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Get Ingham County Soil Erosion Permit Form

L PERMIT Expiration Date Date Issued APPLICANT Landowner Permit Code R RMD PERMIT NO. Authorized Agent C CMD W AG (Please check if applicant is the landowner or authorized agent*) Name Phone # Address Fax # City State Zip PROJECT LOCATION AND PROPOSED EARTH CHANGE Township/City/Village Property Tax ID Number (Obtain from local government agency) Street Address Subdivision Section Lot No. Describe Proposed Earth Change Size of Earth Change (acres or square feet) Distance.

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