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RUG-03-2009 16�34 P.02i02 <br /> '� L� l�l lti � � � <br /> JUL 312009 <br /> Perm it #�R- 2( <br /> SHORELINE ERO�I�N PROTECTION � FAST TRACK PERMIT <br /> .. _.. �NfIT�1NEHaF�A CREEK WATIER�HED C�1'STRICI`��1VICWD).. . <br /> 18202 Minnetonka 81vd. <br /> Deephaven, MN 55391 Ph; 952�71-0590 <br /> Fax; 952�71-0682 <br /> I �PoJ �-�j�C�l�resideat��,l__,___�..y�T�l���()�I� <br /> (Property Owner) (Street Address) <br /> , � �y �� �' `- ' request approvaf to install riprap <br /> ��(City) (State) (Zip) � (Phone) <br /> shoreline erosion protection ori property described as��� ��L�S1Q.�U��located in <br /> (Street address) <br /> ���� __, ��}��,� ,�'1-�� .Z'�•I�1�k7L� . The riprap instaflation <br /> (1Mthin the City boundaries) (County) (Properly ID# �PID#]) <br /> �12� �will consist along th� shoreline of � I I�����, ��y.�l,�.,��in full <br /> 5 ( ineal feet) (Lake) (Bay) <br /> accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline fvr <br /> riprap piacement required for Hssuanc.e of a Fast 7rack General Permit. I have contracted with <br /> �.L ____,�,�-�� ��� < <►��,�ac. s5�`f � 71� S� <br /> ( ame of Company) (Street address) (City) (Zip) (Phone) <br /> �����] , to perform the work who is familiar with the technicel <br /> • (Bond Number) <br /> requi�ements and has fulfill�d the bonding requirerrients ofthe watershed district(see page <br /> two). I have read and understand the requirements of the MCWD relating to Shoreline Erosion <br /> Prvtection. <br /> ` � �` ---.. "�I 3 0/a 9 <br /> (Si ature of Property Owrie�) � (Date) <br /> cribed and sworn to b�sfare me on this 30�'' day of �� , 20 Oq <br /> , , � t���.�t� ��.......... <br /> ' � � ;.^ sHERn a tAr�w� <br /> Not PubliF � ��P�.��,�p <br /> � �'��°�s My Cemmf�on�.11��1,2010 <br /> Approved by: �o�%``�_�������— Date �/3� �. <br /> �� <br /> Disuibutia�: _Properly Ov�mer _Conlrador _Munlclpafity _DNR _DistriG File <br /> Page 1 of 2 <br /> TOTAL P.02 <br />