Laserfiche WebLink
( NAME, ADDRESS, STATE, ZIP CODE AND SIGNATURE <br />-------------------------------------------- <br />FOR THOSE INDIVIDUALS REQUESTING AN ENVIRONMENTAL ASSESSMENT WORKSHEET <br />FOR THE RELOCATION OF THE LAKE ELMO COMPOSTING, SPRING CLEAN UP AND <br />PUBLIC WORKS FACILITY PROPOSED FOR THE BERSCHENS SITE NEAR LAKE JANE <br />NAME ADDRESS cl-ry ST ZIP CODE IGNATURE <br />9v Aj <br />�5'5�' <br />AIN, -soap ' <br />7A1, irnrl V 9g oedAJ ,Lake iyrm <br />o�.. 939'7—JAV. A / k,. CvVto A4,v.,SSo�42� <br />J�,(�u� ectta `176,5- - Ym St. N. 1,At4- e,- <br />S3-0Y Z <br />1.1L 1 <br />