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ze'd �d101 <br /> Permit# - <br /> SHORELINE EROSION PROTECTION - IF�►ST TRACK PERMIT <br /> MINNEHAHA CREEK WATERSHED DISTRICT (MCWCI) <br /> 18202 Minnetonka Blvd, <br /> Deephaven, MN 55391 Ph: 952�71-0590 <br /> FaK: !852-471-0682 <br /> I.C,��� ��t?aC1%. reside at�3, C�P�c�,��,��1 <br /> (Pr�perty Owner) • (Street Address) <br /> ��� , I—� �, �Z g�I.?522L�Request approval to install riprap <br /> (C�l+) (�) (�p) (Phona) <br /> shoreline erosion protection on property desccibed as�1�'�L[1�►�r �cY� , located in <br /> (S�h�eet eddress) <br /> ��Q�� , H�U�1PQ1� .?�-�1"1-'�•�92��t2 . Tfieriprapinstallation <br /> (Wlihln the City boundaMes) (Cowrty) (Propert�r ID# [PID#n <br /> will consist of�_along the shvr�eline of �� ' in full <br /> (Lineal feet) (L.ake) • (BeY) <br /> accflrciance with the Minnehaha Creek Watershed Dishict Shoreline Protection Guidellne for <br /> riprap plac�ment requi�ed��� issuance of a Fast Track Gen�ral PeRnit. I have contractad with <br /> i�f�r �C--a Li�� I ruc_ , 4��n5'��i-:�R 4�2� 5��f (�_�2�_ <br /> (Name of Company) (Street add�ss) (City) (Zip) (Phone) <br /> 3��� ,to perForm the woc1c who is famlliar with the technical <br /> (9ond Number) <br /> requirements and has fuffilled the bond'mg requiremen�c�f the wafiet�shed distrid(see page <br /> iwo). I have read and unde�stand tite.requirements of the MC'IM)relating to Shoreline Erosion <br /> Protection. <br /> --,��-.�.��.� ^ �� ~ � �-- <br /> :����' :,:�L " <br /> Su ribed and swo t,o before me on this 2� --day of, ��U ,2a� <br /> � � <br /> . ERIC D.PE:i'ER•�°ON <br /> Notary PubliC �� NOTARY PUBIIC-MINNESOtA <br /> My Caam.EaP�Jan.31,2011 <br /> Approved by: /��► ��'"�' Dabe�f S 0 <br /> Distr�buUOn: Pmperty Owne,r Contractor Munhapatdy ,^DNR �Oisi�ict Flle . <br /> PBge 1 Of 2 ' � �r �? � �� � <br /> � � �i <br /> , . OC� fl Z�'�1 <br /> Z0iZ0'd bb:TT L00z-S0-1�0 <br />