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APR-24-2002 13�36 MINNEHAHA CREEK WATERSHED 6124710682 P.03iO3 <br /> .�� <br /> O�� �aS <br /> - Pernnit# 00- <br /> SHORELINE EROSION PROTECI'ION-FAST TRACK PERMi� <br /> MINNEHAHA CREEK WA"fERSHED DIS7RICT <br /> • GRAY FRESHWATER CENTER Ph: 471-0590 <br /> 2500 SHADYWOOD ROOD FAX: �T1-0682 <br /> EXCELSIOR, MN 55331 �, �:� <br /> � Ay'�s���� reside at �/QS_ �G�_�o�___� • � , <br /> (ProPe�tY Owner) (Sb�et,44dress) <br /> 17��t1.�✓17 , /1'I�. S5'�� , 5���5� request a�proval fio install <br /> (C[ty) (3tat�) (7J� �—(Phon�) <br /> riprap shoreline erosion p�bec�io�on prop�riy described as Sft�t . locabed in <br /> (street addr�ess� <br /> �QJI N� . ���N. , �/ • •�/�Y{0� e rip rap installation <br /> (VlRthin 1he City b�nderies) (CcuntY) (PfD#) - <br /> will oonsist of S� along.the shoreline of Cl1�]�¢. , � ST in futl <br /> ���et) �I�ce) t a�r) <br /> acoot�dan�vWith the Minnehaha Creek 1Nab�rsh�d District Shoreline Protection �uidelins fur <br /> ripr�ep placement r�equlred for issuance of a Fast Track t3enerai Pennit. l have contracted with <br /> Minnetonke Portabl�predging <br /> , <br /> �1 ' (Addr�ss) � (Ptane), � <br /> �xcel I ,�' 1 . <br /> r' <br /> 4749454 ,i�o petfomn the wortc who is tamiliar with the technical requiremerrts <br /> (Bond Nur�e� <br /> ancl has fuifilled the bonding requirements of the wetershed district (see r1everse). I h�ve read <br /> and nd�the requirem of the MCWD relating bo St;w�elfne Erosion Protec�on. <br /> , � <br /> _ �` -�-�- �6 <br /> si�of owner) (�ete) <br /> Su6scribed a�d swom t�before me on, � �'� day of �11 R � , 200� <br /> � <br /> „ ` ,a,aw�� <br /> � r Nom�y���-�rw�l� <br /> ry Public , �1°'�' �� <br /> .. <br /> Approved By: Qate: <br /> ' i ce� <br /> Distrl uhoa Pcoparty Owner , ntractOt _ umc�pa iry DN Di ,�`��,�'�';��9"�"�'"�` <br /> �.,. <br /> , �Q� - . . . • � <br /> e, <br /> V <br /> . : APR 19 2002� .; � <br /> ���..i ii:�"��'I�i.�'���,:.i.:�i� <br /> � ..._�_�_��i�►Y�����V���r� <br /> TOTAL P.03 <br />