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<br /> � tf�ppdicant ss a��r�Eity(comRanY,�a��,�-e�rnen�ent#tY,p�rtn�r�h's�,�t�.;�aa��uthari��d�oneact persors rrsu�t b�ideni�#ied. I�4i� ��
<br /> appqicant Es using ar�agent(consuit��t,�aa�y�r,a�ca*her tt��rs���r����nd has autharized them to att dn thetr�e6a�kf,the ag�nc`�
<br /> contact infnrrma�ican must aisa be�r�a���d,
<br /> A�S�fcae�t/t,�r��a�� r N�rr�: 1"im&!�las�r Dc�ub�k
<br /> M�t[in�Addr 4 17�45 Val4ey Road,Eciert Prairie,MN 5534?
<br /> ' ����: �s�x��v�-���s
<br /> �-�a�tAddress: ��d�u�������i.��
<br /> Asettes�rixed Canta�t(�ia r���ra�rrrpiete if sarrne��sb�ve}: Uenati Custarn Hames
<br /> il��iitreg dero*ss: �83 r��tt#�neternka B4vd.,Deephaven,MN 5539i
<br /> Phvr+�; ���2�47�`r�2C7�
<br /> �-���1��dre35:
<br /> Agertt t�ame: Brian Witt�
<br /> M�riNng�iddress: 1835;�M�nrs�tcaeaka fr�lvd.,Qeephaven,RRN 55391
<br /> Pl�onec ��52�2�q-454�
<br /> � �-�na�i A�����o brianw�tden,�iicus�srs�ttomes.corn
<br /> PA►�i�` �"il�C�: Si�t� �.e�+cation lnft�rmation
<br /> Courtty: N��ane�8�a Ci+�YfTownsh#p: (�ra�t�
<br /> Parttl It#�rrd��ar�d�r : 4565 Baysidt Rnad.Orona,MN 55359 PlD�€9621723�1 �
<br /> te��i�estr�ptittarz�5��tean,Towr�sttip,Range}. Serttfa�r fa.7awnsh'sp 1i7,R e��
<br /> ��kl�drag(dcc�rr�ai z�egr�es}:
<br /> Attach a map showin�the lo�tlon ef the sit�ss�r�l�tion tn kzc�t str�eett�,�aads,htghways�
<br /> #4ppro�iimate size aF sit,�(arres�ar Hf a fd�e�r�sr�� .�,��c►r�fee+r�. t.�1 e�ock i�a.ST a�res lot 2 B#ocie 1�7, ��res "
<br /> Ttrtal/4cres-9.66�tres '
<br /> #f yzau k�r�w th�k yaur�r€��css�4�uri4!reguire art,ndividu�!Perrn€t f��rrs Tt;��3.5,t�,rmy C+ar�rs�f��t��;�e�r�.y�s:rr;ust prea�eid�th�
<br /> n�r�°+�s�r�d addr�!sscs:caf�ii pccr�erty owners adjac�n#tc�the pr�j�ct sot�, t���€nfrarmation may�re,�r�,�id�d by attaching e�is2 to
<br /> �s��ar�ga�is�ation ar by�sing bitack 25 of the App�icatse�n fcar D$p�rc rst esf cta��emy permit whis;h c�n be ea6taiaed at.
<br /> r°tt�.j�°,b�a�r-*. , ,. ,<a.e � ��:,r�r+,rta159�a7�d<ad��'¢���.,ti'�tk;a?`�j`�,�,�<_a+:�. �•gt�r, v<„t r��:f
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<br /> P,� �E: G+er��ral �rojectJ5��t�e Infc�rma�ia�n
<br /> ' tf t�s�s,�q����at��rr�s rta�6at�c��c��r�€�€ir��ati�sr;a�spravat�exern��t��,det�rrniraat�r�s�,�,�r���3ie��u�sst deterrnsr�;�t�cs�,Qr other
<br /> cc+rr�sp�nd�z���submitted prfor Ett etr�s�ppkicac�an then d��ccr��ae th�t her�aa��as��aide t�e Corps crf Eng�r�e�rs praj�ct nurrtber.
<br /> Descrs'be thc*project that is being prc���s��,th�praject�csrp�a ar�d n+�ed,and scheduie for�mplernerttat�an�nd camp8�etiu�."!'h�
<br /> ; praject Cfesc�^ipt�v�must futEy descrdb�th+�nat�are�nd s��a,�#�S�pr�posed activi�includtng a descrtp4k+�n ra€�z}��rcrj�ct�im��r�ts
<br /> that et`feci aqu�t�c r�sources(r�uex#arsd,������r��utary,etc.}�rd rrsust aiso include p�ans�nd cross sectwcsn�r�r��31��rawings
<br /> ahawi�g,the tsa��t��s,c�saract+�r,�nd d&rn�n��rrrs af ai!propo�e�aetireitkes and aqu�t�r�sav�c�Ampact�.
<br /> ��� Ren�k�Cus4s�s�s���ae��aecrpases to oetcac�€4e�the e�st[ng house frtrrr�it�currerat i�at��s�s�ti��^prs�p+�rty¢a��€:��t tacation!n �
<br /> thr�r�arth��st�����a�rt�ent kscaC'tan a��cs tk�e s+�bdivided g��ce��af€h��a,r�rty, 'Tfie���ist�r�g taause wil�be�z�k�c�anc�moved by
<br /> prsateasiorrai trotas�movers acrass the pra�aerty to this�tw i�tc�fa�rs. �"he house wiiE r+�qusr,e a fit?'path to be m�vecl and ths
<br /> �tl�r�v��sota[nteragency Water Resaurc�1�ppiic�ti�n farrn Febru�ry��1.4 P��g�3�f 1�
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