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•• � <br /> � ,s, �� r1 �-� o��.� � pCC� C� OC� C <br /> �.e,�c.�c <br /> APR 0 9 1.012 <br /> Pe�rnit# <br /> SHORELINE EROSION PROTECTION - FAS <br /> MINNEHAHA CREEK WATERSHED DISTRICT(MCWD) i2 "��� <br /> GRAY FRESHWATER CENTER <br /> 2500 SHADYWOOD ROAD Ph: 952-471-05g0 <br /> EXCELSIOR,IAN 55331 Fax:952-4T1-0682 <br /> I, S�e�2 ���\5�--n reside et �'�o o �c�i��w, ,,,,• '�ocvQ <br /> (�Y��I (Street Addr�ess) <br /> �lv�v . �"I�� _'��33� ,(y�.� H i r - 9 3ay requesi approval ta instap riprap <br /> (�Y) fs�) �P) ��8) <br /> shot+eline e�fon pratec:don on property described ss `���•�- ,located in <br /> �s'hreet address) <br /> C7�w n o � , �.�,,,.�- ,,�.v ��� a 3�y o c�S The riprap ir�atlai <br /> (YVitl�n the C�Y bounderies) (CouMY) (Prop�tY ID# l��l <br /> wiN�af `1� ' along the shoreline of 7Y?�kci. , e,cv�m�--- in full <br /> N�� (�e) (�Y) <br /> a000rdenoe with the (1�Ntmehaha Cnaeic Waberst�ed District Shoreline Protedion Guideline�or <br /> riprap piaoement reqt�red for issuance of a F�t Tradc Generai Pertnit i have oonti'�ded with <br /> _ �.���nt l�a�,�.A�:-�� 3�53 n� �.m �rYI�U.�- 55-''C.`I (95��yz -y►r� <br /> (Nartie ComPan!►) ( addrees) {ClIY) (�P) (��) • <br /> � ��\{- ,to perfi�rm ihe vrnrk wFa is famitiar with the tiec�nic�l <br /> (��� <br /> requi�ements a�d tias fi�lled the bonding nequfrernents d tlte watershed distrid(�ee page <br /> two). I have read and w�derst�d the requireme�s of the�ACWD�efa�ng ta Sho�eline E�sion <br /> Protedion. . <br /> � ; <br /> � �� " � (�__ ` - � -3 - �z. <br /> (S�ue d ProPertY Ow�wr) (D�a) - <br /> $Ubs ' nci Swom to me on thlS � h`� a ' � .20�. <br /> /� ` JAMES HAROLD SMITH <br /> �cZ� gk�4��4'�t Notary Pubtic <br /> � Minnesota <br /> �ti ..�� My Comm.Expires <br /> , <br /> �""`` Jan 31,2015 <br /> � - <br /> A►PProved bYc � D�e Z <br /> ois�bWoo: _Prape�b owner _conhacmr _Munk�peily ._DNR _DfeYid FAe <br /> Pege 1 of 2 <br />