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OCT-26-2004 10�24 P.02i02 <br /> U� w � , ��• • '` , <br /> G . 'J �,��•, <br /> . G::T 1 � 200� � <br /> Permit #04 - 55 <br /> SHORELINE EROSION PROTECTION — FAST TRACK PERMIT <br /> MINNEHAHA CREEK WATERSHED DISTRICT (MCWD) <br /> 18202 MINNE70NKA BLVD. Ph: 952-471-0590 <br /> DEEPHAVEN, MN 55391 Fex: 952-471�0682 <br /> �,_ �eh� Z�k reside at I�40 G��ie�t PIA�e <br /> (Property Owner) (Street Address) <br /> /�d u�_, /y1/v 5�3/v�', (�?� 7 ' Uo�request approval to install riprap <br /> (City) (State) (Zlp) (Ahone) <br /> shoreline erosion protection on p�operty described as�� ��r 4c� , located in <br /> (Street a dress) <br /> �-��p � � � . O�l//7-Z3-3.� (�r Z, The riprap installation <br /> (Within the City baundaries) (County) (Property 1D# (PID#]) <br /> will consist of Sa� along the shoreline of /!/�%/I/�� _ �ZK� , - ���U�`� �—.=—��full <br /> (Llneal feet) . �(�ke) �Bay? <br /> accordance with the Minnehaha Creek Watershed District Shoreline Protec�tion Guideline for <br /> riprap placement required for issuance of a Fast Track General Permit. I havs contracted with <br /> P e ,�� ��. s�����r �.3'33/ �9�jy��y <br /> (Name of Company) (Street addresa) (City} (�ip) (Phone) <br /> ' , to perform the work who is familiar with the technic$I • <br /> (Bond Numbe�) <br /> requirements and has fulfilled the bonding requirements of the watershed district(see page <br /> two). t have read and understand the requirements of the MCWD relating to Shoreline �rosion <br /> Protection. � , ` <br /> 1�-�— �� � � ��. <br /> (Sign9ture af Property Owne� (Date) ;� <br /> Subscribed and swom to before me on this day,of � [�����i2� , 20�. <br /> � �...�;, iJ�A�' �CF►TNRYN IANDBERG <br /> hC�,+'�� F'u9uC-NIP1NE30TA <br /> N ' . Publi� �vi r COMMISSION <br /> �PiF�ES JAN.31,ZpQS <br /> �,.— <br /> Approved by: Date 5 <br /> Distribudon: _Property Owner _Cantraclor r,Municipality _DNR _Olstrlct Fle <br /> Page 1 of 2 <br /> rnrAi P A� <br />