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JUL-20-2001 12�54 MINNEHAHA CREEK WATERSHED 6124710682 P.03/05 <br /> • ' �AIVL1jfLALV1C�'r1 1'�r��►a�'1�� �(J�(�i]'�'�j$�' FQ� <br /> ' �1 C�\1VA'1'FdtSi�D DISI�ICI' <br /> . . , p'1�t14�'1'E91 I -� <br /> j� (�J�.�t91 S-�0 8�.ctnd. ..__�__�d;�Nt .��Fs'1 �.s� •• �,�,-_,-�1° �.�'.a31_..,_ <br /> ��Ow��cr' . A�d�e C�7�Sf��e,ti» � <br /> �11.:_....__..�...., ��...� � or PID#_ao � I� a 3, .!'�� <br /> Al�°'u �°'�°�h' T�.�,� (�roe�u pope�t�►as� <br /> own and oor�spy�sbave aia,gle faini�y resldena And wish to�ehtil a.s�u1'b�lanloet an ; ..., . .;; :� � . <br /> � •... ': �. �� ���' �• <br /> u' ���L..�� 1 s. ,.; ,� �.� �U <br /> . '..� '��R4 � . ..�.���'',W'��� � <br /> i,.�oa�sa,r co�v�.�ar u►n,oscaP�nra J�L 0 6 Yflfl1 <br /> a�ss PqtEST �ANE <br /> � I�.Y C C O n�W�f�j i�_,,,,,, , M O U ND, MN 66:�6a�t <br /> �� cnat�eboe � <br /> bo 3�C�i 9�i1+i�ft�0�ttt SOUi�CC: <br /> �Y,��•�P � <br /> �fYl� s� ����a� , _�t�8 �r�� .._._.., <br /> , ,,�r: , <br /> I �1� a�i]o�t m,yxlf�fol3owin,��onuoe, `� <br /> aoPp�er <br /> �dd�rss � . <br /> �f��+D�11C'Q1111��ICI,�a�OoV�.O�ZCV1eVlr��S{�}t dOCtl�Of�ZL1II211CI�aP�pypl <br /> Vv7�t 1�1�8 A]7�LCA'f.1C�t. �8�11lIC 18- b� ��thC f�1lqW1�J0lf8(��le pi0�SSti�Rti�$L�G: <br /> �3i..�gth} x . !o� (Wid� x__�.__ (Dcp'tbJ•S�a�lanlaet d'm�et�sion�cannot exceed a <br /> 1�h of 50' (or S09i6 of s�+elitie),a widtl�of 1Q'aad.a depth ot`6". <br /> l v�dersland t1�at if this a ' ' �not c�ompl�obely 811�d aut,or if I fail to subzni�.the r+oquiY+� pclu�bits,. <br /> t at <br /> thc appli�c�tion is�nco�a ta a�,d w�l bc return�ed it w�71 not lx r�viaewc�d by MCWD�staff uiehl completc. <br /> BY�tt8 � aPP�►, I agree a�nd � tha# the Di�ri�t may ��er the property st reesonable <br /> hooxa tv oo�n�d»ct at� � ta dctermino whefher the terata of thc penrit are bei�g me� [ further <br /> �rtd�tl�t if I vi�e thc tcrsas and condiliam�s�of x pc,nnit t6at ia issucd b�sed upon this�applicarion, <br /> tl�a Dislria!�1100�a Se1d ins�pecaa�n of!i�Pz+o.l�P�'��+1��� �witk t�is spplics�ion. <br /> t nnderaEand�h+e Ai�ltiot w�l.cltetge f�ecs ta oo�ver thc�ctusl caMs of�l ir�:pe�tions,it�oltidiqg iaviest�gation <br /> a�t t t e atca a8�ted by�he wnrk,analysia af ti�e vworic, indud�g the aervicea of Leg�a1 cain�el snd er�g,itteers, <br /> +tnd any subsequGnt m�o�it+o�ing o�f the wurk.l'!�e Disiriet'a ar�uat coe�s ar�e dee�aed tv begin accruu�g wlr�n � <br /> the ct is�ua ifelux of the v;ohetion ro rhe pe�aitree. t have e+ead and�nderstand the 1�tewD Te�n�t. <br /> G�P +�la�lrcts. � <br /> f property awner . � <br /> Sab�eribed ar�d swarn to be�fo�e�ne this a6�=' da� �.,.•-_�o�, <br /> , . <br /> �;;�_=� JAMES HAROLD SMITH • <br /> � NotnRr weu� <br /> P�tblic . "Y°°°°�o"�s'a+�aa° <br /> . ■ <br /> .� . ' _ <br /> �. .,_.. .�.... G ,.,..�. <br /> APP�'���Ac�rcpted bY . Oate <br /> tames Hafiu:r_ i���e#r��r'�'�1�w:�•;p+, , . <br /> -� ---„., ,;. , . <br />