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i <br /> , , , � <br /> � <br /> � <br /> � Q � � � � �� � �, <br /> �, � ,� <br /> �'i ( AUG l 5 2011 ;��k <br /> �� <br /> I <br /> - � _ �_. ��-Z-� Permit# BY <br /> �SH_ OR,LINE EROSION PROTECTION — FAST TRACK PERMIT <br /> MINNEHA� A CREEK WATERSHED DISTRICT{MCWD) <br /> 18202 Min etonka Blvd. <br /> Deephave , MN 55391 Ph: 952-471-0590 <br /> Fax: 952-471-0682 <br /> I, �� �t ,� , <br /> 6t,Y br`-1 �t resideat ��o� �(7Y��'1 ��o1r� ILN-�V� <br /> (Property wner} (Slreet Address) <br /> ,''�—� � --✓"`���1�t�y y7/a'� request app�oval to install riprap <br /> ���Y) tState) {Zip) (Phone) <br /> shoreline ero ion protection on property described as.��o�3�1.5�o,r� �v�uc� , Iocated in <br /> (Street addressj <br /> -�° .���h cD,,r __, OS I11�.� '��{ 0053 _ Theriprapinstallation <br /> (Within thF City oundaries) lGaufity) (Propecty IR�t [PIO#�) <br /> wifl consist of `'� along the shoreline of,�i nn�tilfl� �rys�.t�� in full <br /> (Li eal f2etj (Lake) (gay) <br /> accordance w'h the Minnehaha Creek Watershed Disirict Shoreline Protection Guideline for <br /> riprap placeme t required�for issuance of a Fast Track General Permit. I have contracted with <br /> CU "' 1 - �1i•� Utchcl��y�-y/� <br /> {Na e of Co pany) {Streer address} (City) (Zip) (Phone} <br /> , to perform the wo�k wha is familiar with the technical <br /> (Bond Nu ei) <br /> requirements a has fulfill�d the bonding requirements of the watershed district(see page <br /> two). I have rea�l and unde'rstand the requirements�of the MCWD relating to Shoreline Erasion <br /> rotectlan. <br /> " (Signature o Property vn r) �l����// <br /> tDate) <br /> Subscribed and worn to befiore me on 's_�day of ,2p�. <br /> i �c �°�o ANGELA K. ECKLEY <br /> � N01'ARYPUBLIC-MINNESOTA <br /> r— _ <br /> �„�,,,++� My Commission Fxpires Jan.31,2015 <br /> � Approved by: Date U� �� <br /> � <br /> OiStnbution: P� r erry puvner �Conlra�Nar `�MunicipoNfy _DNR �/ DisUicl File <br /> Page 1 of 2 <br /> ( <br /> I <br /> � <br />