HomeMy WebLinkAbout2004 MCWD sandblanket permit MAR-29-2004 1 11 MINNEHAHA CREEK WATERSHED 6124710682 _P.02//02
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WATERSHED DISTRICT
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Piapiiti owner residing at-1 a!�. ,Q �'-�-^��� , C'��= � S'S
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Thane Comfy Taisiskip,tidbits,Raw Om prep/sty sac ablesadit
vwn and oopupy the above sinks family zenickain and wish tom WI a asxrdblanket on
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wee Soy • :3613 PRIEST SANE
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,mb,a+v toinslai1 clean Bund front the following source:
Yr..., SRAPPlite o4 +draw (Jadlc4 y-`f8 - 41-7 ,or.
I install myself from the following source.
addicts tepee
If this project requires municipal approval or review,please atlaoh documentation of the municipal approval
with this application.My shoreline is 1 1 2-- .feet and the dimensions of the proposed sandbianket arc
-- -°—.. I . i o' . fit') z CP" _ (Depth).Sondblanket dimensions cannot exceed a
length of 50' (or 8096 of sieordisre),a width of 10'and a depth of Er.
I understand that if this t completely filled out,or if I foul to submit the enquired wits,
the application is nsaantp a and will be :warned. it will not be mimed by MCWD staff until complete.
By signing this applioation,I agree and understand that the Dtuiiot rasp crew the ptopeTty at resiecetabk
hours b conduct an inspection b daermise whether dee senate of die permit are being meet. I further
andesstaerdthat if f violate dm terms and conditions'of a permit that is issued basedtis application,
the Dirtsiot dish conduct a fifield inapsetior of the palled per 144CM) ,i, provided with this
I understand the Marla will charge fees to erthe ached af000� field
of the area affected by the wow analysis of the wont, including the services of legal counsel and instructs,
and as of lbs work-The District's actual sods are donned to begin accrauiS when
dee District uncles notice of the vitiation to the perm tee,I have read and understand the MCWD'Technical.
Guidelines for , . . ,, •
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and ni to be hne me Ow' day of, •/\_1 // /ag
kf - NANCY L.RODGERS WIitj,q ,l u �, Mycombsa,Ex$m5Jen.312005
Notary '
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MAR 1'1 2004
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