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r <br /> �F���-la-;�i�� u��:�,H FF�ar�: <br /> , Tu:��,�Lr,��;�.��i F.� <br /> RtECEtVEp <br /> MAY 1 ? 2010 <br /> Permit #�C--_12� <br /> � SHORELINE EROSI(�N PROTECTI_ON� FAST TRACK PERMIT � <br /> MINNEHAHA CREEK WATERSHED DISTRICT (MCWD) <br /> 18202 Minnetonka Blvd. <br /> Deephaven, MN 55391 Ph: 952-471-0590 <br /> Fax: 952-�71-0682 <br /> I,_�eU��_�__7��..�►___reside at__1�7 8��oNco20y�R ST' <br /> ------------------------------- <br /> (Properiy Owner) (Street Address) <br /> �� ��t� N .�53q� (o� ��G�3G <br /> ___�__`�,_________,_(V)____ _______, (__Z}___________ request approval to install riprap <br /> (Clry) (State) (Zip) (Phone) <br /> shoreline erosion protection on property described as 17A��c�ccr�•�� S"�'____, located in <br /> �___ __ <br /> O ��� � (5treet addro:ss) <br /> ,-- ------�---^----_ -•-�,����� ,,,^-----,��-_I I'1-_'l3 _z2_mal_�. The riprapinstallation <br /> (Within!he City boundaries) (Courlty) (Prpperty ID# [PID#]) <br /> will consist of I��� along the shoreline of_ (Y1�'nJr o�v��c ✓�, __�!E'cfi �w1___ in full <br /> (Lineal feet� (Lake) T (Bay) <br /> accordance with the Minnehaha Creek Watershed Disirict Shoreline Protection Guideline for <br /> riprap placement required for issuance oi a Fast Track General Permit. I have contracted with <br /> -----------------------�---�-------------------------------- � --�--------- <br /> (Name of Company) (Slreet address) (City) (Zip) (Phone) <br /> _ _ ___, to porform the work who is familiar with the techniCal <br /> (Bond Number) <br /> requirements and has fulfiiled the bonding requirements of the watershed district (seo page <br /> two). I have read and understand the requirements of the MCWO re(ating to Shoreline Erosion <br /> Protection. <br /> � ���N���''--------- <br /> -------�r — -----------�----------------- ------------- ------ <br /> (S� �ture oi Property Owner) (Dace) <br /> Subscri ad an s n to before me on this__�7��day of _�ej�___._�______, 201D <br /> / <br /> ---- -------- JOAN M� <br /> � o ry Pubiic Notary Pubt <br /> � Sate of Minn�sol� <br /> �—,_� — -�� <br /> � � �../�' ' /r' /L� /�l <br /> Approved by: '� - - __ Date_7 I <br /> Distributlon: _Proporty Owner __Conlractor ,_MuniGpallry _,QNR _pislnct Flia <br /> Page 1 of 2 <br />