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. i » i 1 1> S • w» Jr*»oir»i <br />---------:*T •<fOjrdw <br />S . U.«W. <br />0 1 <br />Co-’-11 <br />County, <br />raters named above, <br />.tached hereto and <br />;e, I I Remove, <br />It, r~] Harbor, <br />L 1 V;harf, <br />y/ar <br />lent,[ 1 Shore <br />ilic or, □]Power <br />s«d <br /><■ / ^ a .• • <br />G <br />-> . ' / <br />f <br />t <br />■'r: <br />■'X.. <br />6. <br />the OB.tectIVES of THF vnwF v,- uIHC, i.O h K for which a pc-rinit is sought are: <br />y~xr,/^ i/n-rP'~-y-^£:.-^eLyAl£L^/.7- 'TO 4 AtdJ- <br />~—SfrAQP 'TmP' S^'i^sse-/JT .-RP r> <br />Lfjp'fr __P'1 ajk A <br />Of: <br />^ l't:r Ky/fPQ hl?.n^ APPPn'/.. <br />^ h ^ iFxpr> //y/(- <br />n y-p^r^^jyo <br />' of <br />/T'y ' // {> z <br /><» <br />□ IS-ATTACHED: (Check : <br />I ~lPlat <br />□ other (specify) <br />f 1 Topographic map <br />□ Plan □ Cross Sections <br />[U Profile <br />applicable sections below. ) <br />I Soundings <br />□ Boring logs <br />! 1 Letter <br />[_JAir photo <br />The applicant declares that the information submitted'herewith and tke state^a^t a herein are a true and corrpr+ T'/^r,r.r.o^.n+^+• <« x. « cina tne statements made <br />application and information ;vith the r acts, and that the filing of this <br />o? the correctness tWeo?? Co.cnnssioner of Conservation is prima facie evidenc <br />Dated this_:^^___day of ^ <br />Applicant /f-y/. <br />19 /L6 <br />Signed <br />. .',e. <br />IPnn^^r type oaxne) <br />(titlel <br />Address /^/ Sti-c j <br />77/ <br />State of Minnesota ) <br />AFFIDAVIT <br />County of ^ ) ss. <br />_) <br />On thiScZ£J^^y of <br />_A.D. before me personally appeared <br />who bei^ first duly sworn and to me l^n^TT^tTli^p^;^ <br />application acknowledge(s) that^ executed the same as_/'i <br />accord1ng1o!l!!J:;t"kno;iedsr;nfbeHef^ sup^^sTta^are <br />who executed the foregoing <br />own free act and deed and <br />true and correct <br />;\Ki.//./ <br />Notary Public A.JU'X <br />'>•..>> ' u rrr County <br />,r . .i.y commission expires. c,.; .-f-r .X : li. -• Sv. <br />-- - - - - - - - - -19 <br />(I r ^ ' <br />(Atiac^rnaps, plans and other items checked cijvcj <br />.-.•‘•'I <br />J'-- <br />iz:- <br />N- <br />>n <br />? <br />O' <br />S' <br />Cik <br />o <br />•1 <br />(X <br />0^ <br />>x <br />h <br />\ <br />X <br />igo <br /></>in <br />V <br />V. <br />(. <br />O' <br />T <br />^0 <br />9Q <br />D <br />C•n <br />% <br />r <br />r- <br />% <br />%K'^ <br />N <br />N. <br />% <br />N <br />'••N <br />'z <br />V <br />A <br />\ <br />C. <br />I <br />I <br />/X <br />.N <br />S \S <br />Mgam