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c i <br /> Permit# � - �t� <br /> SHORELINE EROSION PROTECTION - FAST TRACK PERMIT <br /> MINNEHAHA CREEK WATERSHED DISTRICT (MCWD) ��� �� � u F;� �' � <br /> 18202 Minnetonka Blvd. � t <br /> Deephaven, MN 55391 Ph: 952-471-0590 ��N Z 2 201t �,f <br /> '; <br /> Fax: 952-471-0682 �f <br /> �, l�. ��K,,.� 1.���.�u-�s� resideat �.. U r� ��: �.-� <br /> (Property Owner) (Street Address) <br /> �;a,� S� l�,� :y , � �1 S S 3��3 ���y s'���,�;(�quest approval to install riprap <br /> (City) (State) (Zip) (Phone) <br /> shoreline erosion protection on property described as�`��s �a.zn+s���� ���i ti located in <br /> /� (Street address) <br /> V�� , �� , . The riprap installation <br /> (Withfn the City boundaries) (County) (Property ID# (PID#]) <br /> ��I r�� � ( ,, <br /> will consist of� along the shoreline of I"� ��Cl , � 6�, in fuil <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 /> rn�-v� p��� �O��z ,�� �s�- ��� ��, ,�.�.�� ��, s��Y��� <br /> (Name of Company) (Street address) (City) (Zip) (Phone) <br /> �'p <br /> � �� ,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 /> finro). i have read.and unde[st�an1 d the requirements of the MCWD relating to Shoreline Erosion <br /> Protec�' "� <br /> � -.. '!4.............._..._....,_,._._� � • �.,/•..� O <br /> � a�j <br /> (S(gnature of Prope►ry O�mer) 5�,., (Date) <br /> Subscribe orn to before this_�day of /\/���e��� , 20�� <br /> ;°' � Thomas C, Niccum <br /> { i NWery Pubifc <br /> � Minnesota <br /> �` ;M!4„�••' <br /> , <br /> Approved by: Date v +� <br /> DisUibuaon: �Property Owner �,Conlractor �MunidpaAty _DNR �District File � <br /> � <br /> Page 1 of 2 <br />