Project Name and/or Number: SER#2014-030-03—185 Old Crystal Bay Rd S,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: Lillian Stubbs Estate—Daun Mooney
<br /> MailingAddress: 6165 Co Rd 6, Maple Plain, MN 55359
<br /> Phone: 612-578-2929
<br /> E-mail Address: Mooney812@cs.com
<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: 185 Old Crystal Bay Road S(PID#33 1 1 823340001)
<br /> Legal Description(Section,Township,Range): N '/4 SE '/a SW '/4 Section 33, T 118N, R23 W, City of Orono,
<br /> Hennepin County, Minnesota
<br /> Lat/Long(decimal degrees): Lat.44.975994(44°58'33.5784"N)/Long.-93.594274(93°35'39.3864"W)
<br /> Attach a map showing the location of the site in relation to local streets, roads,highways.
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<br /> Approximate size of site (acres) or if a !inear project, length(feet): 9.8 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/regulatorv/RegulatorvDocs/en�form 4345 2012oct.pdf
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