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Project Name and/or Number: SER#2014-006-03-2560 Kelly Ave,Orono
<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 /> Applicant/landowner Name: International Ministerial Fellowship (IMF)
<br /> Mailing Address: 2477 Shadywood Rd, Excelsior, MN 55331
<br /> Phone: 952-346-2464
<br /> E-mail Address: gs1@i-m-f.org
<br /> Authorized Contact(do not complete if same as above): Frank Svoboda—Svoboda Ecological Resources
<br /> Mailing Address: 22752 Co Rd 7, Hutchinson, MN 55350
<br /> Phone: 612-384-7770
<br /> E-mail Address: franks@gpsinnovatitons.com
<br /> PART TWO: Site Location Information
<br /> County: Hennepin City/Township: Orono
<br /> Parcel ID and/or Address: 2560 Kelly Ave(PID#201 1 723 1 1 0007)
<br /> legal Description(Section,Township,Range): Reg. Land Survey No. 0088, Tract C, Part of the NE '/a NE '/a
<br /> Section 20, T117N, R23W, City of Orono, Hennepin County,
<br /> Minnesota
<br /> Lat/Long(decimal degrees): Lat.44.931975/Long.-93.607031
<br /> � 2560KelyAve,Orono,Minnesote,Uni[edSta[es p Attach a map showing the location of the site in
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<br /> Approximate size of site(acres) or if a linear project, length (feet): 2.31 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/re�ulatorv/RegulatorvDocs/engform 4345 2012oct.pdf
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