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� MAR-99-2005 07�50 P.02/02 <br /> �J O�� <br /> . Permit # - <br /> SHORELINE EROSION PROTECTION - FAS7 TRACK PERMIT <br /> MINNEHAHA Ci2EEK WATERSHED DtSTRICT (IVICWD) � <br /> 18202 Minnetonka Blvd. � <br /> Deephaven, MN 55391 Ph: 952-477-0590 <br /> � Fax: 952-�71-0682 <br /> ��� � � �5q ✓�. 14��1 la.� L�.�e <br /> �, �, ]�•�.r�n L. ����r� resideat_ <br /> (Property Own r) (Street Address) <br /> Qr'd/tid , /'1?N h'�356 , �5Z S- L�request approval to instalf riprap <br /> ` (City) (State) (Zip) {Phone) <br /> shoreline erosion pratection on property described as �s�t ����� , located in <br /> (Street address) <br /> �M no , �}e��P�n , D L�/��-23-�--�oo(�The riprap installation <br /> �thin the City boundaries) (Courrty) (Property 10# [PID#]) <br /> � will consist of 'f 5 _ along the shoreline of���r��� l�r('� � 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 /> � �, ��ot�n�r�p`�c.t�`�i' G,i�6( �o�r�raz � wor� (� <br /> , <br /> (Name of Company) (Street acldress) (City) (�ip) (Phone} . <br /> ,to perfoRn the work who is familiar with the technical <br /> (Bond Number) <br /> requiremehts and has fulfilied the bonding requirements vf the watershed distrid(see page <br /> I iwo). I e read and understand the equirements of the MCWD relating to Shoreli�e Erosion <br /> Prot n. <br /> i Z �5 <br /> ( nature o Property ) ( <br /> Subscr�ed a d swom to before me on thi �day of ��''—�'���_,2005. <br /> ' , ��NNIFER LYNN�NSKAT <br /> i No Pu lic Notsry Pub��� <br /> Minnesote <br /> . F�:+ Cotrvrossbn Ex iias Jsm� 91 2010 <br /> �. <br /> Approved by: Date�/�S I� <br /> � ' Dlsnibudon: _Property Owner _Contractor Municipality _DNR �District F'�e <br /> . Page 1 of 2 ._. -- ... _..._ .. ... _ , .,,. <br /> . • „�� ; ; :.:� ^ •:, �' ' �,,'. <br /> �� 1 �':i t i� G•. '�•f � <br /> }�j •'� i 1 <br /> I :_ti -. . _.. �. ;i,� , <br /> '`��" °:fi ��� �:� ^ ' � f...� <br /> i_:ti.� r;.,u �.: ,,y c:�:.`::.. • <br /> � . � <br /> ITOTAL P.02 <br />