|
�^`''��'E/+TYP'tY�Rl7ER tiR A�;._{.i'u�itiT PEN Vt iiE�i GG"la�.�' -
<br /> E�' . . .
<br /> � . � :
<br /> : �
<br /> P� �:.�E�ARTMENi OF ' � �
<br /> ��'::..:_..��✓`J'l� �.~�ic� �t F
<br /> i,.
<br /> WAIURAL .RESCiJRCES ! :; '� , , '
<br /> :, ;.: �. �oca�. �r�E� �� ���:�������� cQ���ENrs ���
<br /> . . � . . t'r�i\� �i.�� � ��
<br /> �rciio� t (To bo co»�p/eted hy�p�licantJ `:; � ;� '�� .
<br /> ��.2me,ot Applicant ' Address (5trc�:t.' RFD E�ox t�o,,Clh, State, Zip Ccde) ? , ��
<br /> I �-l���ren; ��a!�n:: , 2 BU �'iu«�-��o ' � ' � ' , I�ii. �5 , i1 _�. . �
<br /> .��._._ -.-- '' 7 ,, oa n, ,. Lxce:�siar• , t
<br /> � QU31tGf ..GCiiOtS��y Seciior(s) 7uti;�r.�hf���5� ��af1�L�.^r} �COU(1tY(ICS)~ � �'{' �
<br /> I F��iC2JECT Ld�P,"�EOk� _ �,s , �� � �:: _ ?�eru1� ..,� ;�
<br /> >- . � ��`� LL__-���_ �. �pi:� t�
<br /> rc�e� v�i! " � . -- �--,- �- ---�------... ..
<br /> ;� , ct I affect (name und r:urr;be�of ,ake, wetl�nd, o: �valercour.�e, . `�"� ' �
<br /> � ?'G�G1TATit�G�Lcn.V L�'1.� �l3..n..��� ..� C�., � �� � . . � , 1. , iC�.
<br /> ' - -' --- - - E3�O Ylh _._. .�______ -----�._____..�_-- -•- - _� �`
<br /> I hertb� �,u�r��i; �his °p;�i�catiori�[or permii to: •- _r.. �_._ _.__�._. ....__ .— --- - " . �;
<br /> Siyn�tuie.�i S��.;!� �� Dat�. ,
<br /> {m��k proNe! bCx} . - »
<br /> . . . . �� . . , , .. . . � �� .E�..
<br /> r j aPpropria:e wafi! �Y<':iCK 1;1 r7fOteCted v at�rs ^ , 3 �
<br /> � _ ,_�.�•�'1.... _
<br /> -- '� �
<br /> Section II lTo be completed by focal unrt af yovernme��t) ^�� - — — -----'- —�—` � - ��.�.
<br /> - The fol;owing fr,,,4� ;;ri1i o!gave;nrnent comm�nts ai d/.,r r� f)R1�hJ,�7c:1lQ�7� ur2 s�abmitted for consfdofatict� a,�St.r. �;:
<br /> Departrr��n: of RaS�r�; Ftesuurces�in the�i��,csition of th�s,,:�rtnc,,:� ocrmt;a�3r4i��tian: (Y4UR R�SPONS�(�1t,��T t,�: ' �
<br /> S!!E�t.�!TT�.D T�J TF{k� ^rJ? V�!lTHIPi 3U p�YS.) 4ii�tEr App:�op�iation ?::�mi;�c,z�3;cl;ic�e,'are to be sant tu the CenY;ai v�- " ` `
<br /> fice,St. Fe.�l,�and Fro2e�.4e::vVate�s Permii P.pp{ic�t'sons t�,`�f;�t�Fi F,�c;ion�!n�sc�.S��i1cVERSE SI��FOR C��i�:".:t `�.�.
<br /> ���,IU!�'� ACL�RES�cej-. . __"_._.._._ . :
<br /> _ �::�
<br /> , �
<br /> : , �,
<br /> � , . , , "K�
<br /> _
<br /> . . .. _ � . . . . - � � . . .. . � . " . . . r ':
<br /> � . � � .. � � -.. ��:.' . .�.�. . :.. . .� '� - - .: .��� ' . .� ' � . ....,,,_
<br /> . . � . .. . . �. �.. . :. . . . . .;� , , . . . �. . • .._.r_
<br /> - . .. - . . . - . . - � , . . � . . , � ��-
<br /> �.. � � - � . . . - ., �. . ' .. � � ..;�
<br /> . . ._, _. . . .. ., , . .. � . • . . . - '
<br /> . . . i � . , ... .
<br /> . . _ . . .. . . . . , . . . K:e'.
<br /> _ - . : ' ' . . .. �� . � j i . . F
<br /> . . . , . . t :n ��'�.
<br /> . . . . . . ' � . . } v.�(}yy..
<br /> . , ' .� . . . .� . .. � .�=�'
<br /> - . . . . ,. _ .. . _ � �1 . - .� � . . '
<br />. . . - . . . � � '�
<br /> . ' . - ' ' . . ;�� '�
<br /> .
<br /> .
<br /> �; ' �
<br /> - �. �` ;;� Y '
<br /> ,. � - �i-
<br /> - � � • ' A�� '..? A�
<br /> � . . . J., �1% .,
<br /> , j' ' i�t� C�
<br /> ,�
<br /> . ,
<br /> i. ,�' . , ,� .��i a yPi
<br /> . . . ,� �. +.,• x' { ,r.��" .H t x C .n m Y.�.,
<br /> � � ' 7 �
<br /> r �� 1� "�' r , I� ,,' 4 .. �r y } .r '' ��.
<br /> ,4 � 5 C �
<br /> ' ` 1 I
<br /> . S� � " t l �� �� li ;`'3 4�tti�.j i� � . . I-v .�
<br /> ,". � , r � i i. .•,` �, -r r=�A!ti ��:` � +�,'1 a . _, f ,��.,�y
<br /> , .' r "!. . �'.. ` � �� � � .�l ...q, ," �.r• �p,� �i�� . � , � . : . �`.'i fc.i.�,,7�� �+
<br /> 1Nas the proposed project`fietd insp�ctad by th�s {ocal�unit of gcsve�rrrieni7 •, ' ',[;]y0 [�YES+(if Yes, give vie�+vei's �:�tiie� `;`;.��`
<br /> V!@W4?I'$ .�8R1@. . r ' � �"It�L� t� � r i s �f3M;i
<br /> s.. � -� � � 1�r �tf
<br /> � . � � .. , h' _ ' .. . . � '`}� 1 v�',M1
<br /> ('A'u�'t—ho—rized Sigr,at��r Titl'y - , _ 4 �Tele une 1t 1 -� � � _�
<br /> �, ' e. . . � ,,.:�}� . , Gn" Ja(Arc.a � ..�,in. J �., ��;f,
<br /> �. �� _�_ _ _ ` � l � ' � r.
<br /> , p �'
<br /> i------'- �-_._._=. ::_ ..� ..�—' •-���. �_�, - - ----- — '
<br /> � �,��'.1e oi �1..s;;und�;7� ;c,�(�,.��c� Y�YatF�r.Co►i��rvatter. ��s+r�.t. 4"i��cr,.r:, fi,.� .:c: '_��: ��. � . ,:r�iv �- _.�_�.._.�_.__..__ -,.
<br />
|