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NATURAL RESOURCES <br />uet <br />LOCAL UNIT OF GOVERNMENT COMMEN �.A (PART B <br />Section I (To be completed by applicant) <br />Name of Applicant <br />ULRICiI, William <br />,ddress (Street. RFD. Box No. tarty. State, Zip Gode) <br />1535 Bohna Point Rond, Wayzata, EN 55391 <br />Quarter Section(s) Section(s) Township(s) Range(s) County(ies) . <br />PROJECT LOCATION g 117N Hennepin <br />Project will affect: (name and number of lake, wetland, or watercourse) <br />Lake Minnetonka <br />" I <br />I hereby submit this application for permit to: <br />Signal e 1 Ap ir. Date <br />(mark proper box) Y <br />C] appropriate water ® work in protected waters x /_? -yG• �` <br />----------------------------------------------------------- <br />Section II (To be completed by local unit of government) <br />The following local unit of government comments and/or recommendations are submitted for consideration by the <br />Department of Natural Resources, in the disposition of the referenced permit applicatiort...(YOUR-RESPONSE MUST BE! <br />SUBMITTED TO THE DNR WITHIN 30 DAYS.1 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 />MF'r_ING ADDRESSES). _ <br />The City of Orono is in receipt of conditional us <br />ncE�i(�;j <br />permit applications for the sea wall and geo-therms ",`, <br />heating system and we ask that the DNR delay grantift:5 <br />a permit until the City completes its review. <br />/ <br />.. 1 <br />#1039 <br />Was the proposed protect field inspected by this local unit of government? <br />.Viewer's Name Ffitle <br />[JN0 YES (if Yes, give viewer's name) <br />ALUhorized Signature Title Date eiephone No (Are,) Code) <br />of responding Soil and Water Conservation District, Watershed District, City or County <br />Address (of the above named local unit of government) <br />(DNR Division of Waters addresses on back) <br />