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64/10/1997 17:53 612-483-9186 RICE CREEK W DIST PAGE el <br /> RICE CREEK WATERSHED DISTRICT — (?OR orrice uaa ONLY) <br /> SUITE 330 ARDEN PLAZA PERMIT APPLICATION N0. 97-45 <br /> 3585 LEXINGTON AVENUE N RECD OFFICE 4-1n-97 RECD ENGR 4-11-9 <br /> ARDEN HILLS MN 55126-8056 NOTICE SENT 4r - <br /> TELEPHONE (812)483.0634 AGENDA 4-23-97 <br /> FAX {612)488-9188 PEF2ur FEE $150 ck#6257 fm Philip <br /> c: City of St. Anthony <br /> Montgomery Watson <br /> Inspector Brough PERMIT <br /> RCWD File <br /> TO BE COMPIATED $Y APPLICANT -- PLEASE PRAVT <br /> Owner Date_ <br /> Address {�(i4 MI yy �,�S{ p Day Phone # AX # <br /> City/Zip CAN 90=4o —M Ix EI C7 415 <br /> Owner's Signature: <br /> (No Agents) (srlat sig'Irf, ass® if it doer not .PPS r dppar left.) <br /> Permit Application for Aanroval of: I REQUEST A P&BMI'P FOR THE FOLLOWING PERIOD OF <br /> [�l Comprehensive Stormwater TIME TO ALLOW COMPLE'PION OF THIS PROJWP <br /> Management Plan �,] 6 MONTHS <br /> [_] Land Development Plan (subdividing) 12 MONTHS <br /> [_] Final Site Drainage Plan T] 18 MONTHS <br /> (_] Use and/or Appropriation of Public Waters 24 MONTHS <br /> [.._-.] Bridge and/or Culvert Construction Plan Please contest District Office to d6m= an ezt+eneion <br /> (_] Wetland Alteration Plan if you do not cow your project in this time Period <br /> [�] Shoreland (RiparhW Improvement Plan <br /> Private Drainage System Plan Enges Name, Ph#, FAX#: T-AN 112 ��. LL. <br /> [_,] Other (expbdn in Remarks) <br /> PROPOSED C=Y/COUNTT/STAT'E S ug nlF- <br /> PROJECT CONTRACT AWARD DAT& 0/N A; rn N 5s-yAs" <br /> REMAR$s: -MIS ?20.Z ' }k 4►S LEAPS M&AA) 1- Mae <br /> %%T?5 S�C�.— A� t lg►®�a�►, s �X 1 G�Urtl '�fi- skt �� Qu r <br /> Project Name: � —r'L�eZ'iy A&n M m Vs TOLD(a - <br /> .Project Purpose: 1!9ft 1t26 eACNW1 } -1 11rmsi Luba 41 MW !T 4 ILL!29 <br /> Project Location: S l i..V LA V.6 i P 0r *C E MM&W JJ AM <br /> City or Township: dft tANI <br /> 1/4 of Section Township N Range W <br /> Call (612)4850834 if assistance in completing this form is required. Please attach drawings, plans and other data as <br /> outlined in "Rice Creek Watershed District Permit Information Brochure," available upon request. Mail or deliver this <br /> form along with the appropriate fee according to schedule on Page 4 of the Permit Information Brochure, and three <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 qther governmental agencies. <br /> Form A8-78, Revised 01-01-96 <br />