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APR-28-2004 14�18 FROM TO 2494616 P.03iO3 <br /> �.� -� v �—r v Z:7 c� �� � IJ <br /> r' \ <br /> �� • ,� APR 2 6 2004 <br /> ��p � e�ri� <br /> � 1 ._ _.. � 1 <br /> -��� Permit# - <br /> SHORELINE EROSION PROT�CTION —FAST TRACK PERMIT <br /> MINNEHAHA CREEK WA7ERSHED DISTRICT(MCWD) <br /> GRAY FRESHWATER CENTER <br /> 250� SHAD1fWOOD ROAD Ph: 952-+a71-0590 <br /> EXCELSIOR, MN 55331 Fax: 95��71-0682 <br /> �, ��1 " G �� reside at 3 a s� ('n-�s�o.J�. C�1' o u.� <br /> �Property owner) (stneet dress) <br /> �� .�j� ��3Y( ,��y�i -g�'1 i request approval to install rip�ap <br /> (�!►) (�) �P) (Phona) <br /> shoreline erosion protectlon on properiy described as 5�� ,located in <br /> �street sddr�ee.$) <br /> '�.�.q-,� ����3 �t� :o�. me�iprap ir�llation <br /> (VVlthln the Clry bounderies)� (County) � (Pm�perty ID# [PIQ#J) . <br /> vrilF-+o�ns�st af�S along the shoreline of �i� �, �.�y s�-� in fulf <br /> (unea��eet) (�ce) (Bey►) <br /> acooRlanoe with the Minnehaha Creek Watershed DislricE Shoreline Pmbection Guideline for <br /> ripra�rplaoemerrt t�e��i�d for issuance of a Fast Track General Permit I have oontrac�ed with <br /> C,;G!� ,�''i LA�4����`,� :. � <br /> _ ::3 E�PB�za� �.�:��:� �-) <br /> 9 <br /> Par►�►) ' �Sttset add�sS) ��hY) (�P� (��e) . <br /> ,to perform the work who�f�amiliar with the technicat <br /> (Bon umber) <br /> requirements and has fulfilled the bonding requir�emerrts of the watershed disMct(see page <br /> two). I have read and understand the requirements of the MCWD relatfng to Shoreline Erosion <br /> P n.�- <br /> � � <br /> '� �R�c. S Z-e�o � --._ <br /> . t8;a af wo c�1 <br /> � Subscribed and sv�rom to fore me on this �;'-' ttay of� _ �2a'�• <br /> � .. � - - <br /> • JAME$HAFIOLD 81�1f1 <br /> raun�r as.K.�r�on� <br /> �-P1.I�C •:.;.. MY CO�D�IF�81,11� <br /> E • <br /> App�ov�ed by: � D�e � U� <br /> Dfatrbutlon: _PnD�ertY ONm�' —Canb�or _MunT�ily �DNR _Dietrlct FBa <br /> Page 1 of 2 <br /> TOTAL P.03 <br />