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04/10/1997 17: 53 612-483-9186 RICE CREEK W DIST PAGE 01 <br /> RICE CREEK WATERSHED DDSTRICT — (?OR 0"ICa usa MY) <br /> SUITE 330 ARDEN PLAZA PEFtMIr.0 APPUCA17ON NO.- 97-45 <br /> 3685 LEXL*IGT'ON AVENUE N RECD OFFICE 4-1()-97 REC'D ENGR 4-11-9 <br /> f EN HILSM MN 55128-8056 NOTICE SENT <br /> LEPHONE (612)483-0634 AGENDA 4-23-97 <br /> AX 612)483-9188 PERMFr FEE 150 ck#6257 fm P <br /> C. City of St. Anthony <br /> P4ontgomery Watson <br /> Inspector Brough PEA.MIT APMCATION <br /> RCWD File <br /> TO BE COMPIMI'ED pY AP'PT CANT -- PLEASE PRINT <br /> Owner F!H l L.1 t 2 Ar Date <br /> Address 104*0 MI"16171 M. • PANO_ Day Phone # +0 0 FAX <br /> city/zip W1 5 !2— _ <br /> Owner's Signature: <br /> fMo AQsaLs) (!slat sign ,s sass if it Coss not appear upw loft.) <br /> Permit Application for Approval of: I MQUEST A PMWr FOR THE FOLLOWING PERIOD 011 <br /> [,l Comprehensive Stormwater TIME TQ ALLOW COMPLMON OF TM8 PROJWD.. <br /> Management Plan C`] B MONTHS <br /> [_) Land Development Plan (subdividing) 12 MONTHS <br /> [_] Final Site Drainage Plan T] 18 MONTHS <br /> (,] Use and/or Appropriation of Public Waters [_] 24 MONTHS <br /> ] Bridge and/or Culvert Construction Plan Please ooated District Office to d6--m an extensim <br /> J Wetland Alteration Plan if you do not your psojeet in tuna time period <br /> ] Shoreland (Riparian) Improvement Plan <br /> Q� Private Drainage System Plan Engr's Name, Ph#, FAX#: ID o /�J <br /> [_J Other (explain in Remarks) <br /> PROPOB) CnT/C00NTY/STATE <br /> PEOJF= CONTRACT AWARD DATE: O i N A� 177 N a,SyA.�6' <br /> MMAR 7UJdJ ?20Z 'gyp6S LgMp 0r- Imp" <br /> %WED +AWE. hhM146 A!. wtum n �NLIo It�l QU�efh <br /> Project Name: ,��e1 ��e }V1 '�� <br /> .P roject Purpose: IMEN1ML 1A►3.�-T I KM� L L192 6 ► - — � lL �f <br /> Project Locution: 65I L.V fa , LA V.6 Zn . _ P p aL r- -ENUIAbue Am <br /> City or Township: <br /> 1/4 of Section Township N Range W <br /> Call (612)4830834 if nwWta=e in completing this form is required. Please attach drawings, plans and other data as <br /> utlined in "Rice Creek Watershed District Permit Information Brochure," available upon request. Mail or deliver this <br /> along with the appropriate fee according to schedule on Page 4 of the Permit Information Brochure, and the <br /> seta of appropriate exhibits to the above address. Applying for this permit from RCWD does not preclude your applying <br /> for any necessary permits that may be required from gther governmental agencies. <br /> Form AS-78, Revised 01-01-96 <br />