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Project Name and/or Number: SER#2014-018-03—2535 Old Beach Road,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: Alicia Codute <br /> Mailing Address: 2535 Old Beach Road, Orono, MN 55391 <br /> Phone: 952-471-7559 <br /> E-mail Address: codutehome@gmail.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: 2535 Old Beach Road (PID#21-117-23-22-0019) <br /> Legal Description(Section,Township,Range): The Marsh at Lafayette Addition, Lot 6 Blk 1, A part of the N <br /> SW 1/4 NW 1/4 NW 1/4, Section 21, TI 17N, R23W, City of Oron <br /> Hennepin County, Minnesota <br /> Lat/Long(decimal degrees): Lat.44.932393/Long. -93.602892 <br /> 2560KelyAve.Orono,Minnesota,United States fP Attach a map showing the location of the site in <br /> ard—ye -:A, relation to local streets,roads,highways. <br /> O O <br /> is <br /> r9 - <br /> r <br /> i <br /> Approximate size of site(acres)or if a linear project,length(feet): 2.64 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.army.mil/Portals/57/docs/reeulatory/RegulatoryDocs/engform 4345 2012oct.pdf <br />