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11 1. Petitioners' Signatures <br />Petition to Request, an Environmental Assessm.lent Worksheet for the proposed project of <br />Applewood Pointe at Langton. Lake by United Prlolpierties, (PF -006) at 3008 and 3010 <br />Clovelanid Avg. Nw, Roseville, Minnesota <br />No. <br />Name (Printed) <br />Address (Provide <br />Signature of Petitioner <br />House Number, Street, City, State and <br />Zip Code) <br />K Lwal UL -V1 <br />�� A" <br />�Ak <br />111-04 <br />�_t7_o8 <br />2 <br />.3��� ��EL`�� <br />r <br />�r K �+ i ��-- <br />`� S EU f �� M N� 55l <br />/Raq <br />3030 t.vrLYq <br />ZA NI IR <br />Rosa VfC1 -C MN �s f � 3 <br />-� -li-b� <br />q <br />