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SEP-12-2001 10�21 MINNEHAHA CREEK WATERSHED 6124710682 P.a2i02 <br /> V � � i � <br /> Permit # 0�-'��� v <br /> SHQRELINE EROSION PROTECTION-FAST TRACK PERMIT <br /> MINNEHAHa CREEK warERSHED DisrRicT <br /> GRAY FRESHWATER CENTER Ph: 47'I-0590 <br /> 2500 SHADYW40D ROOD FAX; 471-0682' <br /> EXCELSIOR, MN 55331 <br /> I, l'��I l� I�'11 ���1� reside at � `_ ,��j ��l.v�l2. � IY�_ <br /> _ ��i �. <br /> (Property Owner) (Street�ddress) <br /> 1 i�(01(lC�__ —_ , �IU �53�1� , _q,,�,���'��`��'j�/� request approval to install <br /> (City) {State) (Zip) (Phone) <br /> riprap shoreline erosion protection on property described as��c.��¢-�x�¢_. ►', located in <br /> (street address) <br /> ��'p y�v , �t�ti�_ ��a i r 7 a33�► �oi t . The rip rap installation <br /> (Within the City boundaries) (County) (P1D#) <br /> will consist of �� afong the shorefine of �i��e.`�v��G�_ , ��D(,c�� in full <br /> (lineal feet) (Lake) (Bay) <br /> accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline for <br /> riprap placement required fvr issuance of a Fast Track General Permit. I have contracted with <br /> �CL�� �I Li/ ,J U' rli/L r � 3�0 ���1d-OC✓ �!�lu� ,�XG�`, �� 7 7,�''7�- <br /> (Name of Company) (,4ddress) (Phone) � <br /> _398$y�_ , to perForm the work who is familiar with the technical requirements <br /> (Bond Number) <br /> and has fulfilled the bonding requirements of the watershed district (see reverse). l have read <br /> � and understand the requirements of the MCWD rel�ting to Shoreline Erosion Protection. <br /> � <br /> a� � <br /> (Signat re of Property Owner) (Date) <br /> Subscribed and sworn to before me on this ��' day of , 2001 <br /> . <br /> SMERYL A.LA�TERNEA <br /> N ota ry Pu b NptpA`(PUBUC.MINNESC�T� , <br /> M'�COMM189lON EKP���'��'�� <br /> ■ <br /> � <br /> Approved By: Daf�: �� 6 <br /> Diskribution: „_,Properry Dwner _Conttac�or `Municipali:y _DNR llisuicl Pilc <br /> TOTAL P.02 <br />