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JUN-13-2007 11�21 P.03iO4 <br /> ._.. � Permit #D - 219 <br /> SHORELINE ERO:�ION PROTECTION - FA►ST TRACK PERMIT <br /> MINNEHAHA CREEK W�►TERSHED DISTRICT (MCWD) <br /> 18202 Minnetonka Blvd. <br /> Deephaven, MN 55391 Ph: 952-471-0590 <br /> Fax: 952-471-068a <br /> t;� � vJ reside at � <br /> �P�e ,}ow er �— <br /> ( p ►ty ) (St�e��t Address) <br /> W�`I?-�'��k MII�.�_ �) , (� r�equest approval to install riprap <br /> (City) � (State) (ZiAI (Phone)r <br /> shoreline erosion protection �n property described as�}Id.��1Q.�i-� (�1�� , located in <br /> (Street addre s) <br /> ���OI� , }�FlS1.��V 1.� , [�-111-23-4,�-D(�2�. The riprap installation <br /> (INithin the City boundaries) (County) (Properry ID# �PID#j) <br /> will consist of I l�(� alvng the shoreline of��C�Q .7 A , ►JU�T1� }��_in full <br /> (Lineal feet) (Lake) (Bay) <br /> accordance with the Minnehaha C�eek Watershed District Shor�line Protection Guideline for <br /> riprap placement required for issuance of a Fast Track General Permit. I have contracted with <br /> '�.��U Pf 1 UC.. ,u5�v 5�?�����2-54���i�_S__K`3���(g� -11 <br /> (Name of Company) ' (Street address) (City) (Zip) (Phone) <br /> 3� D U�� , to perform the work who is familiar with the technical <br /> (Bond Number) � � <br /> requirements and has fulfilled the bonding requirements of the watershed disttict(see page <br /> two). I have read and u derstand the requirements of the MCWD relating to Shoreline Erosion <br /> Pr tion, . <br /> � � Z I 0(v <br /> `-� ign�ture aF ProP� � , (Dete) <br /> f�e <br /> Subscribed and swom to before me on this �� � day of��c e r►-t be Y` , 2 poG <br /> C E��Z� DAHLENE M.A9NN� ' <br /> Notary Public � Nodry��DM'M� <br /> � <br /> Approved by:_;� �'-�/ Date �� .� � <br /> Distribution: TProperly Owner _Contraqor `MunicipaGly ' _,DNR _Dlstrlcl F'de <br /> Page 1 of 2 D � � � Q � LS <br /> � <br /> . JUN 0 8 200T <br />