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Project Name and/or Number: 1080& 1090 Heritage Lane,Orono, MN <br /> PART ONE: Applicant Information <br /> If applicant is an entity(company,government entity,partnership,etc.),an authorized contact person must be identified. If the <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 /> contact information must also be provided. <br /> ApplicantJlandowner Name: Raymond A.Lipkin <br /> Mailing Address: 161 Ferndale Road South,Wayzata,MN 553991 <br /> Phone: (612)237-6635 <br /> E-mail Address: rav.icm369@rtmail.com <br />' Authorized Contact(do not complete if same as above): Ron Johnson(Edina Realty) <br /> 1 Mailing Address: 1000 Superior Blvd.,Suite 200,Wayzata,MN 55391 <br />� Phone: (612)474-1236 <br /> E-mail Address: RonJohnson@edinarealtv.com <br /> Agent Name: Travis Fristed,ISG <br /> Mailing Address: 7900 International Drive,Suite 550,Minneapolis,MN 55425 <br /> Phone: (952)429-0699 <br /> E-mail Address: travis.fristed@is-Arq.com <br />� PART TWO: Site Location Information <br /> County: Hennepin City/Township: Orono <br /> Parcel ID and/or Address: 1080 and 1090 Heritage Lane,Orono,MN(PID No.1011723130006& 1011723130007) <br /> Legal Oescription(Section,Township,Range): Section 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 /> Approximate size of site(acres)or if a(inear 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: <br /> http://www.mvp.usace.armv.mil/Portals/57/docs/�eRulatorv/ReQulatorvDocs/enAform 4345 2012oct.pdf <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 fully describe the nature and scope 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 /> showing the location,character,and dimensions of all proposed activities and aquatic resource impacts. <br /> Edina Realty is representing the landowne�in preparing for the sale of two parcels located at the property of 1080 <br /> & 1090 Heritage lane in the city of Orono.A wetland investigation was completed on April S,2016. <br /> I <br /> ___ _ I <br />