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NA-02622-01 <br />(W-541 <br />(Rev 74) <br />STATE. OF MINNESOTA <br />UEPARTMENr of NATURAL RESOURCES <br />f��C�C�C�C►vl: <br />r11 : IN 51991 <br />APPLICATION FOR PERMIT 'ro WORK IN PUBLIC MAIERS L L ITY OF OROtowN` <br />�.' - ` the o r of 'arid in Government ;at l s S _� <br />print or type appiteant /T J/- V-- A(.4—r.i1 <br />quarter section(s) section(s) township nc (s) rangets'_ <br />31/�4- <br />4� (fire nc.,r L,. -^r a rese n!, .oc� 4 - — <br />county(ies; which is riparian to S44� / <br />-(ndvV, .a a or array <br />applies pursuant to Minnesota Statutes Chapter 105 and other applicable statutes for a permit to wort, in the <br />public water(s) named above, accordance with all data, maps, plats, and other information submitted <br />herewith and made a part here.,[ <br />PROPOSAL <br />1T IS PROPOSED TO: cavate, [Q fill, = construct, L-r remove, <br />.'check) j2r install. J= abandon, or t= other(epecify) <br />THE FOLLOWING: = dam, /= shore -protection, = shoreline, [Q harbor, -;! channel, '1-J bridge, <br />(,-heck) L:7 culvert, v wharf, [::7 obstruction, or = other(ape,•iiy) <br />JUSTIFICATION <br />Explain why thisrproject is needed: � 4F/iN/� e-4411�1,/ tI l L 44,JQ <br />ENVIRONMENTAL IMPACT <br />1. Anticipate! changes in water and re;ate,', land resources <br />/ W.k- <br />2. Unavoidable but anticipated detrimental effects. <br />"AC, <br />3. Alternatives to the action proposed: <br />/VUWV <br />PROJECT SITE DATA <br />1. Describe the type and amou <br />nt <br />of aquatic vegetation present: <br />2. Describe the natu a of the material beneath the water. <br />�K a <br />3. Describe the nature of the upland area: <br />G14js <br />4. Describe type and amount of nearby shoreland development: <br />A144ft/ <br />S. ENCLOSE SKETCH DESCRIBING WATER LEVEL FLUCTUATIONS. <br />("a instrwetions) ATTACH EXTRA SHEETS IF NECESSARY <br />(continued on rover" side) <br />