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OCT-26-2001 14�09 MINNEHAHA CREEK WATERSHED 6124710682 P.02i05 <br /> � <br /> _ �1����' <br /> . � � �,2 20�� �a� <br /> Perm�t# ao- QC� �'' � <br /> ��: <br /> SHORELINE EROSION PROTECTI(�N-FAST TRAC -<<-°''Y, y- <br /> . M1NN�HAMA CRE�K WATERSHED DISTRICT � <br /> GF�IY �RESHWATER CENTER Ph: . 471-0590 <br /> 250� SHADYW�OD R�OD FAX: 471-0682 <br /> EXCELStOR, MN 55331 � <br /> I� I�u�_ 0�.., �eside at 3��fl 1�a�y�a�� �oa.� <br /> (Prope y Owner) (St�eel Addr ss) <br /> ,�,�,�r,o , �'L„., 5S3�b ,- �/13 - ah3 6 request approval ta install <br /> (City) (State) (Zip) (Phone) � <br /> riprap shoreline erosion protection on property descri�ed as S�- ;located in <br /> (street addr�ss) <br /> ���� . �� , QS � i� a 3 �i o o , � . The rip rap installation <br /> (Within the City boundarles) (County) (PID#) . <br /> will consist of 3s(� along the shoreline of �')-�k� , ���-��s in full <br /> . (lineal feel) N �Lake) (Bay) <br /> accordance with�h� Minnehaha Creek VWatershed Di�strict Shore{ine Protection Guideline for <br /> riprap placement required for issuance of a Fast Track General Permik_ 1 harre contracted with <br /> CON�EPT LANDBCAPIN(3 <br /> 3153 PRIEST LANE <br /> ---M 6� � -- - � � <br /> ame o ompany) (Ad�ress) ' (Phone) . <br /> � , � , to pertvrm the work who is familiar vr�ith the teehnical requireme�ts <br /> (Bond mber) . <br /> and has ulfilied the bonding requirements of the watershed district (see reverse), I have read <br /> � � and understand the requrrements of the MCWD relating to Sha�eline Erosion Protection. <br /> — ��a".'"�"� <br /> (Signature of Property Owng�) (Date) <br /> Subscribed and sworn to.before me on this �t� . day of p�Fa 6.�. , 20� ► <br /> . ` � �� -- <br /> � �,, <br /> } „� JAMES WAROLD SMITH <br /> �d NOTnFlY PUBUGMINNESC�1'A <br /> � J i��r coMMissioN�wi�s i��� <br /> � <br /> Not Public i` • <br /> - ' p►Pproved By: �- � Date; <br /> istribut�on: �,Pro�,e►iy Own�r _Contractar _Municipal�ty _DNR _District ile <br />