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DEC-09-2003 11�49 MINNEHAHA CREEK WATERSHED 6124710682 P.02i02 <br /> ' ��j �l� � �s �1 �.�a �I!i <br /> .`,'� <br /> pEC 0 4 2p03 � <br /> _P'�'m"�,�r...r.�.. <br /> SHORE�INE EROSION PROTECTION - FAST TRACK PERMIT <br /> MINNEHAHA CREEK WATERSHED DISTRICT(MCWO} � <br /> 18202 MINNETONKA BLVD. Ph: 952-471-0590 <br /> DEEPNAVEN, MN 55391 Fex: 952-471-0682 <br /> .., . - .._..� <br /> I, �1ic�.e l �S 4,3�l(r� reside at_.3►�b� N�-L+v� �►ti,,� <br /> (Property Owne�) (Streot Address) <br /> d�w , N� SS391 , � `��'1c-332y request approval to install riprap <br /> (Cily) (State) (Zip) (Phone) <br /> shoreline erasian protection on property described as 3►� ►J.�. 3tiw,r.. &w� , looated in <br /> � (Straet address) <br /> L��a �nh�,p i h , (�q- t I�• z3�32 �voctR The riprap installation <br /> (Withfn the City bvundaries) (County) (Property ID# [Pip#]) <br /> wiil consist of 1 o Z along the shoreline of Mi�►Nefa�ka.. , �vlo.xwe l� in full <br /> (Uneal feet) (Lake) (8ay) <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 /> jS33 i <br /> �H` l.c��.c�sc�s . Z5b-1D S►�►,�, �lw�ew�s; !�I (q.�S2� 410-- f�`d$' <br /> (Name of Company) ' (Street add�ess) (City) (Zlp) (Phone) <br /> , to pertorm the work who is familiar with the technical <br /> (8ond Number) <br /> requiremerrts 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 E�osion <br /> Protection. <br /> 1����i� r ��� i - °3 <br /> (Sigoature of Property Owner) (Date)' . <br /> Subscribed and swom to before me on this 1� S� day of l�er em�tY^ ,�_, 2prs�, <br /> : . <br /> `� r�u�A 6ui.Mot� <br /> Notary I'ublic 4 ���'��� � <br /> HEJ�Pqr QOUNTY <br /> wb Oonp�fon ES�ie�.qp.31.4� <br /> Approved by:���...+�-�_,. Date <br /> Qistribution: _PropeRy Owner _,ContracWr JWunicipaliiy _DNR _District Ffe <br /> Page 1 of 2 <br /> . <br /> TOTAL P.02 <br />