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<br />~ICE CREEK WATERSHED DISTRICT <br />SUITE 177, ARDEN PLAZA <br />3585 NORTH LEXINGTON AVENUE <br />ARDEN HILLS, MINNESOTA 55112 <br /> <br />cx:~: City of New Brighton/ <br />B.A. Hickok & Assoc., RCWD Enar <br />. J <br />RCWD FJ.le <br /> <br />#/0;; <br />F IJ) <br />'RrP <br /> <br />. (Do not fill <br />PERMIT APPLICATION # <br />Received ~- Jtt- f(D <br />Notice Sent ~-11~O <br />Agenda ~-:'::>-7--- 80 <br />Inspected <br /> <br />'- ...- <br />in. ) <br />'Bo .. 7 r/ <br /> <br /> <br />PRlN <br /> <br />- <br />bL <br /> <br />PERMIT APPLICATION <br /> <br />LPW I",,,- ~,;<e \?'~;IJ'"j <br />O-WIC..e ~J Siov-t:!.-ge <br />~ <br />\SD\ \.L'0~#5 <br />l0e'-" &~k+o\c, <br />~, ownship <br /> <br />To be completed by the applicant <br />Owner: L PW Iv-.c, <br />A~dress: ISOI U...o.j::ilB <br />Cl ty: -"'\o~) Bv~' ~()IA <br />\[ (Zip Code) <br /> <br />P"':Fmit Application For A]2,proval of <br /> <br />OLand Developmen tP lans <br />~GradingfSediment-Erosion control <br />Plan <br />L...Stormwater Management Plan <br />~Final Site Drainage Plan <br />[]Flood Plain Development <br />[JUse and/or Appropriation <br />of Public \'la ters <br />[]Bridge or Culvert Construction <br />[Jwetland Alteration <br />[JRiparian Improvement-Shoreline <br />, Setback <br />Op,rivate Drainage System <br />[JOther (explain in Remarks) <br /> <br />Name 6:fi Project: <br /> <br />Purpose of Project: <br />Location of Project - Address: <br />Municipality or Township: <br />t--..) vJ ~ of Section <br /> <br /> <br />])0 UGtlAS <br /> <br />retrrl <br />I-<URPI t:RS <br /> <br />-:-- <br /> <br />Remarks <br /> <br />30 <br /> <br />Range 2 '3 <br /> <br />Call 483-0634 if assistance in completing this 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 administrative fee and appropriate exhibits to the above address. <br /> <br />"A field inspection fee on this permit shall be charged to cover actual cost: <br />related to a field inspection including the investigation of the area affect <br />by the proposed activity, analysis of the proposed activity, services of a <br />consultant and in addition, a fee will be charged for any required subsequen <br />monitoring of the proposed activity." M.S.A. 112.88, Subd. 2. Applying for <br />this permit to RCWD does not preclude your applying for any necessary permit <br />that may be required from oth~ governmental agencies. <br /> <br />A8-78 <br />