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OCT-26-2001 14�10 MINNEHAHA CREEK WATERSHED 6124710682 P.05i05 <br /> � Pertnit#�� d �,� 3�� <br /> . SHaRELINE ERCISION PRO'i�CTIAId-F�4ST TR�4CK PERMIT <br /> . MINIdEHAHA CREEK WAT�RSHED DIS7RI�CT � <br /> GRAY FRESHIMATER CENTER Ph: , 479-059� <br /> Z300 SHADYWOOD ROOD � FAX:471-0682 <br /> EXCEi.S10R, MN 55339 � <br /> I.�la�u�Tv�1[a �GN`(�PR�d&f f�Slde et W�c�.� ll�n��.���n . Q�,.a.wo ,�,_�S 3b`} <br /> (P�apetly Qwn�) � , (Streel A�ddmess) . <br /> D�,.a-..,� , '�„ SS 36y ,� $o z- 3�6�6 request approval to instaf� <br /> . (CitY) (State) (Zip) • (Phone) , <br /> riprap shoreline erosion protecGon on property described as '��— � ;located tn . <br /> (street address) <br /> D�rw . �O -� 1�-a3-�13-003�. The rip rap installation <br /> (UVithin tlte City bouraiaries) (Cou�lY) tP��I <br /> will c.onsist of o o � along the shoreline of 'Y1'I�{Ga , �,,� Gt�w� in full <br /> . (lin�al feet) (Lek�) (Bay) , <br /> accord'ance with the Minnehaha Creek Vl/atershed D��trict Shoreli�e P%fection Guideline iior <br /> � riprap placement required for issuance af a Fast Track General Permi� I have co with <br /> �ORI�EPT LANQSCAPIN� ' <br /> 31� PRIEST LANE � <br /> •. , <br /> , (Name �� � • (Address� � . �� �e <br /> . • .,�g�. . <br /> to perForm'the work who is familiar with te�ni� ts <br /> � (Bond N ber} �� ' � �� �•`` <br /> ,I�M�+/ <br /> and has fu I the bonding requirements of the rroatersh� district(s �,Qtse):1�i�ve read <br /> . � and unders �requirements of the MC11VD relating to Shoreline C�rCision Protection. <br /> � /'�•�Y�� ��Lj(� ��L���RJdCt .�!6 Z° C, <br /> tSig�ture of rop Qwner) � (Date) <br /> Subscribed and swom to.before me on this z�. '"'� � a � � 200� <br /> i J/4bAES HAR�LD SMPYH <br /> (ip�F�Y PUBiiG�19VE90'fA ' <br /> ' 14Y GD�A�S�I�N E%PIHES 1e914� <br /> �O�Ij/ b�LC � <br /> App�oved By:� ��',�-�.� Date: �� <br /> r, r <br /> • ,_Pmpeny Owner Cont�actor �Mun�c,praliry dNR _D�hict F o <br /> � <br /> TOTAL P.95 <br />