />55304 <br />Home Phone Number ( ) N/A <br />Work Phone Number ( 763 ) 427 -4595 <br />Email Address david.anderson@trauenshuh.com <br />Fax Number ( 763 ) 427 -3398 <br />Name of Business (if applicable) <br />Business Address (if applicable) <br />Business Phone Number <br />Business Fax Number <br />Address <br />Land only; specific address not assigned <br />Citizens State Bank <br />PIN <br />Multiple PIN's - See attached PIN abstract - Exhibit <br />Street Address <br />375 Stageline Road <br />P.O. Box 247 <br />Legal Description <br />See attached Legal Descriptions - Exhibit B <br />State <br />WI <br />(circle one) <br />Zoning RR =1 / RR = 2 / RR = 3 / B -1 / B -2 / E -1 / E -2 / TC <br />other: See Zoning Map attached - Exhibit C <br />Home phone number <br />( ) N/A <br />Name <br />Citizens State Bank <br />Address <br />Street Address <br />375 Stageline Road <br />P.O. Box 247 <br />City <br />Hudson <br />State <br />WI <br />Zip <br />54016 <br />Phone <br />Number <br />Home phone number <br />( ) N/A <br />Work phone number <br />(715)377 -7008 <br />Major Plat Application <br />Sketch Plan <br />Applicant /Contact Information <br />Information pertaining to the Subject Property(s) <br />Property Owner Contact Information <br />(if d i ff erent fr om applicant's information) <br />