Laserfiche WebLink
wmBmniam0S^. <br />• /! <br />ately <br />ell Cay <br />for <br />oreline. <br />• lake <br />directly . <br />ion to <br />r*ont of <br />y from <br />, • <br />1377. <br />i rf fu <br />-4 <br />^ r <br />-v-.w. : <br />>>«3* i <br />ii' - ..a <br />1 <br />If- <br />X •*=gi3BMKgr -watr*' <br />-221 <br />:ev. 74 STATE OF MINNESOTA <br />DEPARTMENT of NATURAL RESOURCES <br />^ - m ^ m • <br />i ( <br />Division of Waters, Soils and Mineral ( <br />NOTIFICATION OF PERMIT APPLICATION <br />I <br />Instructions for the applicant <br />iplete copy <br />The chief executive officer of the city or township within which <br />The sHretar^of^^the Board of Managers of the watershed district, <br />if any, withL which your project is located or which your project <br />may affect. <br />You must certify having served the complete application on the above in the box on <br />side""©?”the application form W-54. <br />IN ADDITION if Vour project is NOT located in a city, a complete copy and <br />™tfS"th* appli«u5n ’should be submitted to the Administrator of the Shoreland Manage- <br />ment Program for the affected county. <br />Complete this form for each notice served on a local government official. <br />* * <br />**************** <br />* * <br />section 1 (TO BE COMPLETED BY APPLICANT^ <br />TO:A) Chief executive officer of the {^eheek) <br />^ city, ri township of ......... Ot^OA/p ,---------^--------------*»' (print or type namej <br />Secretary of the board of managers of the^M Creek- - - <br />' ' (print or t}fpe none) <br />watershed district. <br />C) Administrator of the shoreland management program of .♦ •' <br />PROMz-.-xv Nnrtb Shore Drlvatortn OTid adai^M applicant) <br />^Wa^aaja,/^linn.^^‘j}91^ **.i» ******* <br />U:: !-, <br />‘M <br />.1 <br />''cfi <br />> <br />« ♦♦ * <br />INSTRUCTIONS FOR THE LOCAL GOVERNMENT ' . ^ <br />t 4 <br />This renort from provides you an opportunity to submit input to the Department of Natural <br />W aHi« in deciding wh"her to grant, modify, or deny the r^uested per-it. <br />11 i^^ absolutely necessary for local agencies to officially approve or dis^prove the <br />iUOcfIr rOcommendition, although this -ay be done if desired. It xs requested <br />that local agencies indicate the following, as applicable: <br />‘ <br />A. The relationship of the proposed project to local plans for the <br />affected water and related land. <br />B. The relationship of the project to local land use controls including <br />flood plain and/or shoreland regulations.% <br />Any po <br />naviga <br />geners <br />Any Tt <br />way oi <br />effeci <br />Any pi <br />propoi <br />Reasoi <br />Please complete thi: <br />this page within 15 <br />needed. <br />♦ *•**♦* <br />SECTION II (TO BE <br />The applicant named <br />application on_____ <br />are submitted for c <br />(Attach addition <br />RE1VRN TO: <br />DEPARTMENT OF NATU <br />Division of Waters <br />Regulations Unit <br />Centennial ^ildin <br />St. Paul, Wi 5515