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� . __ o �� <br /> �� <br /> , /'q Q tr�j <br /> �n '' a <br /> e a Zo�2 <br /> Permit # 17�- I <br /> SHORELINE EROSION PROTECTION — FAST TRACK PERMIT <br /> MINNEHAHA CREEK WATERSHED DISTRICT (MCWD) ^ u <br /> 18202 MINNETONKA BLVD. Ph: 952-471-0590 (2 �� 1 <br /> DEEPHAVEN, MN 55391 Fax: 952-471-0682 <br /> �,IYiI�{ �oZ�4k. resideat 1� Z2� ���( ���i.�OW L`� ' <br /> (Property Owner) (Street Address) <br /> C�1�.a. , � ss��.��, ��L> 3 zs 3s.�� , ��5�,y�y-s��� , <br /> (Ciry) (State) (Zip) (Phone) (Fax) , <br /> request approval to install riprap shoreline erosion protection <br /> (email) <br /> on property described as /��� V�'��S { � , located in ����d <br /> (Street address) (Within the City boundaries) <br /> V�.V� /?-//�- 23-/I •-000�. The riprap installation , <br /> (County) (Property ID# [PID#]) ' <br /> will consist of!�� atong the shoreline of U���"�� C��S�a ` in full <br /> (Linear 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 Permit. I have contracted with ' <br /> �t��t�. Pv�d' U�C�(A�V V� �r(.�J Uc.s� ��.1[e l-.�' �j(CQ I S�f �� y7y-9yss� <br /> (Name of Company) (Street address) (City) (Zip) (Phone) , <br /> �/'r <br /> /' c I� , to perform the work who is familiar with the technical � <br /> (Bond Number) ' <br /> requirements and has fulfilled the bonding requirements of the watershed district(see page <br /> two). I have read and understand the requirements of the MCWD relating to Shoreline Erosion '� <br /> Protection. <br /> ��� ; � � l/y l�z.- <br /> (Signature of rope y er) l a.� (Daie) <br /> , / � !�, <br /> Subscribed and s rn to before me on this ` day of ��r C "` , 20�� ', <br /> r �.r- '°� Thomes C.Niccum <br /> U IC '�, �€ NOtary PubllC <br /> � � Mlnneaota <br /> ;.,� <br /> Approved by: Date <br /> Dlstribution: V Pro�erly Ovmer �Contractor ,1(.Municipallty _DNR �Disirict File <br /> P�c�e 1 of 2 <br /> , <br />