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74) <br /> <br /> STATE OF HI Nt.'ESOTA <br />DEPARTMENT of NATURAL RESOURCES <br /> <br />APPLICATION FOR PERMIT TO WORK IN PUBLIC WATERS <br /> <br />· the owner of land in Government lot(s) <br /> <br />, township no.(s) --~ ., rangeCs) c~ff' , <br /> <br />· ~900J~ - DOD-- O0 , <br /> (lot, block & subdivision) <br /> <br />county(ies) ____~ .... which is riparian to ~ ~;Ve~ <br /> (nwne of lake or stream) <br />applies pursuant to Minnesota Statutes Chapter lOS and other applicable statutes for a permit to work in the <br />public water(s) named above, in accordance with all data, maps, plans, and other information submitted <br />herewith and made a part hereof. <br /> PROPOSAL <br /> <br />IT IS PROPOSED TO: /-__~ excavate, ~ fill, /~7 construct, /~7 remove, <br /> (cheek) ~ install, ~ abandon, or ~ other(speeif~) ~pe...~ <br />THE FOI,LOh'ING: ~ dam, {--~ shore-protection, ~7 shoreline, ~ harbor, /--7 channel, ~7 bridge, <br /> (cheek) ~ culvert, ~ wharf, ~ obstruction, or ~7 other(specify) ~o~5 <br /> JUSTIFICATION <br />Explain why this project is needed: <br /> <br /> ENVIRONMENTAL IMPACT <br /> <br />1. Anticipated changes in water and related land resources: <br /> <br />2. Unavoidable but anticipated detrimental effects:- <br /> <br />3. Alternatives to the action proposed: Do ~o~- d~_~/~ ~ <br /> <br /> PROJECT SITE DATA <br />1. Describe the type and amount of aquatic vegetation present: <br /> <br />2. Describe the nature of the material beneath the water.: <br /> <br />3. Describe the nature of the upland area: <br /> <br />4. Describe type and amount of nearby shoreland development: <br /> <br />S. ENCLOSE SKETCH DESCRIBING WATER LEVEL FLUCTUATIONS. <br /> (see ~netz~ction~) <br /> (continued on reverse side) <br /> <br />ATTACH EXTRA SHEETS IF NECESSARY <br /> <br /> <br />