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, <br />• i• * <br />•j-Sk <br />T7f. l/M <br />i'r!!2CVi?J <br />jisV siO I Ninn*»ot« Con**rv*tlon D«pkrti«*iit <br />DIVISION OF WATERS <br />division of waters APPLICATION FOR PERMIT <br />IN THE BEDS OF PUBLIC 1 <br />(Under M.S.A., Chapter 105) <br />To; COJ/MISSIONER OF CONSERVATION, St. Paul 1, Minnesota <br />1 •V aV., j ' • ^ <br />1 t #Mir ' ■ ' <br />• T • <br />jU. <br />rpRs 1 b enr <br />0 1 <br />n •**•««• <br />The applicant herein is the owner of land described as_f. oT~ ^ <br />r".nrlAJT*f____:______________ <br />(Cotercneot lot or otber sub^lTlsSoal <br />l___, Township H 7 f-J , Range Vt/__,_____County, <br />which is riparian to //J AJO _ _ _1. f fWG~T7^^ ^ <br />and applies herewith for a permit to work in the bed(s) of the public waters named above, <br />all in accordance with the data which follows and the maps and plans attached hereto and <br />made a part hereof. <br />IT IS PROPOSED TO: I^^Excavate, C]Fill, □ Construct, (13 Change, (IJRemove, <br />I 1 Abandon, (ZDOther (specify)_ _ _ _ _;_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />THE FOLLOWING: □ Dike, ‘ (Z] Channel, (ZD Brealovater, (Z] Revetment, I I Harbor. <br />(Z3 Obstruction, I I Deun. (Z33ridge, I I Culver‘s I 1 Pier, 1 \?harf, <br />I I Boat House, I I Hangar. (ZJ Other (specify Sf/nP^//AJ6r _ _ _ _ _ _ <br />FOR THE PURPOSE OF: O Beach improvement, [.^Navigation improvement, I I Shore <br />protection, (ZDSafety measure, [T^Lake improvement, <br />I ) Private crossing, | | Flood ^ntrol, Q] I I Power <br />development, [Z)Other (specify)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _i <br />CHANNEL DATA: (required for all channel work) <br />Length (feet) — ----- — ---_ <br />Bottom Width (feet) ---------- <br />* A.verage Depth (feet)- - -- -- -- -- <br />Side Slopes (ratio) - - -- - <br />Minimum Cross Section (sq. ft.) - - - - <br />Gradient (i»)- - -- -- -- -- -- -- <br />Cxidint Prop9**4 <br />*500 <br />NOTE <br />Detailed plans (See Form W71-51) must accompany all <br />applications except those for work listed below for <br />which a location plat or sketch, only, is required. <br />1. Beach sanding - six inch maximum thickness. <br />Approach channels, not exceeding 16 feet in <br />width, to boat houses, harbors and piers. <br />Piers. <br />Shore protection works not requiring filling <br />on lake or stream beds. <br />2. <br />3. <br />4. <br />OK Tiverse side) <br />.e. w* •