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Hev J.?ya5|rO(^A*TMfNT OF <br />^ NATUIAl tCSOURCES <br />• k.Xflll .«4 4 fc.«*rt • •«,»TO WORK IN mOTECnO WATERS OR WETUINOS <br />IMauOnC OMI StfFTTI <br />» » Please read instructions belore anempting to comoieie this aopiicaiion <br />;------------Al7no„„oA,4m|.,ao.,:.o5 <br />■ij^MHogVcX fCHAULPi LU /o/9 <br />City, state. Zip Coflei <br />T <br />P A NO <br />D swcd acrt: <br />□ WD DuSCOE <br />Teieonone Numoer&areacooe <br />(g^2 )y750fv^ <br />^ 0< u 2.2.0 * Z.t 3 <br />Jn i '^umucr. cjiaic. ^ip uofle <br />■edi— ,,. „ ...4, <br />Section!SI No <br />C'o._____ <br />Countv <br />Townsnip(s) No <br />77 V <br />Rangc(s)No <br />''3 yjJ <br />Lot. Block. SubOivision <br />------^I. rfln li-P/» <br />* wnpwn <br />□ excavate <br />□ fill <br />□ drain <br />□ construct <br />□ install <br />ESTIRIATEO PROJECT COST $ <br />□ repair <br />□ remove <br />□ abandon <br />JS other (specify) <br />_Sav\cf hUuUf-j- <br />Z Shoreline z: snore-protection □ obstruction <br />C channel □ harbor z: bnoge <br />jR'Sand blanket □ permanent oock □ culvert <br />Z norap □ wharf <br />□ dam <br />G other <br />(specify) <br />VII <br />VIII <br />IX. <br />w. LENGTH OF SHORELINE AFFECTED (IN FEET): iJc <br />VOLUME OF MATERIAL FILLED OR EXCAVATED (IN CUBIC YARDS) --------- <br />av'>rou;-c 3^ cx.A'Cuv^v'e.OV cooJti, Uv^. <br />PURPOSE OF project : (tl^n ^ this pro.ect is needed!--------------------------------------------------------------- <br />O .Small Cf re.ck, 4^o\r irQCT«.a.'Vvov\<t \ cl*> ^ <br />a,ou.«j dock 0.0^ wrosj.c<a <br />« n J a <br />XI. <br />xti <br />ALTERNATIVES (Other alternatives to the action proposed) <br />Vno ^na . k.-<\cjio v%___________' ---------------- ir • V <br />'• 'Z7, r'"' .... »» <br />cooceffiing mis jppiiaiion are true and correct to me oest ot my knowledge *"”* '"’ormalion summed and statements made <br />state Of /Ti/r\f\A<z/:>-l-/x. - <br />COUNTY OF Dr\^ .pnO <br />- i . I J .* :i », <br />SoDsaiOed and sworn 10 before me this <br />^^^'^*tr*(faY of IQ I <br />My commission eipirts <br />MARILYN K. LOGELIN <br />NOTARY Public-MINNESOTA <br />Signature of Notary <br />Oistribution; <br />White. DNR <br />Blue; SWCO <br />Green Watershed Districi <br />Goldenrod City or County <br />Pink. Army Corps ol Engineers <br />Canary: Applicant