5350 Pacific Way
Longview, WA 98632
Attach plans and supporting engineering documents if applicable.
Applicant has read and fully understands the conditions set forth on the reverse side hereof, and the signature hereon by
applicant constitutes applicant’s full and complete agreement to be bound by such conditions in the event the permit requested
is granted. The conditions of this permit, included herein and/or attached hereto, are hereby accepted by the applicant who
hereby agrees to comply with said conditions, and acknowledges receipt of a copy thereof. This permit is not valid unless
signed by the Manager of CDID #1.
United States Army Corps of Engineers (USACE)
This permit requested is hereby granted to the applicant, subject to the following conditions:
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