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r - , <br /> � � � � � <br /> JUI. 2 r 2011 <br /> �1-22 Permit # - ' <br /> SHORELINE EROSION PROTECTI�N — FAST TRACK PE ���� ---- <br /> MINNEHAHA CREEK WATERSHED DISTRICT (MCWD) <br /> 18202 Minnetonka Blvd. <br /> Deephaven, MN 55391 Ph: 952-471-0590 <br /> Fax: 952-471-0682 <br /> I, Oo�.a SM�T 4� reside at ��qs I.I,ah�aoohl. R� <br /> (Property Owner) (Stre t Address) <br /> O 1.,� ,� 1� SS��y, sz z-�Z�a��- request approval to install riprap <br /> (City) (State) (Zip) (Phone) <br /> shoreline erosion protection on property described as �a„r••.— , located in <br /> (Street address) <br /> On�� I�� , c"�l ►r�t a'a y 4 - oo�.� . The riprap installation <br /> �thin the City boundaries) (County) (Property lD# [PID#J) <br /> will consist of �'3 S along the shoreline of �'Yt�l�a.. , �1 , Gt,,,,� in full <br /> (Lineal 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 /> GONG�f'T�CAW�II��i. �_) <br /> 3153 P of Company) � (Street address <br /> MOUND,MN � ) (Ciry) (Zip) (Phone) <br /> ,� <br /> cm �.ti�- , to pertorm the work who is familiar with the technical <br /> (Bond Number) <br /> requirements and has fulfilled the bonding requirements of the watershed district(see page <br /> two). I have read and understand the requirements of the MCWD relating to Shoreline Erosion <br /> PT I� � � <br /> � I <br /> ignature of Property Owner) (Date) <br /> Subscr' and sworn t bef re me on this �M�'= day of -� �R� , 20�. <br /> � <br /> J ARO 0 S I <br /> � Noluy Publlc <br /> otary Public � Mlnmsota <br /> My Comm.E�pIne <br /> �'"� J�n 8f 015 <br /> � <br /> Approved by: ' ' Date � ( <br /> Distribution: _Property Owner _Contractor _Municipality _DNR _District File , <br /> Page 1 of 2 <br />