Street Name Change from Delta Dental Dr to Holy Christian WayEAGAN
STREET NAME CHANGE REQUEST APPLICATION FORM
Le Application fee $100.00 Escrow Deposit fee $500 (to cover new sign and installation)
mzzwritten Narrative briefly describing reason for change request
❑ Mailing List notification of surrounding properties (provided by the City): Fee of $1.50 per address for
residential only. Commercial properties will need a Certified mailinz list w/ labels obtained through a Title
jj") �g� Company_
Present Street Name Delta Dental Drive
Proposed Street Name Holy Christian Way
APPLICANT: (Print)
Name Christine Alpers
Address 3560 I
Signature
ental Drive
Company The Holy Christian Chgro h Int'I
City Eagan State
►AN 55122
Zip
Date
Subscribed and sworn to before me this& day of
�� RHONDA L. NORMAN
Notary r �' t Notary PubAc-Mkr*9ota
My Curt MWM E*= Jon 31.2025
PROPERTY OWNER: if different than applicant. Attach additional documents, if necessary. (Print)
Name Tamera Robinson
Company
Address 500 Washington Avenue S, Suite 2060
Signature
Delta Dental of MN Phone
City Minneapoli§tate MN
Date
zip 55415
7 aO42
Subscribed and sworn to before me this day of
KATE E RITZER
Notary NOTARY PUBLIC • MINNESOTA
MY COMMISSION EXPIRES 1.31-2022
CONTACT PERSON: (Print)
Name ChristineAlpers
Company The Holy Christian Church Int'I
Phone #: 612-987-8926 email calpers@thcci.org
MN Address3560 Delta Dental Drive city Eagan State—_ Zip Code55122
The Holy Christian Church International
125 Stevens Street St. Paul, MN 55107
(651) 789-4263 (office) (651) 789-4270 (fax)
STREET NAME CHANGE APPLICATION -NARRATIVE
for
3560 Delta Dental Drive, Eagan, MN 55122
August 2, 2021
City of Eagan:
On June 29, 2021, The Holy Christian Church International purchased the property located at
3560 Delta Dental Drive, Eagan, MN. The name of the street reflects the prior PD of the
area and specifically pointed to the corporation for which the property was occupied.
In like manner, we are applying for the street name to be changed for the following reasons:
1. Delta Dental of Minnesota is no longer the owner of the property whereas the street
name is incongruent with the current owner.
2. As the prior owner was permitted to change the name of the property to distinguish
their business from Blue Cross Blue Shield of Minnesota (ergo `Blue Cross Road'),
we seek to be afforded the same privilege of renaming the road to fit our distinct
mission.
3. The name Holy Christian Way is fitting and proper to the name of our organization,
suitably and pointedly just as Delta Dental Drive meshed with the name of the prior
owner's name.
Our organization is currently in the planning stage of developing the 16+ acreage property,
where several buildings (unattached to the main structure) will be erected. Renaming the
street affords us, the US Postal service (and all collateral delivery services) coupled with law
enforcement and public safety an easily identifiable and navigational access.
The said address will serve as the global headquarters for our organization whereas, the
name change will befittingly reflect this and be a terrific compliment to the landscape of
identifiable street names in the area. For example, along with Blue Cross Blue Shield, there
has been an allowance for The Minnesota Vikings (2600 Vikings Pkwy, Eagan, MN 55121) to
rename the street to reflect their business (which was formerly named to reflect Delta
Airlines).
K
HOLY CH USTLAN WAY (RD or DR) is representative of the owners and our subsequent
development of the said property. We seek to have this name designation changed
accordingly, afforded the same privilege as other businesses with acreage developments
(who elect to do so), in the City of Eagan.
Thank you for the opportunity to submit this narrative and we look forward to working with
you in the future.
In His Holy Name,
The Archbishop of, Communion of Holy Christian Churches
The Senior Pastor of, The Holy Christian Cathedral
DEVELOPMENT FEES
PLANNING DIVISION
�h;,�kclvt ChwvU�
PIat/Development dame;1 �p Property Address:
Receipt # Case # Project # J 055 lermit # Contact:
Escrow 9001.2245
Conditional Use Permit
Contract Management
Final Planned Development
Final Subdivision / Final Plat
Interim Use Permit
Development Sign Security
Subdivision 0720.4206
Preliminary
Final & Final Plat
Extension of Recording
Punned Development
Comp Plan Amendment
Conditional Use Permit
Final PD
Interim Use Permit
Preliminary PD
Dedication Fee
Park Dedication
Trail Dedication
Misc.
Annual Review
AUAR Escrow
Easement Vacation
Refund Date:
$ Preliminary Planned Development
$_
$ Preliminary Subdivision
$
$ Rezoning/PD Amendment
$
$ Variance
$
$ Comprehensive Guide Plan
$
Guarantee 9001.2257
$ Landscape $
$ Financial $
$ Storm Water Performance/ $
Rain Garden
Other
$ 0720.4207
Rezoning/PD Amendment
$ 0720.4095
Site Plan Review
$ 0720.4206
Variance
$ 0720.4095
Development Sign fee
$ 0720.4206
$ 9328.4670
Water Quality Ded,
$ 9375.4671
$ 0720.4223 Public Hearing Mailing Labels
$ 9375.4674 Tree Mitigation
$ 0720.4220 Wetland Application
Refund Information (Finance Division Use Only
Check #: I Refund Amount:
Receipt #: Batch #: Authorized By:
Payee: Address:
Reason for Refund:
$
0720.4207
$
0720.4223
$
0720.4205
0720.4223
$ 6501.4672
$ 0720.4230
$_9111.4677
$ 6530.4675
G/Planning/Forms/Development Fees Receipt
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City of Eagan
Cash Receipt
Receipt Date- 9/14/2021
Receipt Number 235-673
The Holy Christian Church
CK 3191
9001.2245/J0557 500-000
Development sign security
0720.4223 100,00
Development sign fee - J05.57
Total Receipt Amount 600.00
145165 10:45:28
FINAL Invoice Date: 10/28/2021
�;�;p°°•°e�°°ar.°� TMN2923378 C�3Cantranting Terms: Net 30 Days
REMIT TO
Q3 Contracting Inc.
3066 Spruce Street
Little Canada MN 55117-1061
Phone 651-365-7355
CUSTOMER
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
CODE DESCRIPTION
QTY
START
END
HRS/DAYS TAX PRICE
EXTENDED
Miscellaneous Charge
1
10/28/2021
10/28/2021
$398.84 / LS
$398.84
TAXABLE ITEMS: $0.00
NON-TAXABLE ITEMS: $398.84
SUB TOTAL: $398.84
TAX: $0.00
INVOICE TOTAL: $398.84
Tickets
NO. DATE CALLER TICKET TICKET DATE NOTES
1156197 9/22/2021 Dale Ronning 1236411 -Delivery 10/28/2021 SIGN INSTALLATION CHARGE
TMN2923378
,
FINALInvoice Date: 10/28/2021
aS cntra�Ae�
oG n°r an TM N2923378
ncrTerms: Net 30 Days
REMIT TO
Q3 Contracting Inc.
3066 Spruce Street
Little Canada MN 55117-1061
Phone 651-365-7355
CUSTOMER
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
Customer Inv #...
Customer WO #:
Customer PO#:
Atlas WO#: 2826637
Address: Holy Christian Way (private)
City: Eagan
Division:
Supervisor:
.. ..... .............._...... -
CODE DESCRIPTION
QTY
START
END
HRS/DAYS TAX PRICE
EXTENDED
Miscellaneous Charge
1
10/28/2021
10/28/2021
$398.84 / LS
$398.84
TAXABLE ITEMS: $0.00
NON-TAXABLE ITEMS: $398.84
SUB TOTAL: $398.84
TAX: $0.00
INVOICE TOTAL: $398.84
Tickets
NO. DATE CALLER TICKET TICKET DATE NOTES
.1156197 9/22/2021 Dale Ronning 1236411 - Delivery 10/28/2021 SIGN INSTALLATION CHARGE
TMN2923378
Julie St,rid
From: Dale Ronning
Sent: Friday, October 29, 2021 12:21 PM
To: Julie Strid
Subject: FW: Street ID Sign - Eagan
Attachments: City of Eagan.pdf
Hi Julie,
Here's the.invoice for that sign.
If you need anything more from me, just let me know.
Heidi,
1
See attached. This is what we need to invoice to the .City, of Eagan.
Please send the invoice directly to Dale who is copied.. .
This includes buying the street name blades (2), a little bit of hardware, pickup truck use, and our labor for two of us to
install.
Thanks!
Eric
"Primoris, building America's future, today."