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FEB-26-1999 14:21 M I NHEHHHH CREEK bJATERSHED 6124 710682 P.02/02 <br /> A- <br /> MINNEHAHA CREEK. WATERSHED DISTRICT <br /> 590 <br /> Gray Freshwater Foundation - Suite 37 Fa X71-0x: d71-065822 <br /> 2500 Shadywood Road, Excelsior, N 5533x Fax: <br /> SHORELINE EROSION PROTECTION- FAST TRACK PERMIT <br /> residing at /.;,00 <br /> (Prop"WC)wncr) (Streei Address) <br /> 1„/ 553.540. PH: 4.1 I-V `Z , request approval to install <br /> (City) (State,'Lip) <br /> riprap shoreline erosion protection on property described as located ;n <br /> (Street Address) <br /> �)e ��,, <br /> �n� 7� ,' �$ - !�r a L c7, -5 The rip rap installation <br /> (City) (County) _ (PrD4 kicsted on tax s0ternent) <br /> will consist of /A5 along the shoreline Z&X in full accordance with <br /> (Lineal fcct) (Lake:) (Bay) <br /> the Minnehaha Creek Watershed District Shoreline Protection Guideline for riprap placement required for <br /> issuance of a Fast Track General Permit. I have contracted with fly f <br /> (Name ofGompany) —�� (Address) (Phone) <br /> to perform the work who is familiar with the technical requirements and had <br /> (Boni! Number) <br /> fulfilled the bonding requirements of the watershed district (see reverse) . 1 have read and understand the <br /> requirements of the MCWD relating to Shoreline Erosion Protection. <br /> (.icaa rc <br /> hvopeny owner) (Dale) <br /> Subscribed and sworn to before me on this day of�L4— 998.4 <br /> t fP Ij iAn, <br /> ,.r�w'PTFE <br /> �2 � -J, <br /> '. a <br /> Notary Public <br /> Approved By <br /> Ja es Hafn r, District Technician <br /> Disttribntion: Property Owner C'ontra:tor Municipality DNR District I'ilc/L'ngutecrs <br /> TOTAL P.P2 <br />