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SEP-12-2063 15�26 MINNEHAHA CREEK WATERSHED 6124710682 P.95i05 <br /> ��E�E�VJE.D �SEP - 8 20Q3 <br /> , <br /> � Permit�- <br /> � SHORELINE EROSIQN .PROTECTION — FAST TRACK PERMIT <br /> MINNEH'AHA CREEK WATERSHED DISTRICT (MCWD) <br /> GRAY FRESHWATER CENTER <br /> 2500 SNADYWOOD ROAD Ph: 952�71-0590 <br /> EXCELSIOR, MN 55331 Fax: 952-471-0682 <br /> � �b�9a gRl� ois%rN reside at 3 2 0 ,Q��R Wu r (�/� RGG�� �v.r�J, <br /> �P����'�� �,3oY fStreet Address) . <br /> R�O� ��__, ��- S�J�372" , (�) ��-,rBS'd request approval to install riprap <br /> (�iryJ (5iat�) (�'iP) (Phone) <br /> shorelin�erosion protection on propertydescribed as ���� S�hA� opc� f1al ,located in <br /> _ D R o� � �......��.��c►�,_��1- il�-���s� o o d�s$) — <br /> y �. The�iprap instaliation <br /> (1Mthin the City bouhdaries) (Couniy) (Properly ID# [PID#�) <br /> � will consist of !��9 along�the shoreline of �'►iw�E ToNy1� ,^ ,_„�in full <br /> (Lineal feet) (��� '"� <br /> � accordance with the Minnehaha Creek Watershed District Shvneline Pr�tection Guidelin�for <br /> riprap placement requined for issuance of a Fast Track General Pennit. 1 have contr-acted with <br /> �pc,� o'' '�J�� �n�•,_.�1�.. 5hove.l i n2 f�r. �r'i nq��`5�-�/7!-�''� <br /> (Name of CompenY) (Street address) (C�ty) c�p� 553g��Pho„a� <br /> _ 3�g g 4 q ,to perform the work who is familiar with the technical <br /> (6ond Number) • <br /> requirements and has futfilled the bonding requirements of the watershed distriet(see page <br /> iwo). I have read and understand th�requirements of the MCWE�relating to Shoreline Erosion � <br /> Protection. <br /> `�f, ��� <br /> 4,.3 <br /> (Sig °f?roperty Owner� '�� (Date) <br /> Subscribe and swom before me on this �g� day of� � 20�3 <br /> � <br /> �� <br /> � 9HEFiY1.A LATfERNER �� <br /> Npt PUbI1C � NOTApYPUBIJG6IWNESOTA <br /> Nr coha�s►aa��5 ta,-eoe� <br /> . � . <br /> Approved by: �,,,�1.,.7�Q� p� �3 <br /> Di9tribuUon: _PropertY Owner �Conlractor _Muraap�llly _DNR _Dfstrirt Fle <br /> P�ge 1 of 2 <br /> / , <br /> . <br /> TOTAL P.05 <br />