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�� � ( Fc r � , <br /> �� s � <br /> l i �=� �-� '_s 9 �` <br /> a c3 <br /> �I I� �11�L � � ��:i�a �� <br /> J� <br /> ��'��-'� P@fl�rtit# �vz__ _ __' <br /> SHORELlNE EROSION PROTECTION - FAST TRACK PERMIT '� <br /> i <br /> MIMNEHAHA CREEK WATERSMEn Dt3TRICT(MCWD) j <br /> GRAY FRESHWATER CENTER ( <br /> 2500 SHADYWOOD ROAD Ph: 952-4T1-05S0 <br /> EXCELSIOR� MN 55331 Pax:952-471-0682 <br /> - i <br /> ! <br /> I, ��L�... �c. e� reside at ��.S 1 r�..,�,G c.� �,-an , <br /> tp��y pwner) (Street Addreas) i <br /> i <br /> �.r,��, ,� i�:��39 i , � �.)�3 ���� request approval to instaii�prap <br /> (�Y) ��� C�P) (Phone} � <br /> SIIOf�@I�I18 @n0610t1�h011 Oh pfOp@i'ty d8S(XlbPtd A9 a o�n-cr .focated in � <br /> . (sa�eet eddress) I <br /> ��w,rw , 1.�-��-K- ,�a 1�'1 a����� c,c�� . The�iprap ir�sta�ation i <br /> (VYtthin the City bounda�ies) (CountY) (PropertY ID# [PID#J) <br /> _rn}k� � <br /> wiA�ist of �n atong the sho�eline of , L o�r�..�- in full <br /> (uneal faet) (L.�ke) (�Y) <br /> a000ndanoe with the NNnnehaha Creek Watershed Dis�tct Shoreline Protectbn Gu(deline�or <br /> riprap plac�emeM required for issuance of a Fast Tradc General Pemi�. 1 have aontraded with <br /> CONCEPT LAf�OSCl�P�NG ', <br /> ) � (��) (�Y) (vP) (_.__)�Phone) ' I <br /> MOUND,MN 5 3 : <br /> cY. � v�t.�.. ,to pe�form the wrxk who is familiar with the technical � <br /> (Bond,Number)� � <br /> requirem�its and ttas fuffiNed the bw�dMg reyuirements af the wa�efshed disMd(see page ' <br /> two). i have read and under��tand the requi of the MCWD r+elating to Shoreline F�sion j <br /> Protectbn. <br /> � 1 �d,f •,�,/( S `Zc7 l ( <br /> ( d�Aem► ) �°�� <br /> .,_ ` i <br /> S and swom t fone e on this �`� `� day of .�� ,20�-• i <br /> , <br /> �,.,;?, JAMES HAROLD SMITH ; <br /> ,� �'4` Notary Public ! <br /> ��Y�� g�� Minnesota '; <br /> ti J My Comm. Expires <br /> �`�` Jan 31,2015 I <br /> I <br /> Approved by: ,' �: Da�e���.— � <br /> � � <br /> OiatrbWion: _PropertY Oiwner Ca�h�sctor �Munidpaily _ONR _Dis6id Fle <br /> Page 1 of 2 <br /> � I�I <br /> i <br /> t� <br />