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�0'd �d101 <br /> �yUU" I��L�bb� 11�.7C{"'� r KUI'I• 1 V�01GJJ'TJJ1L � ��' � <br /> Permit# - <br /> SHORELINE ERQ►510N PROTECTION — FAST 1�RACK PERMIT <br /> MINNEHAHA CREEK WaT�RSHED DISTRICT (MCWD) <br /> 1B2D2 Minnetonke Blvd. <br /> Deephaven. MN 65381 Ph: 85Z�•71-0590 <br /> Fex: 952-4T1-0682 <br /> � Judson Champlin �eside at 2643 7horoughbred Lane <br /> (Property Owner) (Streot Address) <br /> Long Lake MN 55356 U 334- requeet ap oval lo install riprap <br /> (ctty) � (stoto) (Zip)�' �1 <br /> shoreiine erosion pratectfon on property descri ed as 210 Sig Island , located in <br /> (street eddross <br /> Orono Mennepin 2 �T-2s-2s-oo34 , The riprap installation <br /> , <br /> (1Mthln the Clty baunderiee) (County) (P�ope <br /> wi�l cons�st of ���`��along the shoreline of Mi11C1etOnka � l.ower Lake �n fu�l <br /> (Li�eal feet) (Laka) (Bay) <br /> accordance with the Minnohaha Creek Watershed Dlstrict Shoreline protectlon Guldellne for <br /> r(p�ap placement required far ussuance of a Fast Track General Permi�. I have contracted wlth <br /> Mlnnetonka Portable Dredging 500 West Lake St. E,y��,� 5►D.,r 55331 � •r4-��4 <br /> �.,_ --- <br /> (Name or Company) (slreet eddress) (Clty) (Zip) (Phone) <br /> On File ,to pertorm the work who is familiar with the technical <br /> (Bond Number) <br /> requlrements and has fuFfllled the bonding requirements of the watershed distrlct(see page <br /> fwo). e re and un rstend the requirements of the MCWD relating to Shoreline Erosion <br /> tectlon. � <br /> �ov �� ��a � <br /> (Slgnelure of Propeny �er � (Dale} <br /> ubscr' d swom t n thls� dey of� �2�7 <br /> � M <br /> b�i NOFIEEN K. TERFIY <br /> Notiary Publto�Minnesota <br /> �y�,,,�rn�a���o,o <br /> / <br /> Apprnved by`� Date <br /> Dlab'ibutlon: TPfaperty Owner �Conlrattor _Munldpollry 17NR _„DIsIAct Flle <br /> . page 1 of�2 <br /> p [� � [� � d � <br /> n�c � e cuui <br /> � <br /> �e,�a•d �z:eti 80az-zz-Ndr <br />