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JUN-10-2003 17�37 MINNEHAHA CREEK WATERSHED 6124710682 P.63/03 <br /> . ay� O �2��� <br /> . ����,���L <br /> Permit#�- �s�o <br /> �� � SHORELIN� EROSION PROTECTION - FAST TRACK PERMIT <br /> MINNEHAHA CREEK WATERSWEp DISTRICT (MCWD) <br /> GRAY FRESHWATER CENTER , <br /> 2500 SHADYWOOD ROAD Ph: 952-471-OS90 <br /> � EXCELSIOR� MN 55331 Fax: 852-471-0682 <br /> �����OSG/!/r� reside at a0 �� .511�� ��0' /I G <br /> (Property Owne� � (Street dress) <br /> _��� ��� ,�i�! s�3qr , (�) y��"�0�request approval to install riprap <br /> /(c'�ty) (State) (�p) (Phone) <br /> , shoreline erosivn prvtection on property described as O�a d /��'� � �,located in <br /> . .. .. .. ���1�_����t �ti , f�' //�-a�st3�^d,� The riprap insh�llation <br /> �l.� <br /> �thin the G'dy boundaries) ( uMy) (Property ID# (PID#J) <br /> will consist of�along the shorelin�of ��h l4���I k� , CR S � � __ in full <br /> (Lineal feet) (Lakel • f�Y1 <br /> accordance with the Minnehaha Creek Watershed District Shor+eline ProtEction Guideline for <br /> riprap placem�nt required for issuance of a Fast Track General Perm�. i have confracted with <br /> IJIJNt� �1rT1 � ���1� M�QQ��� G.r��T�J�V� �� �7 r$3u3 . <br /> (Name of Company) (Street address) (Cit�r) (T�p) (Phone) <br /> 3 q g S�'� ___�,to pertorm the work who is familiar with the technical <br /> (Bond Number) <br /> requiremerrts and has fuffilled the bonding requirements of the watershed dlstrict(see page <br /> two). I have read and understand the requirements of the MCWD rel8ting to Shoreline Erosion <br /> Prot ' n. <br /> . � � �-- a3 <br /> (5igna�e of P r� _..._ �o�� <br /> Subscribed and sw�o to before me on this �� day of_V�- ,20� <br /> Q • . ■ <br /> N PubIIC ' BHERYLA.LATTERNER <br /> NOTARY PU9IJGMWNE9mA <br /> MY COMMIS�ION EIfPIRE3 t�i1-�O6 <br /> \ <br /> Approved by: � Date_�O� <br /> aaa�,a«�; _Prope►ty awner _co�a�actor _Mur�palny �NR �a FYa <br /> Page 1 of 2 <br /> TOTAL P.03 <br />