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08-11-2020- MN Dept of Health Variance agreement
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08-11-2020- MN Dept of Health Variance agreement
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Last modified
8/22/2023 5:32:27 PM
Creation date
10/15/2020 8:18:24 AM
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x Address Old
House Number
1060
Street Name
North Shore
Street Type
Drive
Street Direction
West
Address
1060 North Shore Dr W
Document Type
Land Use
PIN
0711723230002
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MDH Variance Agreement-TN 5962 -4- August 11, 2020 <br /> MDH and the Fee Owner hereby agree to the terms and conditions contained herein. <br /> Minnesota Department of Health <br /> For: <br /> Christopher D. Elvrum, P.G., Manager <br /> Well Management Section <br /> Environmental Health Division <br /> P.O. Box 64975 <br /> St. Paul, Minnesota 55164-0975 <br /> State of Minnesota <br /> County of Ramsey ` <br /> III <br /> This instrument was acknowledged before me this I day of A=")...) ,2020 by Christopher D. <br /> Elvrum, P.G., Manager,Well Management Section, Environmental He.lthtivision of the Minnesota Department of <br /> Health,a Minnesota state agency. <br /> signature of Notarial e ser <br /> BRETT CURTIS LESKE <br /> (seal) 4g` NOTARY PUBLIC l <br /> MINNESOTA <br /> ' 1 t My Commission Expires Jen.31,2024 Title <br /> My Commission Expires v1 T t C ) <br /> Andy Polski,Eco Real Estate Holdings LLC <br /> State of <br /> County of <br /> This instrument was acknowledged before me this day of , 2020,by Andy Polski, Eco Real <br /> Estate Holdings LLC. <br /> Signature of Notarial Officer <br /> (seal) <br /> Title <br /> My Commission Expires <br /> This instrument was drafted by the Well Management Section, Environmental Health Division, Minnesota <br /> Department of Health, P.O. Box 64975,St. Paul,Minnesota,55164-0975. <br />
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