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Ytra"10knI W <br />Mj4HATUNAL <br />ZE.I.To 44 <br />stSOURc[S <br />NA•U100�04 <br />REv. I/a1 <br />LOCAL UNIT OF GOVERNMENT COMMENTS <br />PART S <br />*action i fro Do comprena oy appucany <br />Name of Applicant Address (Street, RFD. Box No.. City. State, Zip Code) :.�4 C/ <br />L41,-1%. L.%`• /� � % /le-il l; /ir. it--, 1.4 <br />PROJECT LOCATIONI tor 11y I --1 <br />or <br />1 / � � �� � i �,_, flit_"r-ri•/ <br />I hereby submit this application for permit to: <br />SignatNr of Applicant Date <br />(mark proper box) 1 I � <br />0 approprials water ,t1work In protected wars X L- �, <br />Section II (To be completed by local unif of government) <br />The following k" unit of government comments and/or recommendations are submitted for consideration by the <br />Department of Netwal ResourcerIn the dispoettlon of the referenced permit application. (YOUR RESPONSE MUST�E <br />JUBbjljlEQ TO T TMIN t2 DAYS.) Water Appropriation Permit Applications are to be sent to the tral <br />flq, St. Paul, and ProlacWaters Permit Applications to the DNR Regional Office. SEE REVERSE SIDE FOR CORRECT <br />MAILING ADDRESSES). <br />The City of Orono will not require a permit review as applicant does not <br />propose using spoils on -site filling. Rip rapping must be approved by <br />the M.C.W.D. Owner must submit copy of M.C.W.D. rip rap permit to <br />Cicy prior to installation. <br />CC: Larry Dougherty, 875 Forest Ams Lane, Mound, MN 55364 <br />Nos the proposed project field inspected by this local unit Of government? <br />AYES (if Yes, give viewer's name) <br />JON11— Division of Wale o addresses an back) <br />