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Permit#IZ-��a <br /> SHORELINE EROSION PROTECTION — FAST TRACK PERMIT <br /> MINNEHAHA CREEK WATERSHED DISTRICT(MCWD) <br /> GRAY FRESHWATER CENTER <br /> Z600 SHADYWOOD R4AD Ph: 952-471-0590 <br /> EXCELSIOR,MN'.i.'1'i331 Fax:952-471-0682 <br /> '"ro�� nr'7E.'>vi0 ,� �F r1�tKFl o Y;T�ES <br /> t, reside at io�a.� �N � � �-u D�t . <br /> t�Pe����1 (street/�dci�s) <br /> t'D At� PR 191 R� ,�,,� :�i.3^�� ,(vL)581- i v�)v request ap�oval to instaq riprap <br /> (�) (�) (�P) (�1e) <br /> shor+e�a�e erosion pnot�on on pmperty descrieed as ��►,o R E s r ���N r R�k ,located in <br /> �soreet edd�s� <br /> ' n�x�� , �-�.�.,�.. , c��- ��� - a 3 -3'� •CCO 1. The�prap ir�aMeti�an <br /> (Vl�lhtn the GtY bounderfes) (CouMy) lPrope�tY ID# LPIDf� <br /> wiil�af i Y;t� akmg the shor�eline of �rYl�k�_ , � . Q�vw, in full <br /> (unea�teeg f�-ake) (BeY) <br /> a000�danoe with the MinneNaha Creek Wa�ershed Distric� Shoretine Protedion Guidetine fi� <br /> �P�P deoement►Bciuired far issuanoe af a Fast Track General Permit I have oontr�ted with <br /> CONCEPT LAIVOSGAWING <br /> 3153 � (Street add►�ss) (GitY) C�P) `--)(Flane) - <br /> MOUND,MN 553�, <br /> {eond r�annber�j t �f°�ihe werk who Is familiar with the tiechnicai <br /> reyuireme�s�d Nas ft�Glled the bonding r�equiremerrts of fhe wa�disbict(see page <br /> twp). I have t��d and w�derstand ihe requirements af the MCWD relatlng to Shoreline Er�sion <br /> Pr,btection. <br /> � <br /> • � � • ; <br /> . '� , t � <br /> '(SIBn�qse af P�ope�ty owner) ' (Deos) <br /> Subscribed and sw�om to before me on this day af ,20 . <br /> �Y� <br /> APProved hy= Da�s <br /> oietrautton: �P�opaey Owne► Yca�araclor �Mur�idpaily _DNR �olstbt Fie <br /> Page 1 of 2 ' <br /> d (�; ' � � 1 <br /> ' '._� .J t�_: �J �-Y-� I' I�I <br /> �'j� <br /> ' ' 1� DEC 0 3 `lOS2 �!! '� <br /> � _' �—� <br /> � <br /> a -- _ .__-- .. :�_ <br /> L_ ._.--� .� _ <br />