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0.7lE$ ®L 7 <br />NATURAL RESOURCES J . <br />LOCAL UNIT OF GOVERNMENT COMMENTS., :.:.,, . . <br />. PART B <br />aecuon i t ru ae comprerea oy appacany <br />Name of Applicant _ Address (Street, RFD. Box No.. City, State, Zip Code) . . <br />Minnesota Department of Transportation 2055 N. Lilac Dr., Golden Valley, MN 55422 <br />PROJECT LOCATIONI Anoka — SE '1%4 <br />Mississippi River <br />or <br />I hereby submit this application for permit to: <br />(mark proper box) <br />appropriate water Co work in protected waters <br />Section II (To be completed by local unit of government <br />1 Sig � t lic n Date <br />X r �( �ffi 3- ! S -YO <br />The following local unit of government comments and /or recommendations are submitted for consideration by the <br />Department of Natural Resources In the disposition of the referenced permit application. ( YOUR RESPONSE MUST BE <br />SUBMITTED TO THE DNR WITHIN 30 DAY S.) Water Appropriation Permit Applications and Protected Waters Permit <br />Applications are to be sent to the DNR Regional Office. SEE REVERSE SIDE FOR CORRECT MAILING ADDRESSES <br />i <br />v <br />Was the proposed project field inspected by this local unit of government? ONO OYES (if Yes, give viewer$ name) <br />Viewers Name Title <br />. r:. <br />Authorized Signature Title Date <br />ITEleptione No.lArea Code) <br />Name of responding Soil and Water Conservation District, Watershed District, City or County <br />Address (of the above named local unit of government) <br />(DNR — Division of Waters addresses on back) <br />