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<br />RS~;:J' ~~I7,.c C({'~7~~7'~K lle~:)Plr:~NT;SlI!ET:,,; I STI>_ ICEo ^.p)
<br />. L 1. L r ' \.,[" . 1.,.,/,/\ Iff t:',tl,
<br />3585 NORTH LEXTNC'J'ON AVENUE rv-c--
<br />ARDEN IhLLS', MINNESOTA 55112
<br />:/
<br />cc: City, of New Brighton""""'-
<br />E.A.' Hickok & Assoc., RCVID Engr.
<br />Ra'7IU File
<br />;
<br />
<br />L,,, /O:l.
<br />(I5011() t-TfTr:Ll1:';--------.-:
<br />PI"ph~'r."" f")})I J'(~^'I'J'()~- .It llt2' 5JB
<br />;. _ ,l"l. . 1. ,-\1.. -' ' .Ii \ , " i'l 'II' - '
<br />, .', d JUN 2 4, 1980 .-..----...." ,---.------
<br />R c c e.1. VE ___' -.--r---.'.------,--,-------.13:r
<br />Notice Sent. f.P --.7.4- . '80 --
<br />Agen cIa 7 "":Z:r =&0--.~--._--------
<br />Ins pe c -fe-u..--.------------------'--
<br />- ---~-----------------_.._--~--
<br />
<br />PERMIT APPLICATION
<br />-----------~~,------
<br />
<br />To _be....comT)leted by thC::~_EJ?li_cant Date " ..I ~.. ?fO
<br />Ii A C p~one 1-'1j-,. -?;, {{_._.~.~ --'--.-;;---.,------'-
<br />0\\111 er : __J!:l_LG.~LL__..""Q._~e..!___ , _-~, 7' _-'~---, -0/,. - ,It,- --, "----....
<br />Addres s: 47$ tJ !ftAM~_ . N. \V. -, ci~
<br />I ~ <:1;' -~J.gnatur~intr Li
<br />Ci ty: ..N~\V _ tt1~~,.<)~~J4..L--.?:;-..JJf-
<br />"ZlP Code;
<br />
<br />P{-:-.rmit A1yolieation For Al)'oroval of
<br />__,___~__->--_________....._.L--_.~___~__
<br />
<br />Remarks
<br />
<br />~<Land De,velopment Plans
<br />
<br />OGrading, Sediment-Erosion Control
<br />Plan
<br />
<br />-_.~_.._--,-_.._-_.,--_._-_._---~.. ---,--,---,--~---._-'----'
<br />
<br />OStonm\later Nanagement Plan
<br />
<br />OFinal Sit.e Drainage Plan
<br />
<br />OFlood Plain Development
<br />
<br />~)Use and/or Appropriation
<br />of Public Waters
<br />
<br />-----------.------.------..---------
<br />
<br />OBridge or Culvert Construction
<br />
<br />O\oJetland Al teration
<br />
<br />C~Ripari8r't Improvement--ShorelilJe
<br />Setback
<br />
<br />{"l D . 7 t- D"'- ~ i . ' S 7 ~ i- ,
<br />\j,L rl"\ a.e "'cL_Llag~e ')::> ~e,ll
<br />
<br />()Other (explaL1 in RE2~arks)
<br />
<br />Name of pr'oj eet: 1\l~lr{:. E!LJ>')~or... }!J_t!J2J!~~'~~, ----------
<br />
<br />Purpose of Proj eet: .1'~eit..Qm ~"t j'\\Jjg)!.1'J~~Mt" L~~lTIt!r.)_.4jllL-f~.4Jt~J1J-tL.-
<br />
<br />L ~~~'r, f P . "- A'::'-", c -. ~<1;!:Ji;1"i,'!'~ ~ ,"'- ~'\\I
<br />Ol_ctL..l'~ll 0.,. . rOJcc'C -, ,-,Cl~e.:>s. ';!.f~~-:-_f0' ,,""'" _.t..Ut.e;';~_.hLLll... ,
<br />
<br />Hunicipality or Township :.~~\L~~e:~JLtr~'~'L~H~~,- fA bJ___ --------
<br />
<br />___ S.~. ~ of Section __e, _ TO'\\7nshipl !tC> ' Rangc__2..3.___
<br />
<br />Call ~83-063L> if assistance in completing t-:his form is required. Please
<br />attach drawings, plans and other data as outlined in "Rice Creek Watershed
<br />District Rules and Regulations". Mail or deliver this form along with a
<br />$10.00 adminis trati ve fee and ap-propr:iate exbibi ts to the addres s above.
<br />
<br />"1i field inspection fee on t.hist=lermit shall he charged to cover actual costs
<br />related to a field inspection including the investigation of the arei affectC'.
<br />by the proposed activity, analysis of the Droposed activity, servicos of a
<br />consul tant and in addition, a fee \\)i11 be charged for any reqlJ.ircd subsequont
<br />monitoring of the proposed activity." M.S.A. 112.88, Subd. 2. Applying for
<br />this permit to RCWD does not preclllde your anplying for any necessary permits
<br />tha t may be required from ~~l~~.~~ governmental agencies.
<br />
<br />A8-. 78
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