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J' , 1 <br /> 1 � . pC� C� C� � C� � <br /> 23 � <br /> JUN 1 5 2012 <br /> Permit # - <br /> SHORELINE EROSION PROTECTION — FAST TRACK PERMIT <br /> MINNEHAHA CREEK WATERSHED DISTRICT (MCWD) <br /> 18202 MINNETONKA BLVD. Ph: 952-471-0590 <br /> DEEPHAVEN, MN 55391 Fax: 952-471-0682 <br /> �,J6��. S�Chb6C�, reside at /� � / ��' �v�d V�� . <br /> (Property Owner) (Street Address) <br /> d`a�a . � ��s36y, �s�� ���y-��s-� , c�`�� y�y��I Z , <br /> (City) (State) (Zip) (Phone) (Fax) <br /> request approval to install riprap shoreline erosion protection <br /> (email) <br /> �� �`�-�Z`'� �ocated in �Cav`G <br /> on property described as ` , <br /> (Street address) (Within the City boundaries) <br /> e1/�,� Q''�� �' 2 3"y y^Q��� The riprap installation <br /> (County) (Property ID# �PID#]) <br /> will consist of�along the shoreline of ' ' `v-�G , ��� �r � in full <br /> (Linear feet) (Lake) (Bay) <br /> accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline for <br /> riprap placement required for issuance of a Fast Track General Permit. I have contracted with <br /> N/1,�-I�q, Po��- Qr�tQs� , d2� c�esd� �C. �x�pL��� �5S'331 �� y��'� <br /> (Name of Company) (Street address) (City) (Zip) (Phone) <br /> , to perform the work who is familiar with the technical <br /> (Bond Number) <br /> requirements and has fulfilled the bonding requirements of the wate�shed district (see page <br /> two). I have read and understand the requirements of the MCWD relating to Shoreline Erosion <br /> Prote ion. <br /> � <br /> � <br /> '�� �u � -- � 3 �- i�-- <br /> (Signature of Property wner) � (Date) <br /> Subscribed sworn to fore me on this 23 r day of �" , 20�2. <br /> ��� Thomas C.Niccum <br /> NotAry Publlc <br /> Notary Public Mlnnesote <br /> , �Ca�MibnEql�aJanuary 31,2011 <br /> I <br /> Approved by: � Date�'� z <br /> Distribution: �Property Owner �Contractor �Municipality _DNR �District File <br /> Page 1 of 2 <br />