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FEB-17-2000 13:28 MINNEHAHA CREEK WATERSHED 6124710682 P.01i01 <br /> 6 20Y <br /> Permit # 00- L94-113 <br /> —SWGREtifV'E-FRt)SION PROTECTION-FAST TRACK PERMIT <br /> MINNEHAHA CREEK WATERSHED DISTRICT <br /> GRAY FRESHWATER CENTER Ph: 471-0590 <br /> 2500 SHADYWOOD ROOD FAX: 471.0682 <br /> EXCELSIOR, MN 55331 <br /> 'j:, ,wi+ti reside al _444 '�o►=LeA4:�:h �a_d_ <br /> (Property Owner) (Street Address) <br /> Lj l 553ge 6 9.4M-,_2ggyrequest approval to install <br /> (City yy(state) (Zip) (Phone) <br /> riprap shoreline erosion protection on property described as��7J TDH_,� located in <br /> (street address) <br /> //7 -,23_,Z!� l The rip rap installation <br /> (Within the City boundaries) (County) (PID#) <br /> will consist of � along the shoreline of/Yl�. �"�. _ in full <br /> (lineal Feet) (Lake) (Bay) <br /> accordance with the Minr ohaha Creek Watershed District Shoreline Protection Guideline for <br /> riprap placement requires, for issuance of a Fast Track General Permit. I have contracted with <br /> Minnetonka Portable Dr ,-. <br /> (N o (Address) (Phone) <br /> Exceisior, 1VAN 55331 <br /> 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 relating to Shoreline Erosion Protection. <br /> o�. o C) <br /> (Sig atur of Property Owner) (Date} <br /> Subscribed and sworn to )efore me on this day of Y —. 2006 <br /> E Lo {,$ON <br /> NI <br /> IN tary Public <br /> I <br /> Approved By: Date: / 0 <br /> Distribution: _Properly Qwne, _Contraclor" _Municipality _t)NR _District Filc <br /> TOTAL P.01 <br />