Laserfiche WebLink
i£LSTBUCnONS>PLEASg READ CARgPUt IV <br />***''• *®**'*V. O' wawohod manaotmom oroanlaatfon. <br />Spadfy th. LGU to wh.a, you »e aandin, th. tom.:___Minnphaha rrool, District <br />Watmmo D mtmct (W one exists for the project free). <br />Specify the Watershed District: Minnehaha Creek Watershed Dlstrirt. <br />MswitsoTA OiPAivTMsrT OF N atwal RcMuncis (MDNR) regional office <br />U.S. A mwy Cowe OF ENQMEBts (ACOE). Send the ACOE copy to: <br />^ Anny, Corps of Engineers. St. Paul District. <br />ATTN: COfl. 190 Fifth Sveet East St Paul, MN 55101<1638 <br />wSlSdaS™ “ <br />Chedk wHh <br />p«"* opioorton torn,. H <br />caraMy *. „«owi„, lnt«mad.TS^”,n P«>nl» f<» yoor ordae. Kaaa. <br />xxnxxmxnxxixxxmxmxnxxixxxmxmiuxiixiiimnxmxxn <br />sliSTiXSTeVo; u'JC:!!*' <br />duly^^orised^aMm of the applicant. ^ P®**«** ^ *uthonty to undertake the proposed ecdvHies or I em acting as the <br />/ <br />DateSignature Of Applicant / oatfc ' . Signature of Agent <br />H it "*“« be signed by the person who desires to undertake the proposed activitv (aPDiicantl or it <br />y be signed by a duiy authorized agent If the information requested below is provided. <br />Agent's Name and title: <br />Agent's address; <br />Agent's telephone: ( <br />knowinflly and willfully f^«n*t*eonc««l«!^^^rt uo b^wiv rt'k j«n*«l'ction of eny dapertmont or agancy of Tha United Stataa <br />fraudulent atatemanta or rooraaantatiana *ar nub.. «. ^ ^ ^•viea a mataifal fact or makaa any falea, fletitioua or <br />not more than fiva yaara, or both. <br />SEE ATTACHMENT ABOUT MDNR PfjRMIT Pgtjfy <br />J