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A _ j <br /> i <br /> _ -- <br /> I' ''V?i' <br /> I i <br /> A s I}Ai I) <br /> 1 Q _ 2Perm t <br /> SHORELINE EROSION PROTECTION — FAST TRAC <br /> MINNEHAHA CREEK WATERSHED DISTRICT (MCWD) <br /> 18202 Minnetonka Blvd. <br /> Deephaven, MN 55391 Ph: 952-471-0590 <br /> Fax: 952-471-0682 <br /> reside at 5S63 C6,kcu"e, 64. <br /> (Property Owner) (Street Address) <br /> 67c,`,e Vrt h j.Sy2 (I`LZ) W�—4 263request approval to install riprap <br /> (City) (State) (Zip) (Phone) <br /> shoreline erosion protection on property described as 22 V �i0 h ��`�'`` I2G6 located in <br /> f t Street address <br /> 6��m �7C v�v� , o.5-�� 7` 2�— 3`/`0011 The riprap installation <br /> (Within the City boundaries) (County) (Property ID# [PID#]) <br /> will consist of Sly along the shoreline of )A4'k `s �U k)l-)-S in full <br /> (Lineal 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 /> 4A 1�4. n�� ®14�rZ DCJ Ve_s kk lac. � 1 (5%3•z) /2� -9 s�- / <br /> (Name of Company) (Street address) (City) (Zip) (Phone) <br /> ° �f- , 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 /> Protec�on. <br /> AD <br /> (Signature of P perty Owner) �)n (D te) <br /> Subscribed and sworn to before is day of—�/ ' � 20j <br /> "'°A,Nai.,_jynn easil•Niccum <br /> Notary I Rotary Public <br /> Minnesota <br /> CommissionEKp4esJanuary31,2012 <br /> Approved by: Date kt 11., 16 <br /> Distribution: _Property Owner _Contractor _Municipality _DNR _District File <br /> Page 1 of 2 <br />