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y `Y <br /> • � � • • � � � <br /> � •• � • • � �� • � � � • • ' � • i� •� <br /> 1. Project/Site Information <br /> ProjecUSite Name: Lakeview Golf Course Local Government Unit: MCWD <br /> (Minnehaha Creek Watershed <br /> Location (address and/or T, R, Sec.): Sec. 6, T117N R23W District) <br /> 2. Applicant Information <br /> Applicant Name: LAKEVIEW GOLF OF MTKA INC—Grant Wenkstrom Address: 855 RED OAK LA <br /> City, State, Zip: MOUND MN 55364 <br /> E-mail: lakeview@teemaster.com Phone: 952-472-3459 <br /> 3. Agent/Consultant Information <br /> Company Name (if applicable): Svoboda Ecological Resources Contact Person: Frank Svoboda <br /> Address: 25580 Nelsine Dr City, State, Zip: Shorewood, MN 55331 <br /> E-mail: franks@gpsinnovations.com Phone: 952-471-1100 <br /> 4. Description of Request <br /> Check all that apply: 0 Wetland Boundary(must attach wetland delineation report) <br /> 0 Wetland Type (Eggers & Reed and/or Circular 39 type) <br /> 5. Signature <br /> By signature below, the applicant requests a determination from the Local Government Unit under <br /> Minnesota Rules 8420.0225 on the submitted wetland boundary and type information in this application. <br /> The applicant also affirms that they are the owner of the subject property or have permission from the <br /> landowner to pursue this determination. <br /> �� d� <br /> Julv 24. 2012 <br /> Applicant or Authorized Agent Signature Date <br /> mpo an o es: <br /> • The applicant may be required to submit multiple copies of the report/information to the <br /> LGU. The LGU may require the applicant to submit copies directly to Technical <br /> Evaluation Panel Members. Check with your LGU regarding their submittal <br /> requirements. <br /> • The LGU decision must be made in compliance with Minnesota Statutes, section 15.99. <br /> For LGU use only <br /> Date Received: <br /> Page 1 of 1 <br /> BWSR Wetland Boundary/Type Application Form 11/10/08 <br />