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<br />~ <br /> <br />.RICE C::REEK WATERSHED DISTRICT' <br /> <br />432S Pheasant Ridge Orive, Suite 611 <br />Blaine,.Minnesoca 55449 <br />Phone (763 )398-3070 f Fax (763) 398-3088 <br /> <br />Permit Application <br /> <br />For Office Use Only <br />Permit Application Number. <br /> <br />Date Rea!lw:d: <br /> <br />Amoun[ Received: S <br />Permit Fee: S <br /> <br />r--r'olect I ")fOrrtEltlon <br /> <br />ProjettName: ~H,eI'S"'Q.,JSt!!N 6~"'T"~6'& <br />Proje<<locaaon: X'()(){ HAmJ...INe Me /J.: X-S'T'teeEr INbees.oAJ <br />City or Township: Ae.be,J HJ)..J..$ . J County. ,eA-yrl$eV <br />$VJ l/4ofsection: 7,4- Township: 30 N Range: <br /> <br />Proj~J'!'t~ vcb .p~pelZT'y :1=tJ-ro ..,.. J-oj"~ <br /> <br />.eo An. ~ fJ.}pfr: <br />. Sl/e,l'';b <br />. AVE. <br />~ w <br /> <br />-~-----~----- ----~-----~--- COf~-[-:IC( Ir)rOrrlld[IOn---- -----~~---- <br />. _ "., Coo.., '._' <br /> <br />Applicant (must sip applIcation on l'ellllf'se): <br />Name: t'1C.J.l.A.€~ :r. c.-iI(2,sre,v~;l31J <br />Address: :P;(f; &"t- 11'5.7 <br />4'iS A-lIoNUJool:::. l<.oAh <br />. City: p..VOIJ'" <br />State: (1_ -r ZIP: OL:.OO I <br />. PermittingContut (engi_. architect,. '!SJ; <br />Name: ...j QtJ./t"r""tfflrtJ J-. f-- "t-,214<!J I <br />Address: I')..q" HIJb.$,O,J erJ. <br />City: 5,,.- elWJ... <br />Srate: t'l1 tV <br />Other Pennittlnll Contact: <br />Name: <br /> <br />Company: <br /> <br />ZIP: $$loh <br /> <br />Phone: ~"O -4t 70- sasa... <br />BbD- (P77-717Cf <br />e.....ail: rjo.~crise CoN\CA:S1"'.het:' <br /> <br />Po e, ,q t....S. <br />CQmpany:' "bGIIGJ..DI'JlllJeAJ"I eNbN€EeJIIh,IU. <br />Phone:bS/-"17"-'~/It.~ ~/-77h-"'-!II <br />e-mai~ -IF"hE"\lGOb~A-@ Qc.V6S-r: Ner <br /> <br />Fax: <br /> <br />Address: <br />Gty: <br />Statl!: <br /> <br />Perp1lt Fee <br />_ _h ,.' <br /> <br />ZIP: <br /> <br />Company: <br />Phone: <br />e-mai~ <br /> <br />Fax: <br /> <br />Os;np-"._AU~"""""""';!.i;"($t50) <br /> <br />0-".............($1...) <br /> <br />Welbn"frnpaa:~PIm: <br />o b<mption(~ <br />o <1acn!(S1SO) <br />01--5~(Sl2S-O) <br />o > 5 iKf1!5 (szsoo) <br />o ...."'ng (S1DOO) <br /> <br />"-'--- ...../........~ <br />ConImcRWtlndumiot/In-""""'" 1'ubIi<_""""" <br />tJ <1 aaeimpeMoUS:surfaa ($1000) 0 aI'~ dearw:ace.:.orHzn:lwaad~ ($1000) <br />Dt-1S_............~(SlJlOO) OCounqo~..ici.JO;odo($1...) <br />D>l.S&ae$ ~sudac.e{S4000+SSOOladdiciatWM;ft:) o <kh<<dKdI. Of m!Iek(SSOQ) <br />AcnII;Gf~(,ppetvloIAi~~2.Sl; Cl5inale~~(SSOO) <br />0.....""""...............($>500) <br /> <br />.....-.......- <br />........................ <br />~<10locJ(SSOO) <br />010-471.015($1250) <br />0..." ""'(<3150) <br />o l00-1:l9lo1s(S''''''1 <br />0.11lOl.oG($1SOO+S2SIaddl......""1 <br />TatallllUflbcrafadd"ltirnallata:(ber-d1Gll}; <br />NOT~_Jo<' "'''''''''''''''''''''''''''''/.uII\oid'''''_qf. J"Vi<d<h<<hJoboo. <br />"""""""''-'''.....".frwn_f= <br /> <br />o PufJltcWar.er/W<<laftdShMeludAlura&la fllan ($1511) <br /> <br />CWMP r ......It'M Compliam;c Plan: <br /> <br />_....tAR;" <br />0....,"""'(5750)l0.......,.,($1000) <br />o 10-14.9 aa~C$lSOO) <br />B 25..", ~ ($22S0) <br />........ ($3500) <br />0;1> 100 mu(S5000) <br /> <br />Permit Fee: -11500 ~ <br /> <br />600 'd <br /> <br />1ll99LW9 'ON XH <br /> <br />:Illmn:Jll 00Ilffi\Il <br /> <br />nv 1.0:01 OHl 1001.-1 !-AVn <br />