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Site Plan File - Approved PLZ 01900
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1/18/2007 1:18:52 AM
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<br />RICE CREEK WATERSHED DISTRICT <br />SUITE 132 ARDEN PLAZA <br />3585 LEXINGTON AVENUE N <br />ARDEN HILLS MN 55126-8016 <br />TELEPHONE (612)483-0634 <br /> <br />(FOR OFFICE USE ONLY) <br />PERMIT APPLICATION NO. <br />REC'D OFFICE REC'D ENGR <br />NOTICE SENT <br />AGENDA <br />ADMINISTRATIVE FEE <br /> <br />PERMIT APPLICATION <br /> <br />To be completed bv the Applicant <br /> <br />Owner New Brighton Care Center/ <br />North Cities Health Care Inc. <br />Addre~ 550-8th Street N.W. <br /> <br />Date 12-30-1994 <br /> <br />Day Telephone No. (612) 63)-7200 <br />/Yf) II j u{ n fl.. I. 1"1, 1 <br />! II /LJl.tik/L f"- ~~ lMIJ,Ae.1 ln1eJ.) <br /> <br />f (Signature of OWner, No Agents' Signatures Accepted) <br /> <br />City!Zip New Briqhton, MN 55112 <br /> <br />Permit Application for approval of: <br /> <br />Remarks: <br /> <br />(_) Comprehensive Stormwater <br />(_) Management Plan <br />(_) Land Development Plan (subdividing) <br />(KJ F.m&SneD~Plan <br />(-> Use and/or Appropriation of Public Waters <br />(_) Bridge and/or Culvert Construction <br />(_) Wetland Alteration <br />(_) Shoreland (Riparian) Improvement <br />(_) Private Drainage System <br />(-> Other (explain in Remarks) <br /> <br />Request for renewal of Permit # <br /> <br />Name of Project: New Brighton Care Center expansion <br /> <br />Purpose of Project: Addi tional building space <br /> <br />Location of Project: 550-8th Street N. W. <br /> <br />Municipality or Township: In lots 24-35, block 2, first addition to New Brighton and in part of <br />bth Avenue NOrtnwest <br />r\hrt-nw:>~t 1/4 of Section 29 Township T30 N Range R23 W <br /> <br />Call (612)483-0634 if assistance in completing this form is required. Please attach drawings, plans and other data as <br />outlined in "Rice Creek Watershed District Permit Information Brochure," available upon request. Mail or deliver this <br />form along with a $60 fee ($10 administrative fee and $50 for two inspections) and three sets of appropriate exhibits <br />to the above address. F.ngin~ review fees will be billed. after final Board action.. "A field inspection fee on this <br />permit shall be charged to cover actual costs related to a field inspection including the investigation of the area affected <br />by the proposed activity, analysis of the proposed activity, services of a consultant and in addition, a fee will be charged <br />for any required subsequent monitoring of the proposed activity." M.S.A. 103D.345, Subd. 2. Applying for this permit <br />to HCWD does not preclude your applying for any necessary permits that may be required from other governmental <br />agencies. <br /> <br />A8-78 <br /> <br />Revised 2-10-94 <br />
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