Laserfiche WebLink
• • � • � <br /> � � • � • � � � � • • • ' • : • • . <br /> 1. Project/Site Infor ation <br /> Project/Site Name: ��ke�o�ad�acen��o a2a,eays�de Rd Local G vernment Unit: City of Orono <br /> Location (address and/or T, R, Sec.): Part of S Yz E %2 S % NE '/, Section 6, T117N, R23W <br /> 2. Applicant Infor ation <br /> Applicant Name: VCI Capital ddress: Box 375 <br /> City, State, Zip: Long Lake, MN 55356 <br /> E-mail: robwhite@vcicapital.com hone: 952-476-2637 <br /> 3. Agent/Consultant I formation <br /> Company Name (if applicable): s�oboaa Ecoiog�cai Resources ontact Person: Frank Svoboda <br /> Address: 25580 Nelsine Drive ity, State, Zip: Shorewood,MN,55331 <br /> E-mail: franks@gpsinnovations.com Phone: 952-471-1100 <br /> 4. Description of R quest <br /> Check all that apply: 0 Wetland Boundary(musl attach w tland delineation repori) <br /> O Wetland Type (Eggers & Reed an /or Circular 39 type) <br /> 5. Signatur <br /> By signature below, the applicant requests a determination from the Local Government Unit under <br /> Minnesota Rules 8420.0225 on the submitted wetland bou dary and type information in this application. <br /> The applicant also affirms that they are the owner o( the su ject property or have permission from the <br /> landow er to pursue this determin i�n. <br /> / '/ <br /> � `�G12 ��i / ,�._-- �����"//�-. <br /> Applicant or Authorizec�A ent ignature Date <br /> Important Notes: <br /> • The applicant may be required to submit mul iple copies of the report/information to the <br /> LGU. The LGU may require the applicant to ubmit copies directly to Technical Evaluation <br /> Panel Members. Check wifh your LGU reg rding their submitfal requirements. <br /> • The LGU decision must be made in complia ce with Minnesota Statutes, section 15.99. <br /> For LGU use only <br /> Date Received: <br /> Page 1 of 1 <br /> BWSR Wetland Boundary/Type Application Form 11/10/08 <br />