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i . . <br /> 99 - <br /> MINNEHAHA CREEK WATERSHED DISTRICT <br /> Gray Freshwater Foundation Ph: 471-0590 <br /> 2500 Shadywood Road, Excelsior, MN 55331 Fax: 471-0682 <br /> SHORELINE EROSION PROTECTION- FAST TRA,CK PERMIT <br /> / � ,, � (,� f� <br /> I, Q ov`- ,�G�'�`"` � residing at � 1 � � ��U1�-I/ n e. 1-Jr"��. <br /> (Prope Owner) (Street Address) <br /> "� � �,�I� /`7/v J�J3�� . pH: �7 9-�J � � , request approval to install <br /> ( ity) (State,Zip) <br /> riprap shore(ine erosion protection on property described as ���J ��4�t,r�-e.. ����`Z„ located in <br /> (Street Address) <br /> ��:,y�,f.�c� , ��✓����� . �/—//�- Z_J Z� OO°Z. The rip rap installation <br /> (City) (County) (PIDN laated on tax sietemeiit) <br /> � e�id^IC�• R1�-.1�j in full accordance with <br /> will consist of 2}d along the shoreline of �'�"` , j,� , <br /> (Lineal feet) (Lake) (I3ay) <br /> the Minnehaha Creek Watershed District Shoreline Protection Guideline for riprap placement required for <br /> issuance of a Fast Track General Permit I have contracted with <br /> ��-kA ,�a�fi� ��. ���_�.� �vo �.,�7` �--r� �f , ��y- 9�sy - <br /> (Name of Company) (Address) � /r �,, 3333/ (Phone) <br /> �Q� <br /> , to perform the work who is familiar with the technical requirements and has <br /> (Bond Nuniber) <br /> fulfilled the bonding requirements of the watershed district(see reverse) . I have read and understand the <br /> requirements of the MCWD re(ating to Shoreline Erosion Protection. <br /> � � g �d Y <br /> (Signature of prope . owner) (Date <br /> Subscribed and sworn to before me on this day of , 1999 <br /> t� e • <br /> DEBRA A.REINHAROT . <br /> � NOTARY PUBUC—MINNE50TA <br /> � � HENNEPIN COUNTY <br /> Notary Public � MY�•��Jan.31,2000� <br /> Approved By: <br /> James Hafner, District Technician �pdc�� <br /> Dis�ribution: Pro�rty Owner Contractor MuniciFwlity DMt District �il�. <br /> fast <br />