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e'32-0 � <br /> 022010 <br /> Permit - <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 /> I, �Abok$\ . 3b'V)" `-)t)N>,reside at ��r� 'nbrky\ S�f1aV�, IVeJ <br /> (Property Owner) (Street Address) <br /> YY un ik ,A 55M, Rjj) X11-4M5 request approval to install riprap <br /> (City) (State) (Zip) (Phone) <br /> shoreline erosion protection on property described as' 4� b Y)hv-Vh ShW 'bids located in <br /> Y1I1 toy) l�t�tVtYt�`�tYl p�- 11`� <br /> (Street address) P P <br /> thin the Ci boundaries � "�I•'bOD The ri ra installation <br /> (W( City ) (County) (Property ID# [PID#]) <br /> will consist of 55 along the shoreline of Amn-th nILA, WCA Cl lr M in full <br /> (Lineal feet) (Lake) (Bay) <br /> accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline for <br /> dprap placement required for issuance of a Fast Track General Permit. I have contracted with <br /> �IYVA l,Vt dt tlnc.- �dyt ►bvro-o 55?6a Cu-51m) <br /> (Name of Company) (Street address) '(City) (Zip) (Phone) <br /> ,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. 1. <br /> 1 <br /> (Sign t re of party owner)V ( toy <br /> Subscribed nd sworn to before me n this Sot- ,20/ <br /> *., VOL.NNI Mc <br /> � � �,•' Notary Public <br /> Minnesota <br /> Notary Public <br /> M Fommission Expires jagau 31 2015 <br /> Approved by: Date*—�i L <br /> Distribution: Property Owner contractor _Munidpallty DNR District F8e <br /> Page 1 of 2 <br />