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JUN-28-2094 16�20 FROM TO 9522494616 P.03/04 <br /> ; . <br /> . • � �"'' r "'f ry.., <br /> . � .�. . � �D �� a;`., ��/ � <br /> JUN � 1 2004 <br /> D <br /> . b�-I— 33,� <br /> SHORELINE EROSION PROTECTION — FAST TRACK PERMIT <br /> MINNEHAHA CREEK WATERSHED DISTRICT(MCWD) <br /> 18202 Minnetonka Blvd. <br /> Deephaven, MN 55391 Ph: 852-471-0590 <br /> Fax: 952-47'I-0682 <br /> � 1 1 �drOY►6reside at 2..� S G �e1�e�1 1'Olw�� VJ�?I ���_ <br /> (Prope Owner) 5treet Address � <br /> � .� <br /> _v`�"'��� ,��. S�3S�� (�SZ) �� 6��request approval to install riprap <br /> (Cily) (St-ate) (Zip) (Phone) <br /> shoreline erosion protection on property described as l,A�C F� � CGe SS , located in <br /> � � (Street address) <br /> � ror�o _,_�Q��n p� 1h , ,,.,^__ ThE ripr�p installation <br /> (Willtln the City boundaries) (Countyy (Property IO# [PID#Jj^ • <br /> will consist of�S along the shoreline of_���n e�o�1���0� ,�V�` .� �Gt� in full <br /> (Lineal feet) (Lake) (6ay) <br /> accordance with the Minnehaha Cr�ek Watershed District Shoreline P�otection Guideline for <br /> riprap placemerrt required for issuance of a�ast Track General Permit. 1 have contracted with <br /> T��GK� Iri�`-1- .� . �5� Sl�sr�.l�i.�,�r. �n� Pa�45�2_471�83�3 <br /> (Name of company) (Street address) (City) (zip (Phone) <br /> 3�18 S��' _�„�,to per�orm the work who is familiar with the technical <br /> (Bond Number) <br /> requiremer�ts and has fulfilled the bonding requ(�ements of the watershed district(see page <br /> two). I have read and understand the requi�ements of the MCWD r�elating to Sho�eline Erosion <br /> 'Protection. � ' <br /> re oF P�e a�, Gr����a � a h u►o��� � � �2.�D�' <br /> c � <br /> Subscribed and swom t before me on this 1(v�` day of , 2p0� <br /> . <br /> -��ry�; 6ARBARA G.SILUS <br /> NOTARY PUBUC-MINNESOTp <br /> My ConunL�sba Expires Jan.3�,2008 <br /> Approved by: Dete <br /> ' Dislribution: _Property Owner _Contraclor� _„Mun�lpallty _DNR _Gistrid File <br /> , Page 1 of 2 � <br />