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\/I)Ii <br />nBossr <br />Lanai the <br />is VarisHca <br />;iALUSEONUr <br />1 teticn <br />ap shoreline <br />nal Use Pendt <br />foundai^inn <br />rs. The wave <br />v.-<ir;-:r-= <br />..TV <br />> <br />/• <br />. .'U . <br />■.111 <br />■rfi • <br />b <br />.1^ <br />• V *♦» ■ ^fI ' ’ it ■ . • ' vr I . *• ♦ - - * r i./r • {V ' .»• . < V ' , <br />t'f ‘ ^ ^ u n . ►. ^ f • ; <br />STATE OF MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF WATERS, SOILS AND MINERALS <br />NOTIFICATION OF PERMIT APPLICATION <br />INSTRUCTIONS FOR THE APPLICANT <br />4. 1 w.V <br />Minnesota Statutes 1973, Section 105.44, Subdivision 1, requires you to sunply a complete <br />copy of your water permit application and all supporting data to the following: <br />A) The secretary of the board of managers of the watershed district, if any — <br />within which your project is located or which your project may affect. * <br />B) The chief executive officer of the city or township within which the <br />project is located. <br />on your permit application form, you certify having served the <br />con^lete application on the applicable governmental units. <br />SECTION I (TO BE COMPLETED BY APPLICANT) <br />TO: A) Secretary of the board of managers of the <br />watershed district.Minnehaha Qcedc _ _ _ <br />(print or type name) <br />B) Chief executive officer of the <br />(cheek) S3 city, CJ township of Orocxi <br />FROM:.‘les R. Pihl _ _ _ _ _ _ _ <br />(print or type name of applicant) <br />(print or type name) <br />Date: 3/15 19a <br />i t » <br />aicye Drive,M&,vaata.Minnesota <br />(addreea of applicant)i • . c <br />♦ * * • « * ■* * ..* « « <br />■* ** « * *-« * « * * * **««**«**« * * <br />INSTRUCTIONS FOR THE LOCAL GOVERNMENTAL UNIT <br />*• ^ <br />1° *“PPly input to the Department of’haturai <br />U i^ L or deny the requested permit. <br />nrniA.. aa ^ cessa^ for local agencies to officially approve or disapprove the <br />t^t although this may be done if desired. It irrequestedthat interested local agencies indicate the following, as applicable: requested <br />B.“f *5® project to local land use controls including flood plain and/or shoreland regulations. ^ <br />^ . . <br />’ i <br />. >0 • •. ft <br />* Vi, . f r • <br />(continued on reverse side) <br />^ • I . <br />. : <br />err- <br />r1^: <br />'t <br />\ ... <br />C. Any possi <br />fish and <br />D. Any recom <br />achieving <br />B. Any pcrti <br />proposed <br />F. Reasons f< <br />Please complete Se <br />left comer of thi <br />tional time is nee <br />********* <br />SECTION II (TO BE <br />■» <br />The applicant named <br />perait application <br />copnents are submit <br />f: <br />i <br />RETURN TO: <br />Regulations Unit <br />Division of Waters <br />DEPART^ENT OF NATl <br />.Centennial Office <br />St. Paul, Minnesot