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MCWD permit
hdOlJ-�=�4-1y'�� 12��1� f�lIhdtdEHHHH �:_�'EE4;: t�.JATEF"=�HEL:� 61�4i'14_'1F�[-f� F'.�Z��.'�=.1� �� - �i��" �VIINN�E�-IAHA CREEK �A'I`E�S��D AYST�CT Gcay Fre�hwater �'Qundatiotn Ph: 471WU59U 2500 Shadywaod Road, �xcelsior, MN SS3�� �'ax; 471-�4GS2 5��12�LINE ��2US�aN PR(�'I'ECTION- FAST TRA�K PER,MIT � , �--�--. , �� � �� r, --� - �;� . Y residing at ( rqPeri}'OwneC} (Slrc�l A�dr ) � . , p�; r �S , request approval to instafl (City � f Sttite,Zip) �� �0 1 1 riprap shoreline erosion protection oa property d�sGr�bed as .� � � --- 1 , located in (5trez�Acldr , ) bran�_ , � _, l�ehnee,� - .��'(!7'Z3 23 a�3S____� 'The rip rap installatian (Ciry) (C4uRty} (PiD#1 icx:7ted on ta�slattnie�ii) Go utcr Lr�ke will cansist of /DO �aR� t}1C' 5�lOC��lfl�O��lJ�'JG�b/1IGf_ �Ll�fJ , iIl f13I1 3CGOC(�'�CZ Wlth (Litteal feet) {i,ake} {Bay) the N�innehaha Creek Watershed �]istrict S�areline Protection Guideline for riprap pl�cement required far issuance of a Fast Track Greneral Permit. 1 have contracted with ..��a�✓�a(�!e Gl�ed�ll� _ � ���sf (�,�e S�rcet .� Cc'elsl4r �� , , y7�-�y� -- (I'iame ofContpBriY) (AcldressJ �j�,3� (Pltibnt) , to �erfarm the work wf�a is familiar with th� technical ret�uirements and ha� ($ond Nuttirber) � futfii�ed ��e bondin� requirements of the watershad district (see reverse) . C have read and understand the r�quirements of ihe NiG relatin�to Shor�line Erosion Protection. ,���- � ��� � tur �+roperty owner) (faa�e j , 5ubscrihed and sworn to befo�-e me on this day of,_ , 1999 - _ _-"_:T Nota.ry Public ��9��'�� '°' '�=':'�� ,�a ,� � � A rov�a B ' `���--' r�� �.. _._..�.m...�. � PP Y . �� mes Hafne�istrict"C�chnician (�;��c�� : : '." Dislributian: F�roperty Owncr Cpittr�a���� MuntGapa#i;y I)[�'I2 f)i:�trict E�il� Ti iTHL F'.t_r�