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CERTIFICATION OF ADOPTION <br />WATER SUPPLY PLAN <br />City or Water System Name: CI k v �.,,,,,y1'y v ; c`+ V�, Ok1, <br />Name of Person Authorized to Sign <br />Certification on Behalf of the System: Si e wv 5 L <br />Title: C;� F4+�i�ec� <br />Address: 7 Sv Sy,'"NA) <br />o�L) <br />Dv" p, <br />R.oNq i z i C3-50 <br />Telephone: - y 31- 9 e 2 C Fax: `I G 1- 4 33 - `3 8 9e <br />E-mail: a ,, a w F,', C C;. r 4' yr s e. . iJy1Y1. u y <br />I certify that the Water Supply Plan approved by the Department of Natural Resources <br />has been adopted by the city council or utility board that has authority over water supply <br />services. <br />Signed: <br />Date: yl1' <br />Fax (651/772-7977) or mail this certification to: DNR Waters <br />1200 Warner Road <br />St. Paul, MN 55106 <br />Or, email to: dale.homuth@dnr.state.mn.us <br />RECEIVED <br />APR 03 2009 <br />DNR <br />Waters <br />