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JUN-13-2007 11�21 P.04/04 <br /> � Permit #,�7- Z�( <br /> SHOR�LINE ERO�ION PROTECTION -- �A►ST TRACK �ERMIT <br /> MINNEHAHA CREEK WA►TERSHED DISTRICT (MCWD) <br /> 18202 I�innetonka Blvd. <br /> Deephaven, MN 55391 Ph: 952�71-0590 <br /> Fax: 952-471-0682 <br /> ��M � �.�' �►J�-� reside at �O�I�t� L���— <br /> (Pr�operty Owner) (.�tfeet Address� <br /> �1�47�fk�ff� , �_ ��(, (� 1- request approval to instali riprap <br /> (City) (State) (Zip) (Phone) � <br /> shoreline erosion protecfion on prope►ty described�as �-l�iD'�1�`_k� �_, located in <br /> (Sheet address) <br /> ��1J C7 I����IOI� , C�-1��1-Z.3-y3-OdC) I. ?he nprap installation <br /> �thln the City boundaries) � (County) (Property.ID# (PID#]) <br /> will consist of��along the shareline of 1�I IU��DJJ��, A)�Ft �2M in full <br /> (Lineal feet) (Lake) (Bay) <br /> accordance with the Minnehaha Creek Watershed District 5horeline Protection Guideline for <br /> riprap placement required for issuance of a Fast Track General �'ermit. I have contracted with <br /> �CX�� �`(� �(�C..� ,4`Sc�S�tt�1��5�.�� �I/�X,�i°cQ.�4S��(L457�-1 �J��'J <br /> (Name of Company) (Street address) (City) � (Zlp) (Phone) <br /> ���0'-C� , to perfo�m the work who is famioia�with the technical <br /> . (Bond Number) <br /> requir nts and fulfillecl the bonding requirements of the watershed district(see page <br /> two I a e rea and un �tand the requlrements of the MCWD relating to Shoreline Erosion <br /> Pr ecfi n � <br /> � C `�- l �t---�� <br /> :?(Signature of Properly�wner) ?:;�4qAte3 . <br /> Subscribed and swom�to bei'ore me on this I�� day of_ (�e C�V'hbel' , 2p pSo <br /> Qr M�M�sa�ss <br /> Nota Public ._ SHERYI,A,L�1`fERryER <br /> NOTARY PUBUC•MINNE50TA <br /> Mp Comn�sslm <br /> Approved by: ��n���r��✓ Date � U <br /> Oiatribution: _Properly Owner _Contraclor _Munlcipallry _DNR _Distrid File <br /> Page 1 of 2 <br /> TOTAL P.04 <br />