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JUL-25-2003 16�30 MINNEHAHA CREEK WATERSHED 6124710682 P.92/03 <br /> . ����� � <br /> :�'r � ����'�i �' F, ��;F••, <br /> a,:: <br /> � Permit#Q�-'�(� <br /> � SHORELINE EROSION PROTECTION � FAST TRACK PERMIT <br /> MINNEHAHA CREEK WATERSHED DISTRICT (MCWD) <br /> GRAY FRESHWATER CENTER <br /> 2500 SHADYWOOp ROAD Ph: 952�477-0590 <br /> EXCELSIOR, MN 55331 Fax: 952-471-0682 <br /> �,--Q i c.� l.�'�-��e. �S�dg at ���5 5 h adu�oo� — __.. <br /> (Pro�rty Owner) (Streat Address <br /> X�51(J� �� �53�J�(��?I-dy�o$equest approval to install riprap <br /> (C�Y) (��) (ZP) (Phone) <br /> sho�eline erosion protedion on property described as b�-��� 5 ocated in <br /> . (�e�et e�d reo s_)� <br /> � _�ro n o ,��, a I - � �7- �tr,e riprap installation <br /> �thln the Clly boundaries) (Couhty) (Proparty Ip# [PID#]) <br /> wifl consist of ��r along•the shoreline of n'LI YI,YI��'QY,tFI-�-, �YIL[l�5 � in full <br /> (Lineal fest) . (Lake) . (BaY) � <br /> . accordance with the Minnehaha Creek Watershed District Shoreline•Protection Guidefine fvr <br /> r.iprap placement required for issuance of �Fast Tracic General Pem�it. I h2ve contr�cted with <br /> ' �CK� �.t�� (J�t C. .�..��'W L-�� � � �n�(RS� �{"1 I-�'s3�-!3 <br /> (Name of Comperry) (Street addressj (Clt� (Zi (Phone) <br /> �S S�-Fq �,to perform the work who is familiar with the technical <br /> (Bond Nun�ber) ' <br /> � requirements and has fulfilled the bonding requirements of the watershed district(s�e page <br /> fi+vo). I have re�d and understand the requiremerifis of the MCWD relating to Shoreline Erosion <br /> Protection. <br /> . • <br /> � • zoo3 <br /> (SlpnaGxa of PPcP�Y �I (Date) �_.� <br /> Subscribed and swom to before me on this�,�� day of�`_--�-- �20 0',� <br /> a . . <br /> Notary Public � SH�R�Y�LP��p�NER <br /> NY COMM18910N EI�IFiES 1,914006 <br /> Approved by: ���?{, Date� . <br /> Distrlbution: _Pro�aerty Owner _Conb�ctor _MurddpaUry _pNR _DlsUid F�e <br /> Page 1 of 2 • <br />