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JAN-04-2001 16:49 MINNEHAHA CREEK WATERSHED 6124710682 P.04iO4 <br /> MINNEHAHA CREEK <br /> WATERSHED DISTRICT <br /> Permit 0 00- ti 13 <br /> SHORELINE EROSION PROTECTION-FAST TRACK PERMIT <br /> MINNEHAHA CREMEQJ&W&@,D18TMCT <br /> GRAY CATER CENTER Ph. 471-0680 <br /> 2500 $NADYWOOD ROOD FAX-1.4711-0610 <br /> EXCELSIOR, MN 5=1 <br /> 1, .qA o � reside at 9.3,.0 I cn�r a a�. � <br /> (PMP"Wowrw) -- (S B) <br /> Qz4m o . 41%A SS 3`I I A171 -, 1i (.3q request approval to install <br /> (Cw) (Skft) (ZIP) (Phono) <br /> riprep shoreline erosion pwtection on property described as — , located in <br /> D.Z:M2 I , 1p(+� ,0 8 iy 1 a3 12- o o o z-. The rip rap installation <br /> MM1n ria city boundaries) (Comfy) (PID#) 2 q <br /> will consist of -10along the shoreline of y►'1 k� , 22ja/ in full <br /> (MMI <br /> feet) (Lake) _.�. (say) <br /> accordance with the Minnehsha Creek Watershed DiaM Shoreline Protection Guideline for <br /> dPreP Plat required for of-a Track General Permit I have contracted with <br /> NDIMPiNG <br /> 9158 PRIEST LANE <br /> .MOUND., Mh1I 653" .; <br /> (Name of Company) (A ) (Phone) <br /> to perform the work who is fawdliar with the technical requiremertts <br /> (Bon umber) <br /> and hes filled the bonding requirements of the waWshed district(see reverse). I have read <br /> and understand the ir'enwirb of the MCWD relatlng to Shoreline Erosion Peron. <br /> ( PMPWV o (M ) <br /> $ub5l vxA and Sworn to before no an this A day of O c,.;-o;oeA , 20Q0 <br /> ■ <br /> JAMES IPU1k1C M1N GSaTASMri <br /> NOTARY PUI�IGMINNESOTA <br /> MY CCiMM MUM EXPIRE81-31,20M <br /> Notary Iic ■ <br /> 4provw Ely: Date: <br /> t <br /> TnTl11 D MA <br />