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HI_I��-1:=:—'�'� L1EL� �_�'� : 15 F'r•1 �'iTk::i� F'�iF'THE:LE DF'EiiGE r� l '�4 i 4E�i 1� F' . k�l <br /> � , 99 � <br /> > � I� <br /> MzNNEz�AHA CR��EK WAT��S�iF.D Dl�`�`�I�'I' <br /> C�ray �'reshwater Foundallon }'h: 471-0590 <br /> 250U Shadywood Road, Excelsior, MI�I 5533i I�ax: 47I-4682 <br /> �HORLLINF. EROSION PKOTECZ'��N - 1�AS"T TR�1.CK I'�RMI�i' __�_ <br /> �,y ..__ ,.�lm D.Q(I QS�� _ residing at_ ,37oD _ �'.asco rQ Uehu� --- -- -- <br /> (Property(?�ti�ter) � (Strcet A<IJ<<�s.$) <br /> �...__L���Yl D � ____M` " �J,3 � p�i: __LLL-O_�_a.�, request approval to install <br /> (�9ty� (Statc,Zip} <br /> tipfsp shore�i�ze erosion protection on pro��erty desctibed as __ �700 ('�_iSCe l�le � . located in <br /> (Stre�l Ac��lress) <br /> �' • 20_ ( The ri ra installaEion <br /> - ,^:_.�_.��QYI U._�______--. , �P_Yt n e o�h __ _�_�_�Z 3_�1.�6 0 �/0 P P <br /> (�ity) (Counly) (P[i�t! loca�e�f on la� slateilrcair) <br /> ��-• . <br /> urjSl consist of��55� along the shoreline of���jCq, ,__.�_Qy�rt en.�, in full accorcfance �vith <br /> � .', (Lineal feel) ([ake) (33aY) <br /> ih� Minnehat�►a Creek Watersh.ed Uistrict Shoreli�e Protection Guideiine for riprap place,nerlt reqtiired foc <br /> is9�ance of a I�ast "I`rack General Permit. I have contracte� �vith <br /> �, , <br /> : '��� �a�_p�,'h��L�-1.�'�yi�)__, _ .__�4�_l�1 e_�t-_ Ca ke Srre�} Exce ,� r � 7� 9�f��� , <br /> (NameofCompany) (�ddress) �l/I!V �ZJ.3�' ----- (i,hnn�) <br /> _ ____ __�_ _, tc> perform tf�e work wlio is faniiliar ��-I�I1 II}C feC.IlfIICAI requirements and has <br /> , (Bond Ni.E�uher) <br /> .' fulfi3led the bonding requirenzents of tlie wate�shed district (se.e revei sc) ( have read a�ld unc9erst�t7d the <br /> � requirerz�ents of the �� 'W �(aiing to Shoreline Erosion ['r�teclioil <br /> �: /' _ � s �. <br /> �--•-- ' .� _ —. �I//1_ N4lNN�HANA Cf�EEK <br /> ��' " ° E'"'�'��� °' 't�� � ���a��� WA7ERSHECi I�IST�tiCT <br /> _..--___..__ --------- --- ----- -- <br /> ; Svt�scribed and s�v�rn lo �efore �r�e ora tlzis _���_ da}' of�i��._, . _ ���9G-------A�� t �--}g�� <br /> 1 � d" _-_ <br /> � ..y,.. JU�F! E. NiCCtJM '� � �t, � � � /� <br /> I� NOTAF3Y PU8liF1AM�lI�SOTA f � <br /> -- � - - .!/ .. _ - -- �,� HEf�tEi'!M COIIPl1Y <br /> _ o a f y F ���i l i c .�...� My Comm, Exp�s Jan,91.2� <br /> � n.�«r�.r..�.�.�...v..4.y. <br /> : . <br /> ,i <br /> 1� Approved I3y - --- �. �- ���� <br /> - . _ __�. <br /> 1 �es Efafne , Uistrict Technician (l�arc� <br /> Dis[ribution f'ruGrcrtyC)���icr Contraclor Muuic���alily I)tJIZ Oisln�� { lae. <br /> fasc <br />