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HomeMy WebLinkAboutMCWD permit JUN-28-2004 10�19 FROM TO 9522494616 P.02/04 ,_.^� j}; I�t . , .. . �4 � `� �� D �C�����. : i � :� i.: :� �u�v x � 2Qo¢ � , � ` � Permit # d`�"3 3 y ' SHORELINE ERO � PROTECTION — FAS`t�-T � MINNEHANA CREEK WATERSHED DISTRICT (MCWD) GRAY FRESHWATER CENTER 2500 SNADYWOOD ROAD Ph: 952-471-0590 EXC�LSIOR� MN 55331 Fax: 952-471-0B82 � � I, �0�"'�fi �. S�I�a reside at 1 `t 4 8 5�wd.� fZ.�( . (Property Owner) (Street Add�ess) __ ` �� a� � �� � S��9�� ����" ��� request�approval to instail riprap ��KYj (�) (�P) (Phon�) shoreline erosion pratedion on property described as�, 4 9� �t a o( l� �er� �/ ,located in �r o�o • (Strset address � .�_ ,��H"+t p�� �„_17-1 I -2 -Z y•Oo 2�The�iprap installation (witl�fn the City boundaries) (courity) (Proparty ID# �PI�#J) will consist of���� alonD�the shoreline of fVl1M+�s'�'+�k.� ey. ,� M�'r'� ��-h in full . (unoal teet) . (�ake)��� �--' '.--. . accordance with the Minnehaha Creek Watershed District Shoreline Protection Ouideline for riprap placement requir+ed for issuance of �Fast Tracl�General Permft. I havs contra�te.d with laOGc� LY�C. ,455u Shove.G�n�'DY. Sprinq PCuuc �.5� 4�E�3µ3 (Name of Compamr) (Streot addres6) (City) (Z�p) (Phone) 3q���'� ,tv pertorm the work who is familia�with the technical (Bond Number) , requ(remerrts and has fu�illed the bonding requirements of the watershed district(see page finro). I have read and understand the requirements of the MCWD relating to Shoreline Erosion Profection. � - c�4 ' r �0 /1 e /03 (Signature of Propsrty pvmar)• ` ""—'�` . (oato) Subscnbed and sworn before me on this_���' day of _ ZpQ� � Q • ■ � Nota Public � � . 6HERYL A.CATTEpNER rrr oo°1��MIAt��j�� � � Approved by: ( , � � Date � DishlbuGon: ^Properiy pymp� _Co�trackp� �Mu�qp�dlly _DNR _pistrlCt Plle Page 1 of 2 �