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4330 North Shore Drive - 07-117-23-42-0024
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Re: MCWD permit
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Last modified
8/22/2023 5:38:28 PM
Creation date
1/17/2018 2:19:48 PM
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Template:
x Address Old
House Number
4330
Street Name
North Shore
Street Type
Drive
Address
4330 North Shore Dr
Document Type
Correspondence
PIN
0711723420024
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-� PART 2 CONTINUED <br /> REGIUIRED �CCHIBITS. The following exhfbits shall accompany the sandblanket permit application. <br /> A. Site plan showing property Iines, delineation of the work area, existing elevation corrtours of the adJacent <br /> upland area, ordinary highwater elevation, and regional flood elevatlon (if avallable). All elevations must be <br /> reduced to NGVD (1929 datum). <br /> B. Proflle,cross sections and/ortopographic corrtours showing existing and proposed elevations and proposed <br /> side slopes in the work area. (Topographic corrtours should be at ir�tervals not greater than 1.0 foot.) <br /> I have read Rule F, subds. 5 and 6 of the Minnehaha Creek Watershed DisMct and assert that I am in compliance with this <br /> rule. I understand that ff this application has not been fllled out or ff I fail to submit the required exhibits,the application wiil <br /> be incomplete and will not be reviewed by the MCWD Board. <br /> Signature and address <br /> ��e <br /> of property owner <br /> �33 0 ��S Ze� �✓C.� <br /> (addres� <br /> /'/le�,a�X ��� J �1 ��� <br /> �ri��e�na) <br /> *NOTE TO PROPERTY OWNER: do not sign this portion of the permit application urrtil the cor�traactor/sand supplier <br /> has completed and signed its portion of the exhibit. <br /> Please call (612) 939-8320 if assistance is need�to complete this form. <br /> Subscribed and swom to before me <br /> this /7� day of���199,�. <br /> ��� � � <br /> Notary Public <br /> F <br /> .� CIAUDIA K BULLOCK <br /> aoraar weuc—u�au�sar� <br /> HENNEPW COUMY <br /> �ar co��c,�,oea a�,t� <br /> (Page 3 of 3� <br />
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