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JUL-18-2002 16�52 MINNEHAHA CREEK WATERSHED 6124710682 P.02i02 <br /> � <br /> . e� . <br /> � <br /> Permit# Oa- O� - a W I <br /> SHOREI.INE EROSION PROTECTION-FASl' TRACK PERMIT <br /> . MINNEHAHA CREEK WATERSHED DISTRICT <br /> GRAY FRESHWATER CENTER Ph: 471-0590 <br /> 2500 SHADYWOOD ROOD FAX: 471-06$2 <br /> EXCELSIOR, MN 55331 � . <br /> .�{'lO 1--0�._ ��,.�-a.. reside at a S 8 e��-►«� � �.�to� <br /> (Pro rty Owner) . (Streel Addfe s) , _ , <br /> 1--� 1��k� , YYi..�, sS3S�• .- '�� 3 � zo ► 8 request approval to instail <br /> (City (Siete) (Zip) jPhone) � <br /> riprap shoreline erosion prvtection on property described as 35��D l�l,�.�-�Ske��r.; located in � <br /> , � (stceet aadress) <br /> Q�-,� , ��,.....� , Q�- 11'� -a3-�3�5 -o� �9 . The rip rap installativn <br /> (UYthin the C�r bAundar[es) (County) (PID� <br /> will consist of S o along the shoreline of �R�-ti« , e.�.�.s`�� in full <br /> . (lineal feet) (Lake) � (Bay) <br /> accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline fio� <br /> riprap plac�ment requir�ed for issuance of a Fast Track General Permit. ( have corrtracted with <br /> CONCEPT LANDSCAPI�Ia <br /> 31g3 pRlE8I 1.�1M6 � � ' <br /> �►+(Q�AtI�D�Y) <; (Address) � (Phane) - <br /> � . <br /> ,�.. . tq perForm the work who is familiar with tfie technical requirements <br /> (Bond mber) � <br /> and has�tulfdled the bonding requirements of the watershed district (see reverse). I have read <br /> and understand the requirements of the MCWD relating t,o Shoreline Erosion P�tection. <br /> �Q ' <br /> (Slgnabure of Property Owner (Dele) <br /> Subscribed a�d swom to.before me on fihis day of , 2QD� <br /> wM■ <br /> Nota Public RACHEL HUDAK � <br /> . rY NOTARY PUBUC•MINNESOTA <br /> - - Yy.Caneddon E�iva Ja►.at.soei <br /> . � , a <br /> . • Approved By:. �,,,,_ Date- <br /> � u - �Pmpa'ty Owner _Cantrador _ unicipality � D�stritt Fi <br /> %�?-, `'' - ' • � . . . „t�t.. i.., � <br /> , , :�� .• .. <br /> TOTAL P.02 <br />