Laserfiche WebLink
f <br />i <br />pf** MK Kvici^ I <br />W NATURAL RfSOURCES <br />^_ection \_(To be completed by applicant) <br />LOCAL UNIT OF GOVERNMENT COMMENTS ^ <br />Oib/O-O^ <br />lev. 4/61I <br />Name of Applicant <br />ULRICH, William <br />Quarter Secljon(s)PROJECT LOCATION« <br />project will afreet: (name'and number of take, wetland, or watercourse) <br />Loke Minnetonka <br />Address (Street. RFD. Box No . City. Slate; Zip Code) <br />1535 Bohns Point Pwoad, Vayzata, KN 55391 <br />PART B <br />Section(s) <br />8 <br />Township(s) <br />117N <br />Range(s)Counly(ies) <br />Hennepin' <br />I hereby submit this application for permit to- <br />(mark proper box) <br />^□ap^^riate water |^work in protected waters <br />\ <br />uate <br />S'vj-ys£:\\ , <br />Section II (To be completed by local unit of government) '----------------------------------------------- <br />OopartmJnl'rNlti ’Sr'R'ISSu^^ ore submitted tor conelderetion by tbe\ • : <br />SUBMITTED TO in?, ! ‘*™" »PP““«oMl£OUR«ESPONSE MUST V . . <br />riTiX..........;■ ■. <br />^ W ;;„v. 1-1S33 <br />receipt of conditional us^ciZCOIi^ <br />a^porSit^uniia permit until the City completes its review. <br />« ^ <br />U <br />* . V <br />/ <br />• J / <br />#10 <br />\ <br />I;^ < >• s »i fi <br />I <br />Was the propopod project field inspected by this local unit of government? i ~1no <br />''Viewer ’s Name ---------------------------------—------------------------ ’Title YES (if Yes, give viewer's name) <br />AiWhorized Signature <br />a ■ 7i\ <br />Title . -Date <br />- // - f 4 <br />Telephone No (Area Code) <br />Name of responding Soil and Water Conservation District. Watershed District. City or County ... ........................... <br />Address (Of the above named local unit nf -——--------------------------------— <br />(DNR — Division of Waters addresses on back)