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APPLICANT SIGNATURES <br /> The owner's signature indicates their agreement to: <br /> 1. Grant the RCWD and its representative(s)access to the parcel where the conservation practice will be located and <br /> authority to perform monitoring and/or sampling of the practice. <br /> 2. Obtain all permits and approvals required in conjunction with the installation and establishment of the practice <br /> prior to starting construction of the practice, <br /> 3. Be responsible for the operation and maintenance of conservation practices applied under this program in <br /> accordance with an operation and maintenance plan prepared by the RCWD technical representative. <br /> Landowner/Legal Representative Date `7 <br /> -•�'"��isr F �� 1. �. �.Z f C7 <br /> Malling Address City State Zip <br /> 1880 Main Street Centerville �MN 155038 <br /> CONSERVATION PRACTICE <br /> Eligible recognized practices) other practice(s) Total Cast Estimate <br /> Structural Shoreline Stabilization .1$23,120 00 <br /> TECH NICAL AssEssM ENT AN D COST ESTIMATE <br /> I have reviewed the site where the above listed conservation practices)are to be Installed and find that they are needed <br /> and that the estimated quantitiesd cosP are practical and reasonable. <br /> Co erSatlon L rpt 7echnjcaT Represe tatty / Date <br /> '/ <br /> AMOUNT AUTHORIZED FOR GRANT(ENCUMBRANCE) <br /> Grant award is not to exceed $11,560.00 or 50 percent of the total eligible cost,whichever is less. <br /> Rice Creek Watershed District Board President -A Board Meeting Date <br /> 2016 C-5 application contract.pdf Page 3 of 3 2/05/2D16 <br /> 26 <br />