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Permit#6_ Tit/ <br /> SHORELINE EROSION PROTECTION -- FAST TRACK PERMIT <br /> MINNEHAHA CREEK WATERSHED DISTRICT (MCWD) <br /> 18202 Minnetonka Blvd. <br /> Deephaven, MN 55391 Ph: 952-471-0590 <br /> Fax: 952-471-0682 <br /> 1, efe,htia 111 eZANresideat ;,? 7 l3 PA +,/ led, <br /> (Pro erty Owner) (Street Address) <br /> r�jVQ , ]�'l/l .5 , 31 , (o/a)((�P703()aro request approval to install ripra 'y�{� <br /> (City) (State) (Zip) Cj hone) 79677 ( i2 - 7I6 - IntIS� 1 <br /> shoreline erosion protection on property described as 47Q 6- N695-ii-d- id , located in <br /> QQ �DIT/ (Street address) <br /> An� The riprap installation <br /> (Within the City boundaries)/ a (County) (Property ID# [PID#]) <br /> will consist of j1>7 (along the shoreline of g/,(/,t/ h,///4 eUili ✓ in full <br /> (Lineal feet) (Lake) (Bay) <br /> accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline for <br /> riprap placement required for issuance of a Fast Track General Pe it. I have co racted with <br /> NQi�LG� A.6i k 6?/ i +15 -707qitooy44,d 1)r/kS .ss�a ) 7/(Q l4/3(Name of Company) (Street address) (City) (Zip) (Phone) <br /> wCha.dweaC 333 0msyi.000-4 <br /> 07301 , to perform the work who is familiar with the technical <br /> and Number) <br /> r quire 'ents and Ifilled the bonding requirements of the watershed district(see page <br /> o). I h:v--rea and n%'-rs :nd the requirements of the MCWD relating to Shoreline Erosion <br /> rotecti. 1 <br /> • (- k_ A470 <br /> ";ign: re of Pro.• Ywne /( �f (Date) <br /> Subscri•ed ='• worn • b.: ore me on this if day of 2O <br /> ' ..�`— KAITLIN K. KONGVONG ti <br /> Ir '• 'Pip. c.- :' "w- NOTARY PUBLIC•MINNESOTA <br /> My Commission Expires Jan.31,2011 t <br /> Approved by: aSk.- Date //—l6.- 06 <br /> Distribution: _,_,Property Owner _Contracto , •-".:pal _DNR _District File <br /> Page 1 of 2 <br /> p) 17 7 '7 ' ''' ''--- 'Th 1 3 r 7. 7'T I <br /> ' ' I)il .1 ;. cry Jr,. r <br /> , <br />