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� Project Name and/ar Number. 2£}2�-#��2-U�
<br /> P�►IR`� : ��� ��fa►rmatiran
<br /> €f�p�>4��a�t€��n�r���ty tcc��pa�a�r,���+�re�mer,t er��ity,partnersh�p,�te�,���u�hr,rixed��ra�ct pe.rs��a must f�identifd�ed� 1f ti�te
<br /> app�i��ra��s�si�g�rs a��t�cr��su�t��sc,fawyee,a�other third part�)�rad�ra�autt�r��d��5�*rrs e�aet��s the4r behalf,the agerrt's
<br /> ce,ntact infc�rrraa�s��r�au��a;s�a a�prav,dea.
<br /> Applit�e►tJt�����r s�i�z�. '��rn&Nlary Doub�k
<br /> Mai#►n� r��� 1?f���t�iley Rcaad,Eden Prairie,MN 553d? '
<br /> AF+ort�: ;632�8t?����"��
<br /> E-anaei Adtfr , tjdca�6ek�gmai�,��+tr
<br /> Authorited Contaet{da ne�t+r.�eptet�N s�nre as abcsrr��; t�ena�a�stQm tiames
<br /> ', Mai{ing Addres�s: 18352 tV#�ncr+�tonka Bi�rd..C�e�phav�n,�A��5�91
<br /> #�harsc: (952)A76-26?9
<br /> E-rrtatE Address:
<br /> A�errk Narne: Bnan Witte
<br /> Ma�illetg,0.ddress: 1$3S2 Minnetonka Biv�.,�i�ep�a+rer�,Rrt�i�5�1
<br /> 1�►or�e. �'�S�}�20-45A3
<br /> ' �-nna�i A+ddre!rso brg�»r�r�dec+al�custcsrr�horrxes���rrrt
<br /> PART TWGI: Site L.c►c�tior� I�nfarrt�atit�n
<br /> Couwrty: ii�nn��t�s City�jTow fp� ����s�
<br /> Ractel�t�a�ad/�r dr�s�: 45a65 Ba+fside Road.Ora�a,MN 5535+3 P1t�:R]�i11�32i
<br /> iegal C�a�rr�iaar( t��#ng"� ct�►�p,Range}; �ictian 6,Townst�ig 117� ���
<br /> LatCi.or��{��irraatl st��r��s�:
<br /> Attach a rnap s 1r�g the lot�tian a�the s3te In relatlon to k�cai�re�ts,resad�,h�g�sr�ays,
<br /> Appra�im�te seze pf sitr(a�cr�s}os t#�finear pra�ect,lengtt►�fs�t�; lot L BE�1=2.5T a�w�s Lat� ck i=7.49 ace°es '
<br /> Totad Acres=�.66 acres :
<br /> if�cau knc�+r�that yaur prapc+s�rl wik#r�t�ir�an�rscl3v�cls�ai P�rsn��*�rn t'�Se US,Arr�y Cor�s�rf En�ir��rs,yau mss�t t�rarrt�4�Ch�
<br /> narnnes and a�}dresses at ai!prop�rty c��rners�dy�eer�#tc the pra}��t site. 7his informatia�may be pravided by�tta�i�s���tisC t�
<br /> your application ar by usin�biack 25 of t�s�App4i�atsar�f;���ep�rtm�e�t csf the Army permit which ean�obtatr��d at
<br /> � . , .�w.�;, <,<r � ;fr;�, :< < , - ,,,r'r,z��a?�,t``. F=�E �*� t' > ���!��.a€a'�,r;,�uc�1,���qrm 43�5��:k���r`;
<br /> PART T�1 � � � � jectJSite ��forma#ion
<br /> �'� If this app[icatiaM is r�fated zca a d�#rss�et��:-.�a�s9rc���1,c�x�mpt�ara z3�Y€+rm�r�atian,�urKsdicCiona3 detarm�n�titrn,tar aaCh�t� �'��
<br /> ; c�rrespondenc�submitted prrfor ta tksE�appiieatio€�the�t desca`ibe t�at her�a�rd pro�vide ch�Corps of Eng�nee€s proj�ct�urs�ber,
<br /> CYescr4bea�h��aeojec2 th�t is be�ng pro�sed,the praje�t purp��and n+re�d,and sc�r�duke fcs€°«rKap3�m�rztaiican and ce�re�pi�tfcsrr.Th�
<br /> pcc��,�ct���raptr�n rvsu�t f�l=y d�scritr�the nature and xope of tha pra�cs�,es!aet€v�srsclud3n�a�escript�on c�f a!i project e�lements
<br /> th�t effe�t�qu�t�c r�s��rces(ru�tlaryd',iake,tributarY,etc.)and rnust a6sa irac{a.s�e�sd��+s�nd�rcas��+ecticsn or prafiie drawirt�s
<br /> shaqnr�rr�th�t���ts��,��r�r�ct�r,�nd dimensians of ail propcs�d acEivaties ant���tr�&�r°r����re��rrs�sa�tso
<br /> ' t��r�a�§��€��m��rs����e�apo��tc�€eiacate the ettist'rng house fr�sm its c�rr�€�t ica��z�����as th�pa~r�pe�t+�a new tocatian in '
<br /> th�r�r����st�f it�c�rc�nt it��tie�n e�n to the xubdfvided parcei of the�srcaperty. �"�S�����tira�hc�csse u�rill be ii�t�!and moved by
<br /> ' professsc��,�3�Z�us�r�a�v�rs�crass t��raperrty ta this new kscatian. "fhe�ause��If r�c�u�r�a�`�aat�ta be mcsved and tha
<br /> ��, Minness�Ca�nt�ra�r�cy Wa����e*xcsurc�A�splicatioz��c�rm��bru�ary 2014 Paqe 3 crf 23 �
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