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JAN-18-2002 10�51 MINNEHAHA CREEK WATERSHED 6124710682 P.02/02 <br /> . . � o�l <br /> . . �� <br /> - .�t� ...� - .—..�.. <br /> � SHORELINE EROSION PR � C F CK PERMIT <br /> -- ,b <br /> . MINNEHAHA CREEK WATERSHED �ISTRICT .1 <br /> GRAY FRESHWATER CEN7ER � Ph:��°�71-0590 <br /> 2500 SHADYWOOD ROOD FAX: 471•0682 <br /> EXCELSIOR, MN 55331 <br /> reside at 1+� �'1 5�"A�,..� `�'� <br /> �' ��"�' ,�q��� (Str�et Add�ess) <br /> (Property Owner) . . <br /> �]_ �� _ � '`(`�1nn S S 3�i I _. - a o request approval to install <br /> (City) (State) (ZiP) (Phone) <br /> riprap shoreline erosion protection on prope�ty described as �am•-- , located in <br /> (street address) <br /> �� , _ a3_ . The rip rap instaliation <br /> (�thin the City boundaries) � (Counly) (PID#) <br /> will consist of . 135 along the shoreline of_�`��-�Go� , C'J o�S 'f� in full <br /> (lineal feet) (Lake) (Bay) <br /> accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline far <br /> �ip�ap placement required for issuance of a Fast Track General Permit. I have contracted with <br /> �8153 PRIEST I�.AANE G <br /> � (Address) ' � (Phone) � <br /> � <br /> � ,� , to perform the work who is familiar with the technical requi�ements <br /> (6ond umbe�) <br /> and has ulflled the bonding uirements of the watershed district (see reverse�. I have read <br /> and undecs�and the require en . o the MCWD relating to Shoreline Erosion Protection. <br /> / , <br /> r <br /> ___ � � : <br /> ��'� (Sign re f e Owner (Date) <br /> Subs ribed and sworn to before me on this 18{�' day of i�.�`�.Y..b•r -• 2001- <br /> . . <br /> � �.;;�;;'3. JAMES HAROLD SMITH <br /> �„�Y� NOTARY PUBLIC.IAINNESOTA <br /> \ MY CAI�d�ISSWN E7fPIR&6151-2� <br /> Nota Public ' <br /> A roved B : -�• Date: v <br /> PP Y I <br /> � <br /> Distribution: _ProhcrcY Owne� _ �oT _N�unic�p�uy _DNR Dist�ict ile <br />