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Permit# 1� - Z <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 /> � Henn Co (Env. Services)reside at 417 North 5th St <br /> (Property Owner) (Street Address) <br /> Excelsior MN 55401 612 474-9454 <br /> , , (� request approval to install riprap <br /> (City) (State) (Zip) (Phone) <br /> shoreline erosion protection on property described as Address Unassigned , iocated in <br /> Orono Hennepin 0811723340061 �street address) <br /> , . The riprap installa6on <br /> (Within the City boundaries) (County) (Property ID# [PID#]) <br /> will consist of 380 along the shoreline of Minnetonka North Arm 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 /> Minnetonka Portable Dredging 500 West Lake St Excelsior 55331 � 952 aTa-sa�a <br /> (Name of Company) (Street address) (City) (Zip) (Phone) <br /> recorded at the MCWD office 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 understand the requirements of the MCWD relating to Shoreline Erosion <br /> Protection. <br /> . r1- �q- 1� <br /> ( ' � (Date) <br /> Subscribed and sworn to before me on this � 1 day of�u-�T , 20�� <br /> %��-t �t P��-�-n THERESE M.PAULSEN <br /> Notary Public NoRarypubltp�AYYN�oI� <br /> I�h►OoinnMlan ESq�J�nM.fOti <br /> •.►.r. <br /> Approved by: .� �� �` Date� ! (( <br /> DisVlbutlon: _Property Owner _Contractor _Munlclpallty _DNR _District File <br /> Page 1 of 2 <br /> � � � � � W � <br /> .lu�. � i 't�i1t <br /> } <br /> �r <br />