Laserfiche WebLink
OCT-30-2007 13�53 P.02i02 <br /> Pern,ic� � �I Z_ <br /> Sandblank��t �ern�►it and Sand Source Euhibit Form � <br /> FAST TRACKPERMIT <br /> MINNENAHA Ci�EEFt WATEIt�NED 018TRICT(MCWQ) <br /> 18Z02 MINNETONKA BLYd. Ph; 66Z�471•0680 <br /> DEEPHAVEN, MN 55381 Fax: 952-4T1-p682 <br /> I, C++A�c�s �c+vR L. resid�;ae a7� Z CMte�.,�� Av4.. <br /> cP��r�n �k'�4 <br /> N 39 1 ,(�S, 471^�,SEY requeal app��ll b in�tell a S�dblankst on prope►iy descn� <br /> ote� p (�non�) <br /> �S Z73 Z. G4o�-+W� A+J E. . localed In v�'�v L�4�1N�►N <br /> � — <br /> : (8Qset sddrsa�) (IMlhln tl�s C�tq oam0ener) — (Countl�l . <br /> ��'�._�,,._,,,���on u►,�ct M.�►�►�i�ruU� C�er��ius 8�'� , <br /> (�'�' t�) <br /> I ►�ve contracte'd with 0� t�P�#�AN6 N�� , <br /> (Ne�,�l IDS��1� • (So-ea�sae�esa) <br /> M�AIa:lu1N� ta inetall clqan sand irom Vte <br /> ' (c.�ty.s ZipJ (Phone� <br /> fOIIOW{�SOU�CB_�I��_ �A.v.C�. , . . �� <br /> c�vM�M laa.zip) <br /> SL) - S <br /> � � <br /> 1 wili i 81a11 tt�e ket ilowin , <br /> t�uPP�kr) <br /> �— _,�yG <br /> tAtp�e�i N� �ate, c ( hoae <br /> My Bhoreline is w feet and th��dimenoions of the proposed aandbtenk�at are: ��X <br /> „ , (LenOml <br /> �X,�a,�. BendDlankel dkonenalona cannot exceed a length of S�0'(or SOg6 of ahorel�ne), <br /> ��h' <br /> a width of 10' and a depth of 8�". 6f this project reQui►es municipal approval or �eview, please attac� <br /> dncumenlatiare of the mun'icipel approvel with this eppliCalion_ <br /> I under�fand thet If thls appllcadon is no1 mmpletely filled cut, v�if I fail to submK the requl�ed exhlbits, the <br /> 6�pplPcati!!�1 ia incomple�e �nd will bv retumed. It wili not be rieviewad by MCWU atat� u�til pompEete. By <br /> sfgning thi� applicapon, 1 agree and u��de�stand ihat fhe Oiatrict m�rry erder the prvperty st�aaonable hour� <br /> to condue�.an inapeetion to de�ennima whether the terms of the partnit are bein�met. I furthe�und��stsnd that <br /> It I vblate the 4e�m� and conbipo�s of the permit lhal ie Issued based upon thia application, the Dislrict shall <br /> canduct a fleld inspeclion of the ��bjed Per MCWD Rule J, p►ovided wilh nhia �pplicat�on. I underst�nd the <br /> DisMd will charge�feee b cover Fhe actual co� oF fleld inspecGon9, i��luding invesbgation of ihe area <br /> 6� by !he work, anefyais of tlie w+ork, including !ha servica� of legal �counsel and engtneers, and any <br /> Bubeequent monit4ring af the work. Th�District's aotual aosts ere deemed tu begln accruing whvt�tA�plaUict <br /> issues notice of the violation oo peimittee. I heve read and understend Ihe MCWD Techniool C3uidelinee For <br /> �and . ts. <br /> ���� , <br /> � gf o%7 <br /> �+asre el e'&�ne+� "�c �) <br /> 8u�acrfDea and swom te DMore Me�oru this ►d'� day of _5��..._�.�. ,200�l _ <br /> ` }� �WV►ESNAROIDg�TF� <br /> Nolary PubliF ��c <br /> . � <br /> W t;mrn F�ra�.,�1.zoro <br /> � � ��� i� <br /> ,� <br /> aP�.d by: � � <br /> � r,� , ;. <br /> OGT 2 5 2001 �-� <br /> TnTAi P A� <br />