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Permit# i - y5 <br /> SHORELIIV� EROSIOB� PFiOTECT901V — FAST' T'RACK PER�UiIT <br /> MINNEHAHA CREEK WATERSHED DISTRICT (MCWD) <br /> 18202 NiIN(VETOMKA BLVD. Ph: 952-471-0590 <br /> DEEPNAVEiV, MM 55391 Fax: 952-471-0682 <br /> i David Dianis resiae at Ocean House 410 579 NE Plantation Road <br /> (Property Owner) (Street Address) <br /> Stuart FL 34996 U 225-0064 U <br /> (City) (State) (zip) (Phone) (Fax) <br /> dkd410@camcast.net request approval to install riprap shoreline erosion protection <br /> (email) <br /> on property described as 3865 Ba side Road Orono ! <br /> y , located in <br /> (Street address) ithin the City boundaries) <br /> Hennepin 0511723230010 � �hJe7pr P�3a����� � <br /> (County) (Property ID# [PID#]) ' <br /> will consist of 2001 alvng the shoreline of Mlllnet011ka� StUbbS Y in full �' <br /> (Linear 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 /> Minnetonka Portable Dredging 500 West Lake Street EXCeISiOt' S5331 ��474-9454 <br /> (Name of Company) (Street address) (City) (Zip) (Phone) <br /> ON FILE , to perform the work who is familiar with the technical <br /> (Bond Number) <br /> requirements and has fulfilled the bonding requirements of the watershed district(see page <br /> two). I hav ad and un nd the requirements of the MCWD re(ating to Shoreline Erosion <br /> Protecti . <br /> . �, �/�j�o�,��i 2_ <br /> r- Date <br /> 5 t re of Property Owner) � ) <br /> :�S day of �K---1 o b�— , Zp �Z <br /> Subscribed and sworn to before me on this _ <br /> �l��J:.L�-�-C.�%L� �' � <br /> Notary Public <br /> � <br /> ' � <br /> Approved by: Date Z <br /> Distribution: j�Property Owner �Contractor �Muniapality _DNR �District File <br /> Page 1 of 2 s: _ _.._ .__..._n. _- - <br /> ((� (� , , <br /> �' � '� ULSD '� �� <br /> ,,,,,,,,,,,,, � ' N 0 V 2 9 �i;12 <br /> ;=o�''"�"`b;': ELISABETH J ALEKS <br /> : . ;"= 4_,.0 <br /> - Notary Publlc•State of Florida <br /> �9� "a�;My Comm.Expires Apr 26,2015 � <br /> �t.y__ <br /> ,�4F�F���P�� Commission#EE 87651 �'�"� .""'"`-T`�"'.`"`. <br /> ����� <br /> _'°'=---e�•�.. <br />