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JUN-07-2005 15:11 P.02/02 <br /> Permit#03- <br /> SHORELINE EROSION PROTECTION — FAST TRACK PERMIT <br /> MINNEHAHA CREEK WATERSHED DISTRICT(MCWD) <br /> 18202 Minnetonka Blvd. I , <br /> Deephaven, MN 55391 Ph: 952.471.0590 <br /> Fax: 952-471-0682 <br /> 1',56aa jeln dMiZ_wide at 4 615 I�Df h• ll.�' � <br /> (Property Mme') (Street Address) . <br /> Orono , MM 6Lj )1l'1Q. request approval to install riprep <br /> (City) (State) (ZIP) (Phone) <br /> shoreline erosion protection on properly described as LV�( tV-N�t,)P_.,Ionated in <br /> ( eta � <br /> 1�. �p <br /> (1Mthin •City boundaries) —`` (Cour k) (Property ID# [PIUM) The installation <br /> will consist of S"� along the shoreline of /,dj In full <br /> (final Beet) (lake) �Bay) <br /> accordance with the Minnehaha Creek Watershed Distrlct Shoreline Protection Guideline for <br /> riprap placement required for Issuance of a Fast Track General Permit. I have contracted with <br /> N !1E �U"_r 5 ( R3c13 <br /> (Name of Company) (Street ad ) 1 . 40113) (Phone) <br /> • .to perform the work who Is f9miliar with the technical <br /> (Fond Number) <br /> requirements and has fulflifed the bonding requirements of the watershed dlstriot(see page <br /> two). I have read and understand the requirements of the MCWD relating to Shoreline Erosion <br /> Protaciion. <br /> 1 2-1 200 S <br /> ►a ) '' (Gale) <br /> Stepv,rr�:e �ba��.► <br /> Subscribed and sworn tore me on this 1 5 r day of L��- ,20 <br /> a <br /> Notary Public care <br /> _ SF1�L A.LA <br /> NOTARY PuauO.�1NESOTA <br /> v <br /> roved•b I te II <br /> pP Y� � <br /> A Date <br /> L, <br /> DWHbWan: Praperhi owner pMuactr mLmwpdv ._.DNR tabid He <br /> Page 1 of 2 <br /> MAYA PR 2 K 2005 <br /> z Q5 <br /> Q52-L+.? 2 - ,2 30�} <br /> TOTAL P.02 <br />