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venuaent lot(s) <br />e <br />___, range(s)^ <br />lock A suldivUvoni <br />f lake or ttrecm} <br />1% for a penait to vork in ike <br />er infornation submitted <br />m channel. £17 bridge, <br />i/Vi Harsh_________ <br />vide for horse, bike; <br />ig will be dest»->yed- <br />ATTACH EXTRA SHEETS IF KECESSARY <br />S .''V <br />CONSTRUCTIOH DATA (also attach sketch or dnrHKg) <br />w-54 <br />Channelling^ <br />TotAl length (feet) <br />Existing Proposed <br />Ungth in lahe/strraa (feet)- - - <br />Bottoa width (feet) ------- <br />Side slopes (ratio) ------- <br />Average depth (feet)- - - — - - <br />Gradient (%)• ------- — - <br />Alterations along shore <br />Distance along shore (feet) <br />Distance watervard (feet) <br />Thickness of fill material (feet) <br />Proposed <br />1200 Ft. <br />. - .3 Ft, <br />Depth of excavation (feet) <br />1. Describe type of excavation equipment to be used, if known: <br />Estimate use of cats and scrapers or trucks and loader <br />2. Describe location (include rap) and characteristics of spoil disposal site proposed: <br />N.A. <br />S. Would maintenance excavation be necessary! (check) L ! YES L—1 hO Explain: <br />N.A. <br />4. Volume of material to be xcDOved initially (cubic yards)i Muck or silt <br />N.A. <br />Sand or gravel _ _ _ _:_ _ _ _ Rock or stone <br />SEE NOTEATTAClDiEWTS /~7 $1S.00 filing fee, CJ photographs, C3 other (specify) See attached description £ naps <br />Applicant declares that infom-tion submitted herewith and stateoents Mde herein are a true and correct <br />representation of the facts, and that the filing of this application and infornation with the <br />Commissioner of Natural Resources is prina facie evidence of the correctness thereof. <br />COMPLETE APPLICATION SUBMITTED TO: <br />City of Medina <br />SaiM of exty or Urjnehip <br />Dated this 27th day of January 19 78 <br />Signed <br />District tngineer (appticcKt) <br />street S post office Hftnneoin County Park Reserve Dlstrlct <br />(lessee) <br />f21 Minnehaha Creek Watershed 0ist.__ <br />Name of uatershea district <br />(5) Shoreland Managehent Adjxinistrator <br />of ____*' County <br />Address ^9^ <br />City Hsp 1 ft P131 n <br />State HU Zip code 55359 <br />State of Minnesota } <br />County of ) <br />on this day <br />ss.AFFIDAVIT Phone <br />19 before ne pe.*sonnally appeared ^7^ tr <br />who being first duly svom and to r.e known to be the person ___ <br />application, acknowlcdge(5) that A-X. _ executed the sksne as <br />who executed the forf»going <br />own free act and deed and <br />that the statenents, paps. plans, docu?nents, and other supporting data are true and correct according <br />to best knowledge and belief. <br />it'ft Check for filing fee Is being <br />processed and will be sub jted, <br />by 2/6/78, <br />J/ IXA^SAUlAJUULliXAJUlAJUUAUIAJU^Kotar^Publlc S ,ruH ------------ bounty <br />rAXf punuc - miwnssota <br />F^y cossnission ex3tgjf.j> J w:wsfFiM county <br />• • i ^ V. Ccxy*.n*:« II, |Ma >