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DIPAR1MINr Or LZMLO <br />NA-02670-04^.a ; Rev us1 <br />NATURAL lt(SOUIM <br />AL UNIT OF GOVERNMENT COMMENTS PART s <br />Section I (To be compl , r5( <br />Name of Applicant i Address (Stri•ei. RFD. Box No City. State. Zip Cod(-) �l <br />t�ILLUni: �L1:Il 1535 Lohns rt. vC. , Orono, Minnesota 55311 <br />Ouarter Sechon(s) SecUon(s) Township(s) Range(s) County(ies► <br />PROJECT LOCATIONljeruie�in <br />Protect will affect (name And number 01 lake, wetland, or watercourse) <br />------ -- <br />Lake Ninnetciika <br />lr b stmlth I <br />tore y u) 1 is app rCetion IOr permit to <br />(mark Proper box) <br />[appropriate water — [Dwo•k iti protected waters — <br />Signalure W Alfplrcanl Veter L•aciiman, Date <br />X /�,1/;_for 1r_.- Liri 11 L 1 k <br />Section 11 (To be completeu by local unit of government) <br />The to'lowing 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 application (YOUR RESPONSE MUST BE <br />SUBMITTED TO THE DNR WITHIN 30 DAYS.) Water Appropriation Permit Applications are to be sent to the Central 1- <br />fice, St. Paul, and Protected Waters Permit Applications to the DNR Regional Office SEE REVERSE SIDE FOR CORP,ECT <br />MAILING ADDRESSES) <br />--� 1✓,.�,,,.. C�„21,�:�,,� � �-�..., �L,.. Pam.-�.,�� � y�;.r.1r� <br />°��,.-- - � ,��►�.�..:.� �; �..,.. .�.�-ter <br />DNR - ,C.q "i s. ,,, <br />46 i se <br />A4 '-10'-- r)-, zt�i <br />Was the proposed prniec.t field inspected by Mis local un,t of government' �rc [YE!, (it Ye!' give vlewer's name) <br />V /ewe r s Name 1 if IV <br />4utTiled f ri�iturr 1 t�� -- <br />47 piilf• jT�eleirhone No t Arsr COsl1 <br />c+ fespond,n Soil and Water Conservafron District &&Iorshed District. City or Count, <br />Add�fls of the str wr riamird 1 81 unit of prirefnmwwt <br />Bnriewn of warta.s "afe"Os on brae! <br />