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JUN-28-2004 10�19 FROM TO 9522494616 P.02/04 <br /> ,_.^� j}; I�t . <br /> , .. . �4 <br /> � `� �� D �C�����. <br /> : i � <br /> :� <br /> i.: <br /> :� �u�v x � 2Qo¢ � <br /> , <br /> � ` � Permit # d`�"3 3 y <br /> ' SHORELINE ERO � PROTECTION — FAS`t�-T <br /> � <br /> MINNEHANA CREEK WATERSHED DISTRICT (MCWD) <br /> GRAY FRESHWATER CENTER <br /> 2500 SNADYWOOD ROAD Ph: 952-471-0590 <br /> EXC�LSIOR� MN 55331 Fax: 952-471-0B82 � � <br /> I, �0�"'�fi �. S�I�a reside at 1 `t 4 8 5�wd.� fZ.�( . <br /> (Property Owner) (Street Add�ess) __ ` <br /> �� <br /> a� � �� � S��9�� ����" ��� request�approval to instail riprap <br /> ��KYj (�) (�P) (Phon�) <br /> shoreline erosion pratedion on property described as�, 4 9� �t a o( l� �er� �/ ,located in <br /> �r o�o • (Strset address � <br /> .�_ ,��H"+t p�� �„_17-1 I -2 -Z y•Oo 2�The�iprap installation <br /> (witl�fn the City boundaries) (courity) (Proparty ID# �PI�#J) <br /> will consist of���� alonD�the shoreline of fVl1M+�s'�'+�k.� ey. <br /> ,� M�'r'� ��-h in full <br /> . (unoal teet) . (�ake)��� �--' '.--. <br /> . accordance with the Minnehaha Creek Watershed District Shoreline Protection Ouideline for <br /> riprap placement requir+ed for issuance of �Fast Tracl�General Permft. I havs contra�te.d with <br /> laOGc� LY�C. ,455u Shove.G�n�'DY. Sprinq PCuuc �.5� 4�E�3µ3 <br /> (Name of Compamr) (Streot addres6) (City) (Z�p) (Phone) <br /> 3q���'� ,tv pertorm the work who is familia�with the technical <br /> (Bond Number) , <br /> requ(remerrts and has fu�illed the bonding requirements of the watershed district(see page <br /> finro). I have read and understand the requirements of the MCWD relating to Shoreline Erosion <br /> Profection. <br /> � - c�4 ' r �0 /1 e /03 <br /> (Signature of Propsrty pvmar)• ` ""—'�` <br /> . (oato) <br /> Subscnbed and sworn before me on this_���' day of _ ZpQ� <br /> � Q • ■ � <br /> Nota Public � � <br /> . 6HERYL A.CATTEpNER <br /> rrr oo°1��MIAt��j�� � <br /> � <br /> Approved by: ( , � � Date � <br /> DishlbuGon: ^Properiy pymp� _Co�trackp� �Mu�qp�dlly _DNR _pistrlCt Plle <br /> Page 1 of 2 � <br />