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SEP-05-2003 14:06 MINNEHAHA CREEK WATERSHED 6124710682 P.02/02 <br /> u <br /> AUG 0 4 2003 <br /> Permit# R01 <br /> SHORELINE EROSION PROTECTION — FAST TRACK PERMIT <br /> MINNEHAHA CREEK WATERSHED DISTRICT(MCWD) <br /> GRAY FRESHWATER CENTER <br /> 2500 SHADYWOOD ROAD Ph: 952.471-0590 <br /> EXCELSIOR, MN 55331 Fax: 9(52.471.0682 <br /> 1,57WF- 412F%C+tfG7Z reside at g01) -ro4ggW a <br /> (Property Owner) (Street Address) <br /> _.AAbI._�5 1 L($2) 1,171-of-70-request approval to install riprap <br /> (City) .(Stats) (Zip) (Phone) <br /> shoreline erosion protection on property described as !?( 0 7_04,11412k-"t ,located in <br /> (Street address) <br /> /�6w o ,�{E►�N. ©� —11'1 ��3 l a The riprap installation <br /> (Within the City boundaries) (County) (Property ID# [PID#]) �-D003 <br /> will consist of T76'ralong•the shoreline of 1 d r n}NMO L-A► AA A X P_L.L 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 /> I�OCK4 k i 4 . 14-%D Shote l I fl br. 50r"(10 A&K 4-71-9343 of Company) (Street address) (City) (Zip) (Phone) <br /> 39 S 949 ,to perform the work who is familiar with the technical <br /> (Bond Numbed <br /> requirements and has fulfilled the bonding requirements of the watershed district(see page <br /> two). I have reajafxt understand the requireis of-the MCWD relating to Shoreline Erosion <br /> Pro n. <br /> be4a& - S I I I <br /> (Sombure of Property ) VW (Date) <br /> Subscribed and sworn to before me on this ( day of__ CW0,VU5+ ,20Q3 <br /> A" <br /> Notapq Public SHERYLA.LATTERNER <br /> NOTARY PtKuGMINNEMA <br /> MY OOMMg6810N FJIPIrIE81'J1400i <br /> Approved by:___ <br /> Distrrbutton: —Property owner _Contractor _Municipality _DNR —DIsWcL Rio <br /> Page 1 of 2 <br /> TOTAL P.02 <br />