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<br /> ' Project Name and/or Number. 1080& 1090 Heritage Lane,Orono, MN
<br /> PART ONE: Appiicant Information
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<br /> If applicant is an entiiy�company,government entity,partnership,etc.),an authorized contact person must be identified. If the j
<br /> applicant is using an agent(consultant,lawyer,or other third party)and has authorized them to act on their behalf,the agent's ,
<br /> icontact information must also be provided. i
<br /> , Applicant/Landowner Name: Raymond A. Lipkin '
<br /> , Mailing Address: 161 Femdale Road South,Wayzata, MN 553991 j
<br /> Phone: (612)237-6635 '
<br /> iE-mail Address: rav.lcm369@�mail.com
<br /> ; Authorized Contact(do not complete if same as above�: Ron Johnson(Edina Realty)
<br /> ' Mailing Address: 1000 Superior Blvd.,Suite 200,Wayzata, MN 55391
<br /> ' Phone: (612)474-1236
<br /> ' E-mail Address: RonlohnsonCa�edinareattv.com �
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<br /> Agent Name: Travis Fristed,ISG I
<br /> Mailing Address: 7900 International Drive,Suite 550,Minneapolis, MN 55425
<br /> Phane: (952)429-0699
<br /> E-mail Address: travis.fristedC�is-arp.com
<br /> PART TWO: Site Location Information '�
<br /> County: Hennepin City/Township: Orono I
<br /> Parcel ID and/or Address: 1080 and 1090 Heritage lane,Orono, MN(PID No. 1011723130006& 1011723130007)
<br /> � Legal Description(Section,Township,Range): 5ection 10,T117N, R23W �
<br /> Lat/Long(decimal degrees): -93.569610, 44.959336
<br /> ' Attach a map showing the location of the site in relation to local streets,roads,highways. See attached location map
<br /> iApproximate size of site(acres)or if a linear project,length(feet�: 1.99 acres
<br /> ', If you know that your proposal will require an individual Permit from the U.S.Army Corps of Engineers,you must provide the ',
<br /> ' names and addresses of all property owners adjacent to the project site. This information may be provided by attaching a list to
<br /> ; your application or by using block 25 of the Application for Department of the Army permit which can be obtained at: �
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<br /> http:/lwww.mvp.usace.armv.mil/Portals/57/docs/reQulatorv/ReAulatorvDocs/enAform 4345 2012oct pdf
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<br /> PART THREE: General Project/Site Information �
<br /> If this application is related to a delineation approval,exemption determination,jurisdictional determination,or other
<br /> correspondence submitted prior to this application then describe that here and provide the Corps of Engineers project number.
<br /> Describe the project that is being proposed,the project purpose and need,and schedule for implementation and completion.The ,
<br /> , project description must fu�ly describe the nature and stope of the proposed activity including a description of all project elements
<br /> , that effect aquatic resources(wetland,lake,tributary,etc.)and must also include plans and cross section or profile drawings
<br /> ishowing the location,character,and dimensions of all proposed activities and aquatic resource impacts.
<br /> Edina Realty is representing the landowner in preparing for the sale of two parcels located at the property of 1080 I
<br /> & 1090 Heritage lane in the city of Orono.A wetland investigation was completed on April 5,2016.
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