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.MINT OI <br />,.!!rcr7/9', ' <br />NA-0?670-04 <br />F<ev «/ei <br />NATURAL MSOURCIS LOCAL UNIT OF GOVERNMENT COMMENTS PART B <br />Section \ (To be completed by aPDhr.ant) <br />Name of African! ) . <br />7y,/f U\ <br />^ U i Quarter Sectionis) Sectipn(s)^ w vyuoi 1C ot;uiiuiiibi <br />PROJECT LOCATION 1/ <br />Aaoress (Street. RFp box^CyCity State 2ir. Coae) <br />^7 —^ Hangeis" " <br />3J~vs <br />(ownsnipt' <br />Project will atle^: (name and number ol lake, wetland, or watercourse) <br />_______UjJik. /h )/^/f p ________ <br />Couniy(ies) <br />Acc >1 JTgp ; AT <br />J <br />' hereby submit this application for permit to; <br />(mark proper box) <br />^^appropriate water □work in protected waters <br />MB mmm «aw mmmm mamm rnmmm rnrnmm mmm mmm mi <br />Section II (To be completed by local unit ot government) <br />Signature ot Appiicani Date <br />X <br />The following locai unit of government comments and/or recommendations are submitted for cons ’deration by the <br />Department of Natural Resources* in the disposition of the referenced permit application. (YOUR RESPONSE MUST BE <br />SUBMITTED TO THE DNR WITHIN 30 DAYS.) Water Appropriation Permit Applications are to be sent to the Central Of­ <br />fice. St. Paul, and Protected Waters Permit Applications to the DNR Regional Office. SEE REVERSE SIDE FOR CORRECT <br />MAILING ADDRESSES). <br />Spoi/^ <br />6h Cl'/y etfe d^CTM/- (f <br />Pi <br />Was the proposed project fieid inspected by this local unit cf government?□ no □yes (if Yes. give viewer's name) <br />Viewer's Name Title <br />Authorized Signature <br />g. Al\t4UAX~ <br />Title Date Telephone No.(Area Cooe) <br />(fe/T.) »'73- 78jr» <br />Nmne ol responding Soil and Water Conservation District. Watershed District. City or Cojnty <br />Adoress (of the above named local unit of government) <br />fnwp niv/lcirm n*. Wotprc orlfiroccoc on hPrWr^