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<br /> �������� ������ �� # APPLiCABLE RIEGL'�A1�i4�i i �„�� �.; .
<br /> P.O. Box 387. Wayzata, Minnesota 55�91 ---------.-�--�---•�----- '�"'�`"'�""'"'"""'""""" '""� ����
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<br /> See reverse side for insiructions
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<br /> 1. OWNER: _louis Smerling.._. _... _ _ ._ . 2. APPLlCAN7� ��3�Ie�4X�;ei�_Pt��.L�,l�.�.a�.,i���.���.
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<br /> ADDRESS: __25.�_Ca5C0 .I't.. f{d. AC�(7f�E�S:�t��3„ I`�:.:. _.Li3�'eC�..:�. , z,..�� .���
<br /> . i C���r: _.�xc.�:7..:s:..�r.. _....._ .r. t�►���� .�.'�4�►;���,_ _
<br /> CITY: _Wa�zata ______ ZIP: 553� � ; °
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<br /> PHONE: �77-18i�__--___.._ __ SiGfV�TUf�fE: �_._..n..._...� ���"�""`---� ,�
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<br /> 3. ❑ Preliminary plat review ,�S��:_
<br /> ❑ Grading/Drainage Plan CJ Shar�eline S�'tt�C� V8t6�r�G0 t��` } ,y ,�,;�
<br /> ❑ Bridge,cufvert, or utilities PrflpQ�ty��+'�pr�'ment '��"
<br /> ❑ Flood Plain Oevelopment � F,�t ar excavatit)r�
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<br /> � PArm1Y Ext�S�CiC� j
<br /> ❑ Use and appropriation of � ;� ''°
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<br /> Describe work and ob)ectives:_.r.___�_-�'�a�.+��'.��...�����--�-�-�—�'1 ��'�p'.t�° '.',� "�#�»� ;:� ,,
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<br /> a. Project location: _lYa.��.�_2fl_ T.o.�nshi� 117 i��uzg�- 2,3-•,Zot -� �:6-� � , � {��,t��
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<br /> 5. Current status �vith other appticable agencies: __ ���---- -��•-��*x-�* ��r�
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<br /> 6. Body of water affected: --.«>$��:�ig-P-a�i� _�c.3� -----�a:�e�����-��t��._.�.�,..._.w,. � .�� ���y ��n ,
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<br /> Ca11473-4224 for assistance in compieting ihis torm. , ;a, ��,�� �F
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