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, . *. <br /> D ��� _\ <br /> ��� ��« <br /> �1-Z � Permit# e� 19Z�11 � <br /> � <br /> SHORELINE EROSION PROTECTION — FAST TRACK PER <br /> MINNEHAHA CREEK WATERSHED DISTRICT (MCWD) <br /> 18202 Minnetonka Bivd. <br /> Deephaven, MN 55391 Ph: 952-471-0590 <br /> Fax: 952-471-0682 � <br /> I, � � e� 6 reside at ����< S � � ��b a . <br /> �Property Owner) (Street Address) <br /> �,� ,� ��i� , (� Z-�2'"��'equest approval to install riprap <br /> (City) (State) (Zip) (Phone) <br /> shor�I ine erosion p�otection on p�operty described as �V V 1�1� , located in <br /> j'�C�� , 1���.� ,/,//'�-`/2tree��ress) The ri ra installation <br /> U � � �. p p <br /> (Within the City boundaries) (County) (Property ID# [PID#]) <br /> will consist of/� along the shoreline of / ►b�v� , Cc 6b�, in full <br /> (Lineal feet) (Lake) (Bay) <br /> accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline for <br /> riprap placement required for issuance of a Fast Track General Permit. I have cflntracted with <br /> l�r��; Pat�- pc�d� , �6U �-� t�� �c� �3'331 �� �`�/� ��/s/ <br /> (Name of Company) (Street address) (City) (Zip) (Phone) <br /> /'- ���'�.— ,to perform the work who is familiar with the technical <br /> (Bond Number) <br /> requirements and has fuifilled the bonding requirements of the watershed district(see page <br /> iwo). I have read and understand the requirements of the MCWD relating to Shoreline Erosion <br /> Protec' n. � <br /> /7�,� / / <br /> (Signature of Property Owner) , � � (Date) <br /> Subscrib d to bef e o his�day of c! U�'{� , 20 G� <br /> —� <br /> _�=�...� <br /> —�--- <br /> ' ' ' Thomas C Niccum <br /> Notary Public ;�" Notary PubOc <br /> s� ' Minnesoia <br /> '�N,f,?t"f,,,,•My Commissbn Expires Jenueuy 91,2012 <br /> Approved by: Date � �� <br /> Disiribution: V Property Qwner JContractor V Municlpalily _DNR �D1sUid Flie <br /> Page 1 of 2 <br />