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JUL-23-2002 11�27 MINNEHAHA CREEK WATERSHED 6124710682 P.92i02 <br /> , <br /> 1 <br /> � w w�� <br /> Permit# <br /> SHORELINE EROSI�N PROTECTION - FAST TRACK PERMIT <br /> MINNEHAHA CREEK WATERSHED DIS7RICT(MCWD) <br /> GRAY�RESHWATER CENTER . <br /> 2500 SHADYWOOD ROAD Ph: 952-471-0590 <br /> EXCELSIOR, MN 55331 Fax: 852-471-Q682 ' <br /> o�vY go � <br /> I, Ne.,n. t�. E�w, Sen►�ces reside at.,_.W�� 1U or� 5� 5+ � _ _ ___ <br /> (Property Ovmer) , (Street Address) • <br /> J�'1;nne�_p�_<_<5�, , A1N 55Nn� , II(�)3ti8-W37� request approva!to install riprap <br /> (Cily) (State) (ZiP) (phone) <br /> shoreline erosion protection on property described as H���f.5o� �+►nc� , located in <br /> (8treet address) <br /> ' �l`�nO , , �U/A . The riprap insfallation <br /> (VVithln the Clty boundarles) (Cow ty) (Property ID# �PID#J) C�*' Qa� � <br /> will consist of a�s along the shoreline of �� �+'�%^+��or►�, ,�f �S+Arrn in full <br /> (Llneal feet) (Lske) (Bay) <br /> accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline for <br /> riprap placement required for issuance of a Fast Track General Permit, I have contracted with <br /> r'1t�lc�, Po�bie Or�d,��. Ce., 5� t�1. �,K� S�r. Ex�ls,or 55331 (�) K� ' � <br /> (Name of Compar� �— (Street eddress) (City) (Zlp) (Phone) <br /> �to pertorm the work who is familiar with the technical <br /> (Bond Number) <br /> requirements and has fulfilled the bonding requfrements of the watershed distrfct(see page <br /> two). ! have read and understand the requiremerrts of the MCWD relating to Shoreline Erosion <br /> Protection. � � <br /> ��JO^0'� <br /> (Signatu Properly Orvn9� (Dete) ' <br /> Subscribed and swom to befvre me on this day of ,20�. <br /> Notary Public ��� � <br /> Approved by:.r�"= /�_�—���,? _--- Date Z <br /> DisUibulion: _Properly Owner _Coniractor _MunldpailLy _DNR 'plstrid FYe <br /> � Psge 1 of 2 <br /> TOTAL P.02 <br />