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MAY-02-2005 08�53 P.05i05 <br /> Permit #t�5-_�, <br /> SHORELINE EROSi01� PROTECTION �- FASI� TRACK PERMIT <br /> MINNEHAHA CREEK WATERSHED DISTRICT (MCWD) <br /> 18202 Minnetonka Blvd. <br /> Deephaven, MN 55391 Ph: �5:!-471-0590 <br /> Fax: 952��71-0682 <br /> I,�(�17�'�('�%J'�_resideat a4��� C.I�C.d (�uT _Ir,�?----- <br /> (Property Owner) (Street Address) M <br /> �Z�NO _,�iN `�3�1�, (G�l.�- �S"o-�So�reqwest approval to install riprap <br /> (City) � (State) (Zip) (Phone) <br /> ��� <br /> shoreline erosion protection on property described as ��l g �=�1'`�-a R'!� , located in <br /> (Street�ddress) '- � <br /> �CZo� l�L�Nu 1��—, _ -_- --- The riprap installation <br /> (Within the City boundaries) (County) (Property(D# [PID#]) <br /> will cansist of �� along the shoreline of_Lf�'k�E �r,uN�-��� c��,��5„ in full <br /> (Lineal feet) (Lake) (Bay) <br /> accordance with the Minnehaha Creek Watershed District ShorElinE; Protection Guideline for <br /> riprap placement required for issuance of a Fast Track General PeRnit. I have contracted with <br /> �y�,:►���5 Ti�1=�� d-- 17�6 c-H�:r�n Bua.y l�aYo GlSc� <br /> _�f�'�Sc�C�� �iuL 5}p�ca PEx N�tiJ SS 3`7.�L---- ��)�`1 S�1�l/ <br /> —�--------- — --- <br /> (Name of Company) (Street address) ��(City) (Zip) (Phone) <br /> ���,��_ _, to pertorm the work who is familiar witt�the technical <br /> (Bond Number) <br /> requirements and has fulfilled the bonding requirements of the watersh�ed district(see page <br /> two). I have read and understand the requirements of the MCWD relating tv Shoreline Erosion <br /> Protection. <br /> �._-- -------- f� � .� 3%a ooS' <br /> (Slgnawre of Properry vner) (Date) <br /> S c ' d and sworn to fore me on this� day of� � , 200�� <br /> • �,. ,��„�. , �.,.a..m — <br /> ��`'"••� A MARY,4.��pUIERS <br /> +rs""v� <br /> — a�s� (votary I'ublic <br /> ry P � � MinnosoSa <br /> v,�,;n:�'My Ccmmi,slnn I'xplil3 J�nu�iy 31,2001 <br /> .y^GP�`�ll'i"�CW'whr^'�qr <br /> `�� z1I0S <br /> Approved by: ` Date <br /> Oisfibution: _Property Owner _Conaacror _MunlcJpellty _�NR _pistrict File <br /> Pag D ��� ��� �., i; <br /> ,, <br /> APR � l. 200`i <br /> � <br /> TOTAL P.05 <br />