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_ _ <br /> i <br /> �� � <br /> .r��� 1 7�2Q10 ' <br /> � <br /> Permit#l� - Ibd <br /> SHOR�LINE EROSION PROTECTION — FAST TRACK PERMfT <br /> MINN�HAHA CREEK WAT�RSHED DISTRICT (MCWD) <br /> 18202 Minnetonka Bivd. <br /> Deephaven, MN 55391 Ph: 952-471-0590 <br /> Fax: 952-471-0682 <br /> p�g A a.r e,. <br /> I, Tw � reside at ►�n "`�-t• r�•E - � sE�N s,,,'� , <br /> (Properly Own r) (Street Address) <br /> �Q�� , ,� �sH�� , ��a S��-z�8� request approval to install riprap <br /> (City) (State) (ZP) (Phone) � <br /> shoreline erosion protection on�property described as .�{�(i S Al, �ho r c�c , loc�ted in <br /> (Street address) <br /> , �,��n� , t�-�- , �� -►��-a��'� d ca t� The riprap irtstaNa�an <br /> (Within the City t�aundaries) (County) (Property ID# [PfQ#p <br /> will consist of i S� along the shoreline of 'rtl�k a• , .�.�, (��„ in fu(I <br /> (Lfneal feet) (Lake) (BaY) <br /> accardance with the Minnehaha Creek Watershed District Shoreline Protection Guidelirte for <br /> riprap plac�ment r�uired for issuance of a Fast Track General Permit. I have contracted writh <br /> ���-,n��"� � �ca.�V�, .31S',� �n..a,a7t 1•0�.. �SYI�w•-�R. SS3by„_(r s `(T a-��c$ <br /> (Nam o�pany) �`�� (Street address) (C�ty) (Zip) (Phone) <br /> . <br /> cr� �.R�. ,to perform the work who is familiar with the technical <br /> (Bond Number) <br /> requirements and h�s fulf�lled 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 /> (Stg�ture of ProJ�erty (�ate) <br /> Subs ' nd swom to before me on this �5��= day of .��.�._ 20,�,. <br /> . <br /> , <br /> N tary Public JIUA S NA 8MI <br /> Noary P�IIc <br /> Minneaote <br /> . My con�m. ras <br /> Approved by: Date �' � �� <br /> Distrlbutlan: Property Owner Contraota� Municipalfiy _DNR Distrkt FUe <br /> Page 1 of 2 <br />