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� r <br /> � • . - • • - • � <br /> � • � • � � • � • • ' � �' • i • � . <br /> 1. Project/Site Information <br /> Project/Site Name: Ryan home residential shed Local Government Unit:Orono, MN <br /> Location (address and/or T, R, Sec.):25 Myrtlewood Rd, Orono, MN 55391 <br /> 2. Applicant Information <br /> Applicant Name: Steve and Anne Ryan Address: 25 Myrtlewood Rd <br /> City, State, Zip: Orono, MN, 55391 <br /> E-mail: sryan@briggs.com Phone: 612-803-6470 <br /> 3. Agent/Consultant Information <br /> Company Name (if applicable):Svoboda Ecological Resources Contact Person: Brian Burgner <br /> Address: 25580 Nelsine Drive City, State, Zip: Excelsior, MN 55331 <br /> E-mail:franks@gpsinnovations.com Phone: 952-471-1100 <br /> 4. Description of Request <br /> ; Check all that apply: X Wetland Boundary (must attach wetland delineation report) <br /> 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 8420.02 �on the submitted wetland boundary and type information in this application. <br /> The pplicant also at th re the owner of the subject poperty or have permission from the <br /> land ner to purs this eterm ati n. <br /> , <br /> � <br /> �� 10-11-12 <br /> Applicant or�1 horiz , nt Signature Date <br /> Important Notes: <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 Evaluation <br /> Panel Members. Check with your LGU regarding their submittal 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 /> I <br />