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AUG-27-2003 11�29 MINNEHAHA CREEK WATERSHED 6124710682 P.03iO3 <br /> �` 3 <br /> � � permit#Q <br /> . 5andbl�nket Perrnit ao�d Sand Sourc� �xhib�t Farm <br /> FAST TRACK PERMIT <br /> MINNEHAFIp CREEK WATERSN�D DISTRI�T(MCWD) <br /> 18202 MiNNETONKA BLVD. Ph: es�-a�r�-o�ea <br /> DEEPHAVEN, AAN 55391 FaX�852�471-06a2 <br /> �� ;Ae�s�ri.� <br /> Im���M � I'98ideSt O �K �oo , Lam��.l-.akc <br /> (Prop�dy Owner) , Caress) (Cliy) <br /> � . 5�35� � ���b- o�S� requeet eppreval to inateJl a aandblanket on proper�y desoribed <br /> (8ta�e,�a) (Phonc) , <br /> a� 3 a�� e� �- ., located in ��.�-4 , ��. <br /> (S�rost addreea) (vlrithin ffio Aty bour�arla�l (oounry) <br /> dv �11 a'� +�3 oa�v on �m�-k� ��— <br /> (Propsriy ID#(P1Dl��) lakh► -", "..._ ' �Y� COP1^EPT LAIVD$CAi�INC <br /> �p�y��pM' I.pN6SCAPIN� �153 PRIEST I.ANE <br /> �I have contra�ted with 5153 PRIEST LANE ^ <br /> tN • iSti��t aCCre99) <br /> .,,,,, `, (,�,, to Install oleAn sand from ihe <br /> (CkY�8rato.ZIR1 lPhone) <br /> follvwing source ��+ ��-,-�- �- � - <br /> (Eupp�la� --��•••�� (Addroccl (Clty�.?Jp} � <br /> 9� ��I� <br /> (Phona) <br /> ❑ 1 wlll instn!!th�eandblanket from th�tvElowinp soures , <br /> (6uQpfnM <br /> o�..... i �� <br /> (naaro�a) (Olry.9wte.nP) iPhonq <br /> My shoreline is �� fieet and the dimen�ior��of t�e propcs�ed sandblanke�are: 30, X <br /> � S��) <br /> �?( 1 ° . Se�ndbl�nk�4 dimenaions oanrrat excedd a langth af b0'(or 5p96 of shoreline), <br /> cDaa+f+) lw�din� <br /> e wld�h of �o' and a depth o� 6", It th�s proJect requires munlc#P�I approvai or rev�ew, Rle�se �ttach <br /> docum0+�tation ef the munl�ipal apprvval with this application. <br /> I understand that if thio applicetion i� not c�mplgtely illled out, �r If € 4a�1 to subrnit the requ3red exhlblts, the <br /> appllc�tJon is incomplsts and wlll be returne�. It wQl not be raviewed by MCWD etaff until complete. By <br /> eignln0 this appllcatl9n, i agroe and unde�atand thet the D�sirlct may antor tho praparry a�raa�aonable hours <br /> to conduct ar�InspeCtion to det�rmine whethsr th�terms of the permii ai�b�in�met 1 t�rther u�darstand that <br /> If I vlolate the terms and conditions of the pennH that Is lssua�d aased upon thls apRliGa�on, the Dlstrlct shall <br /> conduct a fleld Inspeotlon of the prcJ�et p�r MC4ND Rule J, provided wi�th this appllc�tion. I undsrsland the <br /> Qlstrict wlll cha�ge Fees to cover the actual oo�te ot fleld inspeotions, inetuding irnsetigaven of the area <br /> affectsd by tne w�rk, 8nalyeie of lhe work, ir�oludlne the servlce� vi lagal counsel and enQlneers, and ar:p <br /> subsequont manitoffng of the work.The Dfe�rlcYa actual cosls are c9�pmed to be�in e�ccruing wii�n�he Di�trict <br /> issues no'- tif the vlolallon ta permltRee. I have read and undvrsta�nd tha MCw�Toen�kal Guidell�ea for <br /> t�p k . �..— �"� <br /> g� 6�0� <br /> ^�� <br /> c9 curs ropBrry owne� T �oase) <br /> Subscr�bed a d wom to b� e �thie�'� 2003 . <br /> � '���1 ,IAMES HAROLD SMI'i1-I <br /> '. uOTAf�Y PUBuGMINNF�;OTA <br /> �(Jotary PUbllc �' -' �:�conv.+isswNe�+iaEs»�-a.oas <br /> 1 <br /> ■ � <br /> Ap roved by: D�te :2- :` <br /> - --- - -----�- <br /> i <br /> TOTAL P.03 <br />