HomeMy WebLinkAbout1982-04-07 MCWD Permit, Rip Rap #82-41E� On
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MINNEHAHA CREEK
WATERSHED DISTRICT
P.O. Box 387, Wayzata, Minnesota 55391
See reverse side for Instructions
1. OWNER: LT--',f",qe T .
ADDRESS: I9&-. /�/l�llldCSS__Plt.r
CITY: ZIP: sr-3-V
PHONE:
3. ❑ Preliminary plat review
❑ Grading/Drainage Plan
❑ Bridge, culvert, or utilities
❑ Flood Plain Development
❑ Use and appropriation of
Public Waters
PERMIT NUMBER
DATE RECEIVED
AGENDA DATE
APPLICABLE REGULATIONS
Do not write above this -line
2. APPLICANT: —___-
ADDRESS:
CITY: PHONE:
SIGNATURE:r�);g
la Shoreline Improvement or Rip -Rap
❑ Shoreline Setback Variance for
Property Improvement
❑ Fill or excavation
❑ Permit Exten+lon
❑ Other _
Describe work and objectives: A2#w1l, &._0� AK00 av- ,e?4Lv/iLt &eur-_
L✓L �.__Oin '& L . - � re[ /tee Pia 'rZ K7,V V 6a ►d E9-wt AS rt e'214 O 01V .fh/&/ ..
4. Project location: -e4 l' 4 OP wr *0_FA6&"rX1 jVvT Ote
5. Current status with other applicable agencies: LvPwJ OF Tir..t
6. Body of water affected: .�4�orc mi yNe-7"yW -4 _
Call 473-4224 for assistance in completing this form.
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