Laserfiche WebLink
NA-02670-01 , <br />(N-221) STATE OF MINNESOTA OF <br />V <br />�� <br />�W Ir <br />(Rev 74) DEPARTMENT of NATURAL RESOURCES <br />'("✓ 19T8 n <br />NOTIFICATION OF PERMIT APPLICATION <br />INSTRUCTIONS FOR THE APPLICANT C1 I_Y, OF, ORONO <br />Minnesota Statutes, Section luS.44 Subdivision 1, requires you to supply a complete copy <br />and all supporting data of your water permit application to the following: <br />A) The chief executive officer of the city or township within which <br />the project is located. <br />B) The secretary of the Board of Managers of the watershed district, <br />if any, within which your project is located or which your project <br />may affect. <br />You MUST certify having served the complete application ors the above in the box on the back <br />side ­othe application form W-S4. <br />IN ADDITION, if your project is NOT located in a city, a complete copy and all supporting <br />data of the application should be submitted to the Administrator of the Shoreland Manage- <br />ment Program for the affected county. <br />Complete this form for each notice served on a local government official. <br />r r • r r • r r r r r r r r • r t r r r r • r r r r ♦ • r r ► r <br />SECTION I (TO BE COMPLETED BY APPLICANT) <br />TO: A) Chief executive officer of the (cheek) <br />4` city, Q township of <br />or type name <br />B) Secretary of the board of managers of the watershed district. <br />print or type none <br />C) Administrator of the Shoreland management program of rccounty. <br />_ �pnt or type none <br />DAIVIL 5 DIN< 4 <br />/ 5-v' S /3cyl�•} /' O iv r <br />F(�OM: A w. ­� 12,Date: 19 ? <br />print or'type none and address of applicant) <br />r r r . r . r r r . r r r r r r ♦ r r . • • r r . r • r . r <br />INSTRUCTIONS FOR THE LOCAL GOVERNMENT <br />This report from provides you an opportunity to submit input to the Department of Natural <br />Resources to assist in deciding whether to grant, modify, or deny the requested permit, <br />It is NOT absolutely necessary for local agencies to officially approve or disapprove the <br />project or make any recommendation, although this may be done if desired. It is requested <br />that local agencies indicate the following, as applicable: <br />A. The relationship of the proposed project to local plans for the <br />affected water and related land. <br />B. The relationship of the project to local land use controls including <br />flood plain aid/or shoreland regulations. <br />!continued on rvverse aide) <br />