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- ~• Revised 6/14/93 Permit No. 9'~-3 <br />, City Authorization: y~Nj~/F~ Date Received ~3.9g/ <br />C LOWER RUM RIVER WATERSHED MANAGEMENT ORGANIZATION <br />ANDOVER - ANORA - COON RAPIDS - RAMSEY ~-I <br />Permit Application for Construction <br />A S500 escrow deposit shall accompany this permit. Applicant <br />acknowledges familiarity with LRRWMO rules, regulations, and <br />ordinances. Permits are to be processed with the site plan, <br />plat application, and approval of the city in which the <br />project its located. a `_ <br />OWNER L.. (b..•C' f'ctI •,~J' e / l '~- f L PHONE o~. ~-~S S'~o <br />ADDRESS ~?I /~ /~VCe-vat c7 <br />APPLICANT ~Qi' f ~-/ cx- h g,I O PHONE ~~"~Sp~ <br />ADDRESS l7/ 1~ /i)cc~Jq~a f~i~c~o~c~ <br />c.~~= <br />DATE J~-3"' 9~ZF <br />NOTE: The applicant assumes all responsibility for <br />compliance with permit conditions. <br />PROJECT NAME ~~e ~'c.5 4~J~ <br />ADDRESS/LOCATION <br />PRO99JECT DESCRIPTION/PURPOSE ,~ ~'ecx ge e Xt 5'~'i ~n ~ c.ye~~~ <br />`I'[J C('~c~`(e o~Ue/1 c.~Q~l-ec- ~ Ponr.~ <br />PROJECT SUBMITTALS <br />GRADING PLAN: Including existing and proposed <br />contours and boundaries of alI wetlands ar_d surface <br />waters. <br />STORM SE'r7ER/DRAINAGE 2L2.N: Including all permanent <br />drainage features and all peranent water cuality <br />features. <br />EROSION CONTROL PLAN: Including all temporary <br />meas es pro&osed to maintt in all edim nt oa site. ~ <br />p/e~q~ ~ri.'~e~ic~ c~:c l~ i3C p~~zce~©Y- t-epl.~..~J~~csc3~~4 ~ <br />MITIGATTffON PLAN: Quality llevel of mitigated gac~ec( <br />wetland (s ) shall be determined by the LRRWMO. W,l4~ih ~ cQ~~ <br />START OF PROJECT SRP ESTI.*SATED END OF PROJECT ~'l9~ g~Q 4 <br />CG'%n$+CC~ .en SCCixa~ <br />.PROJECT APPROVAL DATE: <br />•. SIGNATURE OF LRRWMO CHAIRMAN <br />