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FEB-11-2003 11�34 MINNEHAHA CREEK �ATERSHED 612471�682 P.02iO3 <br /> Permit #� 03— og4 <br /> ^_ SHORELINE EROSION PRQTECTION-FAST TRACK PERMIT �� <br /> MINNEHAMA CREEK WATERSHED DISTRICT <br /> . GRAY FRESHWATER CENTER Ph: 471-0590 <br /> 2500 SHApYWOOD ROOD FAX: 471-0682 � <br /> EXCELSIOR, MN 55331 � <br /> I, �rwl v1 �!'VI i�V1 reside at a�0� . Pa,irlt l.Q� <br /> (Property Owner) ' (St�eet Address) <br /> � l�rOn� , F4�1�I 5'�35b , AS�Ji�"75-159 U request approval to install <br /> � (City) (State) (Zip) (Phone) � . <br /> riprap shoreline erosion protection on property desc�ibed as 5c�"1 �O�.rl�.L.QY1�. , located in <br /> (street address) <br /> � Dr'O1�0 , �-�i� , � . The rip rap fnstallation <br /> (Within the City boundariesj (County) (PfD#) <br /> � will consist of _ ��U along the shoreline of M�YU'��'�'�Ca. , �1U r�fl•VI'r) in fuli <br /> (lineal feet) (Lake) (gey) <br /> accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline for <br /> � '. riprap placement required for issuance-of a Fast Tcack General Permit. I have contracted with <br /> Dor,�� I�'4�- .��q� ��eadaw� k�ccu�icN , asalu� ���9�� <br /> (Name of Company) (Address) (Phone) <br /> 3 q$g�q , to perform the work who is familia�with the technical requirements <br /> (Bond N. <br /> and has il e bo � g requirements of the watershed district (see �everse). I have read <br /> and un t r rements of the CWD relating to Shoreline Erosion Protection. <br /> . a/7 /03 <br /> (S nature of Property Ownerj (Date) <br /> Subscribed and swom to befare me on this 1�' day of �ruQ,h./ , 200,� <br /> . <br /> . � . <br /> /y, - SHERYL q,LqTTERNER <br /> / 1'� ' , NOTNRY PU9UC�MINNB90TA <br /> `'�� NY coM�ItsBroN ExPIR[S latdpos <br /> otary Pu lic • <br /> . <br /> Appraved E3y: �C,1 „1,�_ _ � � Date: Z �1 �0 3 <br /> Distribution: _�roperry wner _Contractor _Municipaliry r,DNlt _ �smct i e <br /> RECfiIV�D FE6 1 0 2003 <br />