Laserfiche WebLink
t <br />OAS <br />MINNEHAHA CREEK <br />WATERSHED DISTRICT <br />P.O. Box 31r7 <br />Vftpitts, Minnesota 55391 <br />(FOR OFFICE USE ONLY) <br />Permit Application No. <br />DiAe Received -- <br />Nonce Sent _ <br />Agenda Date _ <br />APPLICATION FOR PERMIT <br />(See Reverse Side For Instructions) !Do Not Write Above This Line) <br />1. Owner: WM - Y 2. Owner' --- <br />1Pf"+a �oei Repre-AJl ONKA PORTABLE DR_jdQ, <br />T/1111IAA14(k- iXiVe- 5M-wESTTAKE <br />IAddreee► Icon - ----- (Ada..s.) 474-9494"" <br />LOA) k MAI <br />1 »i IZ411 — — Te eononp — of <br />Iowna Si9nawe1 <br />3. Permit Requested For: (Check All Appropriate Boxes) <br />B. Stormwater Management Plan <br />❑ Commercial <br />❑ Industrial <br />❑ institutional or Highway <br />❑ Residential <br />C. ❑ Floodplain Alteration <br />❑ PE. ❑ R.L.S. ❑ L.A. �' Other <br />D. ❑ Wetland Alteration <br />E. ❑ Dredging <br />F. ] Shoreline/Bank Improvement <br />Stream/Lake Crossing <br />a�o�/D <br />4. E�rgect Loe�ion: I f-Er .'IJ I �W �rG I ;�7 (- I %/r- I 03 <br />(C"I 1CdwMti Iw 9eci ism) IR»awal Iaen"I <br />5. Describe the Project: 1` .,!F �'A r1 r:E r-.Yi ; ? iU 'r-K�o V/ LF_ 44)2d T/on//'lf— <br />�t/�? t Fig= � �=f'Tf1. ,E"STirl/? ""�� ic.'�; � 4',:L;��I Rr�S CUT f).✓L F/�%. <br />6 If This Project Requires Municipal Approval or Review Attach Documention of Municipal Review. <br />7. Body of Water, Stream or Wetland Affected by Runoff From This Site GC'r117 ✓A`' � _—___.__ <br />G 5co __ Distance From Protect <br />8 Schedule For Construction, Implementation of Temporary Erosion Controls. St, Ustantial Compdtwn and Restora <br />RM <br />Please call (612) 473-4224 if ass sta, ice in completing this form is required In submitting this form, the applicant <br />scknowted0es all requirements fc r permit approval as determiner] by the published Rules dated February 20.. 19M. <br />j " t' 1 di. <br />