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OCT-05-2001 16�27 MINNEHAHA CREEK WATERSHED 6124710682 P.02i02 <br /> � �- ,�v ;'�,�� ,!< <;;� �..� J,}', <br /> `�er''.'� -�+ ` � <br /> y d —' ��'f <br /> ��� �C�o 6 � � L�7� J <br /> .� .,.��,�"-�`-'�-��'� <br /> r•�� Permit # QO- •��-(� <br /> C SHORELII�E EROSI4N^PROT�G�IOtV-F�►STi i�4CK PERMI'� <br /> MINNEHAHA Ci2EEK WATERSHED aISTRICT <br /> ��AY FRESMWATEP. CENT�f� P�� d?'�-���Q <br /> 2500 SH�t��'ifVOdD RCiG� FIA:: 4T1-f�682 <br /> EXCELS[OR, MN 55331 <br /> �, Qn�v,r� �an�o.., reside at � lo i �.K „a oo �r.e� ._ <br /> (Pro�ert.y Owner) �� (S�rPet Address) <br /> �r�--�,� �, ��„1 SS 3��l .��t Z g�9 y�oo request app�'ovaf to inst� <br /> (�;;y) (Slate; (Zip) (Phone} � <br /> riprap shorelin� erosion pratection on �ropenjr described as, 5���.� ; located <br /> (stre�t address) <br /> ��,�„o , �,,.,.,.,� �, U�.7- � i� � �.�a -� , oo��. Tt}e rip rap instaltation <br /> (�Ehin the City boundaries) (County) (P10#] <br /> wilf consist of zo a along the sfiorelin� of "r2-�k� , ��.,� 1-�k� _in f� <br /> (!ineal feetj lLake) (BaY) <br /> ac:caidance with tMe Minneh�ha Creek Watershed District Shore{ine P�otectio� Guideline for <br /> ri�rap p)ace!�nent required for i�suance of a F�si Track General Permit. I have contracted witl <br /> �01�-��•��`i i�►tiL�C;4°II�G <br /> 3153 PRIESY �A�IE <br /> • — _�. <br /> ( am�u Company} tAddress) � (Phone) <br /> , to perform the work who is familiar with the technicaE requiremen� <br /> (Ban�Number) <br /> �t^d has fc+Jf!��� +l�e b��C;�g req�irer�ents of f.h� wat�rshed �iisfrirt �see reve�se). f have i�a: <br /> and understand the requirements af the MCV1/D relating to ShoreY�ne Erosian Protection. . <br /> ��./1%��-�,,..�..�—,. .._. ---- <br /> (Signature of Propeity Owner) (Rale) <br /> Subscribed and swom to before me on ihis �!"'�'� .�,day Qf Oc.�-�$-t-�� , 2�Q� <br /> , � <br /> /� �, •> . � "�;�, :r i�ES MAROLU�1RITf{ <br /> � � .�. ... lIDTARY PUBLIC•WN� <br /> i � <br /> �:� �v CCLWt6S10N EXPIAES 1�� <br /> Nat�ry qllb{iC -"� <br /> �i�P�rv��� s�: �at�: <br /> .� Distri�butian: �Propeny Owner t'.ontractar _�Mun�apahcy _DNIt _Distric�File � T <br /> Tnrni o ra-� <br />