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_THIJ-1'=+—��=.n=u=� 1��4� f�1IhlhlEHHHH i:.F'EEI:; I:�:IHTEF"_�HELi �.1�4�1�=tr,=,� F'.G='11:•`'G11 <br /> ' P�llT�f�lci�AFiA C%r'�Ei{ <br /> WA�-E�tSr�f��E> ��c:,'1"FilCT' <br /> �IA� 1 3 ���k� permit # DO- UG�� <br /> SwpR ���}�` DM , i�IT�CTION��AST TRACK PERMiT <br /> ��4� r...� '�7, . �i_..� ,.,.,. �.., k <br /> .. � V1..,. t,� ,,,e„ . <br /> MINNEHAHA CREEK WAT�R�H��l DISTRICT <br /> GRAY �RESHWATERCENT�Ft Ph: 471-0590 <br /> 2�00 SNADYWOOQ RODD FAX: 471-�68Z , <br /> EXCEL�i�R, MN 553�1 Q,,,,,��.L Q �- �o rs � <br /> �, �� ��,1��- reside at �'�'��`� � . 1�ak�. �� . <br /> (Prope�ty Q'�vner) {Street Acfdress) <br /> l_a-n ti-,4..\s� , �=�m SS 3�� , �1'1(0 � aa4 3_ request approval to ic�stal� <br /> �Cit (State) (ZiP) (Pl�onel <br /> riprap shar�line �rosion protectian on praperty described as �a..,M-.� , Idcat�d in <br /> (street �ddress) <br /> � _ , o� - I �� -�.��� oa�� - Tf�e �ip rap inst�ll�tion <br /> (Within the City b4undaries} (Counky) (PIl7#) <br /> wil{ consist o#..,�� - alon� tF�e shorekine of � , `��-���� in fulf <br /> {lineal fEet) (Lako) (B�)') <br /> accordanc� witfi the Minn�.haha Gr��k Wat�rshed District Shoretine Pratection �uideline far <br /> riprap placement requlred f�r issu�nce af a Fast Track �en�ral I'ermit. I have contracted with <br /> � CO�IC�PT LANDSCAPING , , � <br /> �� "� (Address) (Phane) <br /> ► <br /> c,,, , to perform the wvrk who is fami�iar with the t�chr�ical requiremet�ts <br /> {Bond mber} <br /> and h fuffil d banding requiremer�ts af the watershed district (s�� reverse). i have r�ad <br /> arid,ri'� er n e raquirements of t�e MCWD elating to Shareline Erosion Protection. <br /> r � �` ! ��Y�� <br /> �g;� �a wner) . (L7at�} <br /> Subscribed and swo�n to ,►efore me on this �?t�' d� of �r _ , 2000 <br /> Y �,.__�.. --� <br /> r <br /> r� <br /> �1 � �:;".=; JAM�S 1-lAR4LD SMfTI-1 <br /> ` "` \ NOTArY PUBUGM��h�ESOrp <br /> � -�/`(1'`�"--' I ^'� �' �o�;�;k� MY CpM1A15$ION F�PIRE51•31�1 <br /> Nota Public : �✓ ' <br /> �_.�..... � � -• �� <br /> Approved Ciy; � ` ��- Date: / � p� , <br /> � <br /> Distributian: TPr�pe�ty Owncr _Contractor _Muqicipality _�7NR _17istritt File <br /> TLiTHL F'.G11 <br />