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, , <br /> Minnesota Wetlana Conservation Act <br /> Application for App oval of Wetlanc Type and Boundary <br /> lI 1. Project/Site Information <br /> Project/Site Name: Harmann Property Local Government Unit: Minnehaha Creek Watershed District <br /> Location (address and/or 11, R, Sec.): 505 S Old Crystal Bay Rd <br /> I <br /> 1 2. Applicant Information <br /> Applicant Name: David Haarmann Address: 505 S Old Crystal Bay Rd <br /> City, State, Zip: Long Lake, MN 55356 <br /> E-mail: dvharmann0omai(.corn Phone: 763-360-6664 <br /> I <br /> 3. Agent/Consultant Information <br /> Company Name (if applicable): Contact Person: <br /> Address: 1 City, State, Zip: <br /> E-mail: I Phone: <br /> • <br /> 4. Description of Request <br /> Check all that apply: jC Wtland Boundary(must attach wetland delineation report) <br /> )81W land Type (Eggers& Reed and/or Circular 39 type) <br /> 5. Signature <br /> By signature below, the app icant requests a determination from the Local Government Unit under <br /> Minnesota Rules 8420.022 on the submitted wetland boundary and type information in this application. <br /> The applicant also affirms t they are the owner of the subject property or have permission from the <br /> landowner to pursue this d ermination. <br /> Applicant o1,41-4--e--4 <br /> uthorized Agent Signature Date <br /> Important Notes: <br /> • The applicant may be required to submit multiple copies of the report/information to the <br /> LGU.The LGU may require the applicant to submit copies directly to Technical <br /> Evaluation Panel Members. Check with your.LGU regarding their submittal <br /> requirements. <br /> • The LGU decision must be made in compliance with Minnesota Statutes, section 15.99. <br /> For LGU use only <br /> Date Received: <br /> - <br /> Page 1 of 1 <br /> BWSR Wetland Boundary/Type Application Form 11/10/08 <br /> 1 <br />