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e� _ _ , <br /> . , �I i_� � !� i �� �[ i ! <br /> � � . LS ''i ;{ i <br /> �1 � �� <br /> � F ; ,� ;1 : <br /> �� _ �� '.� JUN � � ZOiI ��� � <br /> Permit - � <br /> SHORELINE EROSION PROTECTION - FAST TRACK -� � <br /> MINNEHAHA CREEK WATERSHED DISTRICT (MCWD) <br /> 18202 Minnetonka Blvd. <br /> Deephaven, MN 55391 Ph: 952-471-0590 <br /> Fax: 952-471�0682 <br /> I,��iZ�i���}�. V��5� reside at ���� �D�Q'h c����. iJC�VC� <br /> (Property Owner) (Street Address) <br /> D'�(��Q , t Y�� ��, (�� ��y`���3t request approval to instail riprap <br /> (City) {State) (Zip) (Phone) <br /> shoreline erosion protection on property described as �� � �- , located in <br /> ����Q �f.', V�,� , Q��1� 7 - �.3�S3�OL,ess) <br /> /� The riprap instailation <br /> �thin the City boundaries) (County) (Property ID# [PID#j) <br /> will consist of � � along the shoreline of �� V�� , �'��-s�a � 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 /> M��,� P�r� p c��.���s� ,5�ao w��� `�-� �� v��3� I , ��� /�y���isf� <br /> (Name of Company) (Street address) (City) (Zip) (Phone) <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 /> two), I have read and understand the requirements of the MCWD relating to Shoreline Erosion <br /> Protectio�� � �. <br /> � � ,,%�•l � F� /�-/, I <br /> (Sign re of Pr� ner) �I (Date) <br /> Subscri �wotr ` re me on this�day or ���e , ZUl � <br /> ;,,, �", Thpma� _^ � <br /> , :�� � �, Nfr:uum <br /> -- otary Public a • :F N�t�ry PubI1G <br /> '•,,,�,,,,,° Mtinti��ata <br /> � , .� , <br /> MY�0�'��ft�pJ1�J�nuary at,2412 <br /> � <br /> Approved by: �_ ' Date � 2 � ! <br /> � <br /> DislribuNon: _Properly Owner _Contractor _Municipality _DNR _D(strict File <br /> Page 1 of 2 <br /> � <br />