4130 Blackhawk Road - Daycare license notification -2015if
Minnesota Department of Human Services
February 23, 2015
Zoning Administrator
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Re: Zoning Notification of Application for
Department of Human Services Program License
License Number: 1060808
This is to inform you that the Department of Human Services, Division of Licensing has
an applZcatiOn for:a,,progl'am tp be -licensed -under Minnesota Rules, parts 9555.9600 to
9555.9730 from Millennium Center forPerforming Arts, 4130 Blackhawk Road;
Suite 136, Eagan, AIN 55122 to provide adult day care for 25 adults.
Issuance of this license is subject to compliance with the provisions of Minnesota
Statutes, Chapter 245A.
If you do not contact the Division of Licensing within 30 days of receipt of this letter, we
will consider this facility to be in compliance with your local zoning code.
If you have questions regarding the facility or its location, please contact Ella Selyukov at
612-865-9080.
If you have any questions regarding this letter, contact Michelle Beedle at 651-431-6571
or fax information to (651) 431-7673.
Sincerely,
Meg Holmen, Unit Manager
Licensing Division
Office of Inspector General
(651)431-6534
dme
PO Box 6424.2 * Saint Paul, Minnesota * 55164-0242 * An Equal Opportunity Employer
http://z ww.dhs.state.mn,us/licensing