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4175 Forest Lake Drive - 07-117-23-11-0006
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Last modified
8/22/2023 5:29:27 PM
Creation date
8/12/2020 2:49:32 PM
Metadata
Fields
Template:
x Address Old
House Number
4175
Street Name
Forest Lake
Street Type
Drive
Address
4175 Forest Lake Dr
Document Type
Permits/Inspections
PIN
0711723110006
Supplemental fields
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NOV— —2009 10�00 P.02/02 <br /> ��;E1VED <br /> NOV � z z.00s <br /> Permit #o - �3 <br /> �� SHORELINE EROSION PROTECTION �Fa4ST TRACK PERMIT <br /> INNEHAHA CREEK WATERSHED DISTRICT (MCWD) <br /> ' 18202 Minnetonka Blvd. <br /> Deephaven, MN 55391 Ph: 952�71-0590 <br /> � Fax: 952-471-0682 <br /> ��Mallory MullinslMartin Lueck �eside at -�'��`I'`' ���UX � � W <br /> (Property Owner) (Street Address) <br /> l��rl �i ,�(� � MN 55356 �9� 471-7992 request approval to install riprap <br /> ity) (State) (Zip) (Phone) <br /> hor�line erosion protection oii property described as � J��d ��� S� , located in <br /> (Str�et address) <br /> Oromo Hennepin o6-��7-23�a-o0i3 . The riprap installation <br /> (Wit�in the City boundaries) (County) (Property ID# �PID#J) <br /> ill c nsist of 200 along the shoreline of Minnetonka Maxwell in full <br /> P (Lineal feet) (Lake) (Bay) <br /> cco�dance with the Minnehaha Creek Watershed District Shoreline Protection Guideline for <br /> iprap placement required fior issuance of a Fast Track Genera� Permit. I have contracted with <br /> 1 � <br /> Minr�etonka Portable Dredgin� 500 West Lake St .rCX c`.�5�or 55331 � g52� 4749454 <br /> _, <br /> ON�Name of Company) (Street address) (City) (Zip) (Phone) <br /> FILE ,to erform the work who is famili3r with the technical <br /> P <br /> (Bond Number) <br /> equi ements and has fulfilled the bonding requirements of the wate�shed district(see page <br /> o).(I have read and understand the requirements ofthe MCWD relating to Shoreline Erosion <br /> rot�ction, <br /> � ) � � �C4, J�, aoo� <br /> I (Signature of o erty Owner) (�atP) <br /> ubs,cribed and sworn to befo�e me on this�_day of ,�W-�-CJI , 20 0 5 <br /> �•°" '""��,Heidi L nn Basil-Nlocum <br /> Nota � u ic <br /> � Mlnnesota <br /> � '�'�'�My Oommfssion Expites Januay 31,�112 <br /> � �.__. Il�3 0� <br /> pp loved by: Date <br /> istrih�lion: `Properiy Owner _Contractor „Municipality _DNR �,distnct File <br /> Page 1 of 2 \�t � <br /> � �' �`!�r I�� � \9) <br /> �j`��. �r'„ .• <br /> U <br /> N0� � 1 200� <br /> I TOTAL P.02 <br />
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