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� � C� � DdC� <br /> JUL Y 2 [.ii12 ` ��� <br /> BV_.�_._.._�.� <br /> �-�� -- -"���� Permit # - <br /> SHORELINE EROSION PROTECTION - FAST TRACK PERMIT <br /> MINNEHAHA CREEK WATERSHED DISTRICT (MCWD) <br /> 18202 Minnetonka Blvd. <br /> Deephaven, MN 55391 Ph: 952-471-0590 <br /> Fax: 952-471-0682 <br /> �(�M r�#�M reside at 311�� 1�1��G�CY►�Stt$��.�vE� <br /> (Property Owner) (Street Address) � <br /> ���� , ����, (�Zj .- request approval to install riprap <br /> (City) (State) (Zip) (Phone) <br /> shoreline erosion protection on property described as?�ll�r'J�S}ES1����., located in <br /> (Street address) <br /> QQ��IC� ,�►`1�,1 l� , C�1•►�•?���2•OC���. The riprap installation <br /> (Within the City boundaries) (County) (Property ID# [PID#]) <br /> will consist of 15�along the shoreline of N111S1-S�T�K/ti , �`I�l L _ 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 /> �+�-� 1� ��5-�Srt�4�t�.�.�-1f•1[�.�_��=��i�� •�� <br /> (Name of Company) (Street address) (City) (Zip) (Phone) <br /> ��� , to perform 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�anderstand the requirements of the MCWD relating to Shoreline Erosion <br /> Protection �- <br /> � <br /> � � �� <br /> r�{Sign e of Property Owner) (Date) <br /> Subscribed and sworn before me on this ��� -� ��'�� ��� �� <br /> SN�RYL A,LATTERNER <br /> �' NOTARY PU�LIC•MINNESOTA <br /> Not Public � My Ganmisslon F.xpfres Jan.31,2ot5 <br /> Approved by: Date ? 1- <br /> Distribution: _Properly Owner _Contractor _Municipality _DNR _District File <br /> Page 1 of 2 <br />