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AUG-03-2001 17�53 MINNEHAHA CREEK WATERSHED 6124710682 P.02i02 <br /> _ ' D� �������,�`-_`:�:. <br /> � ' 1 c! . . <br /> � � ��j <br /> �a _,�� � � 2001 '� <br /> � Permit# Q�.- 29� <br /> SHORELINE ERO ON-FAST TRACK PERMIT <br /> MlNNEHAM�► CREEK WATERSHED DISTRICT <br /> GRAY FRESHWATER CENTER Ph: 471-0590 <br /> 2500 SHADYWOOD ROOD FAX: ..4.71-0682 <br /> EXCEL,SIDR, MN 55331 � <br /> I,ST•�v��✓ �fc�. reside at �,p�aoo �n,�q,2 <br /> (Property Owner) (Street Ad�dress) <br /> � ��S,a,� ,�f�✓ S`".�'.�.3/, �,�,-5/7j-D_�i� re�uest approval to instaU <br /> ( ity) (State) (Zip) (Phane) <br /> riprap shoreline erosion protection on property descnbed as s�'ir,� , Iocated in <br /> . (street address) <br /> , �✓ , �/-�/�-�� �/ QDD�The rip rap installation <br /> ( ithin the City boundaries) (County) (PlD#) <br /> will consist o# i v�� along the shorefine of����q. in full <br /> (lineal feet) (Lake) (Bey) <br /> accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline for <br /> riprap placement required for issuance of a Fast Track General Permit. t have cantracted with <br /> Minnetonka Portable Dredging <br /> , , , <br /> (Naf ' (Acidress) (Phone). • <br /> Fxce sior, <br /> 47A�-9A54 , to pe�FoRn the woric who is familiar with the technical requirements <br /> (Bond Number) <br /> and has fulfilled the bonding requirements of the watershed district (see reverse). I have read <br /> and understand the r�quirements of the M�WD relating to Shoreli�e Erosion Protection_ <br /> ���.�, �P�. �-� , �1Z°1� � <br /> �(Signature�-o�Propeirty Owner) (Date) <br /> Subscribed and sworn to befo�e me on this____�(�� day of ; � , 200� <br /> .. <br /> � . <br /> . ��� <br /> No, � Pubfic � �ycuonw,�c,,,�,�� <br /> _-- <br /> Approved By: �� �� Date: � <br /> P <br /> Dish-i ution: _Property Ovmer ,�Conhactor �Municip ity DNR _District File . <br />