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.,�_� <br /> � � <br /> JUN 1 0 2016 <br /> it # - <br /> SHORELINE EROSION PROTECTION - FAST <br /> MINNEHAHA CREEK WATERSHED DISTRICT (MCWD) <br /> 1532U MINNETONKA BLVD. Ph: 952-471-0590 <br /> MINNETONKA, MN 55345 Fax: 952-471-0682 <br /> I,�Cl�1�� ����,e..r reside at �J�.�1� �-0.r'1'+�� 3<<�t <br /> (Property Owner) (Street Address) <br /> � I��c: Mti 5.5 '�� (��� �c�Q �jy� i , (—) <br /> (C�tY) (State) (Zip) (Phone) (Fax} <br /> request approval to install riprap shoreline erosion protection <br /> (email) <br /> on property described as �«� � , located in <br /> (Street address) (Within the City boundaries) <br /> ,� i t'i.��y U � j+� . The riprap installation <br /> (Counfy) (Property ID# [PID#]) <br /> will consist of 1 H73 along the shoreline of_ "��-k cL , �,Wvw�cr�.; in full <br /> (Lineal feet) (Lake) (gay) <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 /> (NarrP.�.C�p�wui (Street address) (City) (Zip) ( ) (Phone) <br /> 3t7 <br /> M�� �'���$�� , to perform the work who is familiar with the technical <br /> (Bo Number) <br /> requirements and has fulfilled the bonding requirements of the watershed district(see page <br /> two). I have read and understand the requirements of the MCWD relating to Shoreline Erosion <br /> Protection. <br /> C� "� 2t� 1 �o <br /> (Signature of Property Owner) (Date) <br /> Subscribed and sworn to before me on this day of , 20 <br /> Notary Public <br /> Approved by: Date <br /> Distribution: _Property Owner _Contractor Municipality _DNR District File <br /> Pag2 1 of 2 <br />