Laserfiche WebLink
. .. <br /> � <br /> . D CC� � � � � <br /> MA� 2 2 2012 <br /> Permit# $y <br /> SHORELINE EROSION PROTECTION — FAST TRACK PERMI <br /> MINNEHAHA CREEK WATERSHED DISTRICT (MCWD) �Z ' �c� <br /> 18202 MINNETONKA BLVD. Ph: 952-471-0590 U� <br /> DEEPHAVEN, MN 55391 Fax: 952-471-0682 <br /> , <br /> , /, <br /> •, , <br /> �, \ e�L�/C � i�� reside at � y n y S v H e��� �y"' , v � <br /> ( roperty Owner) (Street Address) <br /> ! <br /> �/ ;�. ¢ .--4 , �1 �/ •5�3Yr �� �7� c �� �-- (—) � <br /> (City) (State) (Zip) (Phone) (Fax) <br /> .1� /�t/�a�`Y' <br /> r�i,yN�� /Caw�v'c�Nl�,����;U�st apNrovai to�riprap shureiire eresicr� prctectian <br /> / (email) <br /> on property described as ���'�.� , located in Q ` d�� <br /> (Street address) (Within the City boundaries) <br /> ' , II"II�'2 � "�.3`�OD.�The riprap-it�ati�io� �e�a;+'' <br /> (County) (Property ID# (PID#]) <br /> will consist of��S along the shoreline of'��'�'^'`crl"`'��` J�V��.l�_s in full <br /> (Linear 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 contracted with <br /> � <br /> ���(c� Q�r�- ps�`'e �5� ��S� �"Xc- �.3�.33/ ��`� Y7Y S'ys� <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 fulfilled the bonding requirements of the watershed district(see page <br /> two). I have read and understand the requirements of the MCWD relating to Shoreline Erosion <br /> Prote�tion. - �, �� <br /> �., , . � : � _�y _ l� <br /> F ign ure of Property Owner) �� (Date) <br /> Subscribed and sworn to before me on this�day of !V l��� �� , 201 2. <br /> ��.�. _ � .,, : ;_.... ... .. — <br /> 1 ... � :. ` l hom�s G.!Vicca�r � <br /> j *�= Notary Pu�lic <br /> ..2` Mllnnesota <br /> t;;�, <br /> � j— "�:,.+•,..,:'yyWmm'�So�Ew�raJaauary3t,20�1 <br /> , <br /> �as�r�-, , ,,_..�..�,_a,�.,�_.,,,.�. <br /> Approved by: Date <br /> Distribution: �Property Owner �Conlractor VMunicipality _DNR �/District File <br /> Page 1 of 2 <br />