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PART FIVE: Applicant Signature <br />❑ Check here if you are requesting a pre -application consultation with the Corps and LGU based on the information you have p <br />Regulatory entities will not initiate a formal application review if this box is checked. <br />By signature below, I attest that the 7ifonzation in this application is complete and accurate. I further attest that I possess the a <br />to undertake She-wor c scrib r, im:' <br />Signature: f..'� / Date: <br />I hereby authorize Earth Science Associates, Inc. to act on my behalf as my agent in the processing of this application and to furnish, u <br />request, supplemental information in support of this application. <br />Minnesota Interagency Water Resource Application Form February 2014 Page 7 of 17 <br />