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Project Name and/or Number: 1080&1090 Heritage La�,Orono,MN <br /> PART FIVE: Applicant Signature <br /> ❑ Chedc here if you are requesting a are-aoolication consultation w�th the C4rps and LGU based on the informatton 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 applicadon is complete and accurate. I further attest that t possess the <br /> authority to undertake the work descrik�d herein. <br /> . . <br /> Signawre: � Oate: ��� l q"' `�j <br /> I hereby authorize ISG to act on my behalf as my agent fn the processing of this application and to furnish,upon request, <br /> supplemerrta)information in support of this application. <br />