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w-221 <br />' <br />> supply a complete copy <br />allowing: <br />within which <br />shed district^ <br />ch your project <br />ove an the box on the back <br />copy and all supporting <br />of the Shoreland Manage- <br />jfficial. <br />********** <br />e ShpeUinen. factual data avaUaUa coace„i„. t.. waae. c. aha <br />P. Sr/«'iocaX C,ecaXo„a. <br />jitnar"x»"r: - <br />needed. *********** <br />«c;.* ~ —irr"" .a« <br />The appllc^t «»ed on ahe fello-ing co^nenas <br />2l'sutaWr-S?-E3Sn3nmSrl5^, ah. Departoena of Naaural Resources. <br />fpe name) <br />eek watershed district <br />T'nme) <br />pint or type rumej <br />January 27 > <br />county <br />19 78 <br />. M <br />u <br /># # ♦ ♦ ♦***** <br />he Department of Natural <br />the requested permit, <br />pprove or disapprove the <br />desired. It is requested <br />plans for the <br />controls including <br />(Attach additional cUatc if ncaassary) <br />return TO; <br />S"f“Lrs!'soifsTmnerals <br />Regulations Unit^ <br />Centennial Building <br />St. Paul, MN S5155 <br />Dated <br />Gov’t Official’s name---------oTtiPJ <br />Signature <br />Title <br />Address