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RICE CREEK WATERSHED DISTEICT (raa ant. „s. cnY) <br /> SUITE 330 ARDEN PLAZA PERMIT APPLICATION NO. 98 -88 <br /> 3585 LEXINGTON AVENUE N REC'D OFFICE 7_g_98 RECD ENGR 7 -10 -96 <br /> ARDEN FIILLS MN 55126 -8066 NOTICE SENT 7 -1n -98 <br /> TELEPHONE (8121483.0634 AGENDA 7 -22 -9 <br /> FAX (612)483 -9186 PERM1TF2r.E$s00 ck#05235R fro Glenn Rrhbrin Excava ;ir <br /> City of Centervil'e <br /> Montgomery Watson [nC. <br /> Inspector 6rough PENT APPLICATION <br /> RC41D File <br /> TO BR COMPLETED BY APP,LSCANT - PLEASE PRINT <br /> Owner Die EC t Non 'Cs 'note Date 14 4, 9 r4/ //CS <br /> Address Pa, See.. ,C1 _ Day Phone re 2t, "'4(1 ?pax* TP,I -G oof <br /> City/Zip r^ /re/t PtacJ' -4.11 C.0 l -F- <br /> Owner's 8lgostura: <br /> nab &emu) (Print saeaee ./w if it .n.s n.c attar upset lit.) <br /> Permit ax...c),,., rr a,,,, _r ,.s IREQUEST A PEBM'1 FOR TEE FOLLOWING PRMOD OF <br /> [_3 Comprehensive Stonnwaater TJM}; TO ALLOW COMPLETION OF TEE PROJECT: <br /> M+wagament Plan Li 8 MONTHS <br /> Land Development Plan (subdividing) 7 LI 18 MONTHS <br /> (_ Final Site Drainage Flea 12 MONTHS <br /> Use and/or Appropriation of Public Waters 24 MONTHS <br /> (_l fridge and/or Culvert Construction Plan Masse contact District 0113ce to dins an __sari_ <br /> L� Wethuid Altars/ion Plan if you do not complete your pled In this time period. <br /> ( _l Private P�sn) t Plan <br /> [_l Other (explain Remarks) <br /> rages Name Ph*, FA %P: to / /.:e., eke was /l y <br /> PROPOSED CITY/COUNTU TATE F " r 6 S as <br /> PROJECT CONTRACT AWARD DA2Tc Cer rtfc.- Ara+7-w ^, <br /> REMARKS: <br /> Project Name: _ y.C 4 etch -9 r/r rr,.,.tl+, it wfG <br /> Project Purpcae: C4c.*_ /n ,5'� ^ LeTE <br /> Reelect Location: '_tail Syrtis 12 e- t 73 'II d <br /> r• - I L <br /> City or Township: C+r7`a/aat //w <br /> T.r 1/4 of Section _LA_ Tip 3/ <br /> N Range W <br /> C&1 ( 812) 4834634 if assistance in completing this form is required. Please attach drawing", plans and other data as <br /> outlined in 'Rice Creek Watershed District Permit Information <br /> form along with the appropriate fee according to schedule oa Page 4 of the Permit - available rm it ] d Inf request Mao or ,a this <br /> seta of appropriate exhibits to the above address for this Permoe no t p Brochure. hide your ad tt use <br /> for any IIeQeeaet7 Permits that 'may be required from other governmental l agencies. <br /> dies not preclude r applying <br /> Form A8-78, Revised 01 -01.96 <br />