Description (optional): Sub•Basin: Pagel of 2 EFTA00310915 Im•-•• Mr% • •.,4 WIN/ ACKNOW LED EM£Nt FOR INDIVIDUAL I, We (naryiYt of Owner(s)) Jaffrey Frermin Print Nan:m(5) affirm at the foregoing statements are true fo the best of (my, our) knohedge and belief. State of g.k County of MN; YOLIC