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* � � r ...,.._, - <br /> � �- '^ � �r ;� i <br /> . DC� C� t� � '� � �; <br /> �, <br /> �, CL�t I �—'�- � `� MAY 4 9 "c u;J <br /> 1 J� <br /> Permit - <br /> _; <br /> SHORELINE EROSION PROTECTION — FAST TRACK <br /> MINNEHAHA CREEK WATERSHED DISTRICT(MCWD) <br /> GRAY FRESHWATER CENTER <br /> 2500 SHADYWOOD ROAD Ph: 952-4t1-0590 <br /> EXCELBtOR, MN 55331 Fax:9:f2-471-0662 <br /> , �1 <br /> �,��o hL�F L a.J e�n�2�' reside at 1�o� �e��' ����►t f'1cc�.� <br /> (prop�y p�� (Street Ad�lresc) <br /> �`Cl1 o.w��� . r��1 r;5'�b , 952) �}9S �ta�� request approvel to install�iprap <br /> (Cty) (S�B) C�P) (Phone) <br /> shor�eline eroeion pratection on property described as S.�•�.. .located in <br /> (Sbr�eec eddress) <br /> .�_r�,�� , ���.— , O 1 11'1 .�.'a .�3 c�►3 . The riprap h�Ne�lon <br /> (NMhin Ule Cily bour►derfes) (Couny►) (�P�Y ID# [PID�) <br /> wil{�sist of .''� 1 along the shoreline of 'Y�f K 4.- ,�4� �n in full <br /> (l.ineel teet) (Lake) (�N) <br /> aooadanoe with the Min�ehahe Creek Waterstied Distri� 3horeflne Protedlon Guidetlne for <br /> CO�fCEPT LAN�S��nt required for issuance of a Fast Tradc Generai Pennit I have aontrac�ed with <br /> �iNt3 <br /> 3153 PFiIEST LN (,) <br /> MOUN , Con�nrryj � (SUe�eddreea) (CnY) (�P) (��) ' <br /> ,:�• �r.{-e. ,bo perfi�mi the w�nrk who is familiar with the technical <br /> (eand Number) <br /> requinemenfs and hes fi�iaed ihe bonding r�equ�err�erds d the watetsited disMd(see page <br /> tw�o). I have r+�d and unde�tand the requir�ements dthe MCWD relaating�o Shore{ine Erosion <br /> Protectbn. <br /> � " ��c-k�Jf �l n.�..'� t'.Sccl'�c,.C,� _____ �- z� - �y _ <br /> l�e d�ae1��) �� <br /> Subscxibed and swom to before me on this day of ,20�• <br /> �� � <br /> APProved bY: � <br /> Gi�bbutlon: _Propeity Owoer �Cantractor �MunbipaflY _DNR .Y.DieYid RIe <br /> Page 1 of 2 <br />