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JUN-11-2007 10�48 P.02i02 <br /> Permit # � - Z?� <br /> SHORELINE EROSION PROTEC710N — FAST TRACK PERMIT <br /> MINNEHAHA CREEK Wi�TERSHEb DISTRICT (MCWD) <br /> 18202 Minnetonka Blvd. <br /> Deephaven, MN 55391 � Ph: 952-471-0590 <br /> Fax: !�52-471-0882 <br /> I J��nv (>L�-��-p���e reside at <br /> =fPropertyOwne�) `-� (Str.eetAddress).. <br /> --������-_� �� �I , ��t�'� 7S 3.request approvs�to i��stall riprap <br /> (City) (S�ate} (Trp) (Phone) <br /> shoreline erosion protection on property desc�ibed as � , located in <br /> (Street address) <br /> �D�S�- ,� I�' ,[�i-Ir"I�2�-N3_(_y�Z . Theriprapinstallation <br /> (Within the City boundaries) (County) (Property fD# [PID#]) <br /> will consist of��along the shoreline of I�t���1Ct�►�� .1JpQ,,�� q-��vi in full <br /> (Llneal foet) (Lake) (Bay) <br /> accordance with the Minnel�aha Creek Watershed Dist�ict Shot�line Protection Guideline for <br /> riprap placement required for issuance of a Fast Track General Permit. f have contracted with <br /> �C L�� I�C��, �5 ���2}�7.L��� <br /> N <br /> (Name of Company) (Street address) (City) (Zip) (Phone) <br /> ��I �� _, to pertorm the work who is familiar with the technical <br /> (Bond Number) <br /> requirements and has fulfilfed the bonding �equirements of the watershed district(see page <br /> two). I have read and understand the requirements of the MCWD.�elating to Shoreline Erosion <br /> Protection • <br /> � ���2 y�p� <br /> . i�nature o ?ropetry Oamer) , (Date) . <br /> Subscribed and sworn ta before me vn this-- 'G�day of �it, 20�� <br /> , <br /> �- TANYA DUDYGW <br /> Notary ublic ' �' � �� A , <br /> ' ��w NOYARY PU9LIC•MINH�86TA <br /> �ly Comm�E�PIr��J�n�91,POot <br /> Approved by: �L�� � Date Q� ��� �7Z <br /> DistribuUon: _Property Owner _Contraqor _Munlcipality _DNR _,Oishict Flle <br /> � Page 1 of 2 D � � � � � � <br /> JUN 0 E 1007 <br /> TOTAL P.02 <br />