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Project Name and/or Number: 3080&1090 Heritage Lane,Orono,MN <br /> PART FIVE: Applicant Signature <br /> ❑ Check here if you are requesting a are-acolication consultation with the Corps and LGU based on the information you have <br /> provided. Regulatiory entities will not initiate a formal application review if this box is checked. <br /> By signature below,I attest that the informatlon in this application is complete and accurate. I further attest that I possess the <br /> authority to undertake the work described herein. <br /> . . <br /> Signature: • Date: 6��� l q'' l�j <br /> I hereby authorize ISG to ad on my behalf as my agent in the processing of this application and to furnish,upon request, <br /> supplemental information in support of this application. <br />