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Lowrfium River Watershed Management Organization <br />("LRRWMO") <br />Andover Anoka —Ramsey <br />2015 First Avenue Anoka, MN 55303 <br />START OF <br />PROJECT: <br />EST. COMPLETION <br />DATE: <br />APPROVAL <br />DATE: _ 11 /21 /19 <br />Pv shicintt.tbislier it.A it atien ibe tlraderii ad 4 iiutl ;rietS U h 111'_ f the A141110111 that:. <br />l .y The permit application fee is non-refundable. Escrow deposits will be held by the LRRWMO until the <br />project has been completed and all conditions of issuance ofthe permit are satisfied. The Applicant is <br />responsible for all expenses incurred by the LRRWMO in the processing, administration and <br />enforcement of the permit application and permit. The escrow deposit will be used to reimburse the <br />LRRWMO for all expenses incurred by the LRRWMO in processing, administering and enforcing the <br />permit application and permit, including engineering, legal and other consultant costs. If such <br />expenses exceed the escrow deposit, the LRRWMO will bill the Applicant or Perrnittve for such <br />excess amount and payment will be due -within twenty (20) days of mailing the invoice. Timely <br />payment of such invoices is a condition of all permits and work may be stopped on the project for <br />failure to make payments when due. <br />2. The undersigned, its agents, principal, assigns and/or representatives (hereinafter "Permitter') shall <br />abide by ail the standard conditions and special terms and conditions of the LRRWMO. <br />3. Any -work that violates the terms of the permit may result in the LRRVT O or the City In which the <br />work is being done immediately causing the work on the project relating to the permit to cease and <br />desist. All work on the project shall cease until the permit conditions are met and approved by the <br />RW O and/or the City in which the werk is being done. <br />4. The Pormiltee agrees to be bound by the terms of the LRRWMO permit requirements, final permit, <br />• standard conditions, and special conditions required by the 1.M00.,10 for approval of the permit. The <br />undersigned has the authority to bind the permit holder, the owner of the property and/or any entity <br />performing work on the properly pursuant to the terms of L.RRWMO permit, and shall be responsible <br />for complying with terms of the LRRWMO permit. <br />"X certify that l have thoroughly reed and understand the above information." <br />Signature of property owner or designated Data Signature o <br />Agent (no agent without a letter of authority) <br />Print Signer's name <br />ctn ,pledged b'Clityl <br />axn of ity'Ooial <br />from prope <br />Print Signers name <br />SIGNATURE OF LELR.WMO CHAIRMAN: _ <br />*"N TE Subject to conditions recommended by Bob Ober Byer, Barr Engineering (see attached) . <br />PERMIT IS NOT VALID IF PROJECT HAS NOT STARTED WITE YEAR 111.0/vi. DATE OF <br />POVAL <br />410" <br />.44411194:: <br />erent <br />City - <br />Date <br />Deto <br />rehensive Watershed Management Plan <br />Lower Rum River Watershed Management Organization <br />October 2011(Remised September O1) <br />t3 <br />