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CERTIFICATION OF ADOPTION <br />WATER SUPPLY PLAN <br />City or Water System Name: <br />C--i y v 1C rr tr.� s y <br />Name of Person Authorized to Sign } 1 <br />Certification on Behalf of the System: Si eve," c4ti,.4EU ;,u s <br />Title: C;�, F,,ivler <br />Address: Sv Sl Q,0,10 Rg1Mi.1 MI4 cr303 <br />Telephone:1C3-ti33-9e2C Fax: 163-'133-98ire <br />E-mail: a , to ., , C ti . 1" v41 3 e. . VO YI V 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: Lthi <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 />DNA <br />