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OCT-02-2003 14�02 MINNEHAHA CREEK WATERSHED 6124710682 P.02i02 <br /> -�10.;,��.l,Y,� � Permit#�3-�q <br /> SHORELINE ERO�SION PROTE TION �- FAST TRACK PERMIT <br /> MINNEHAHA CREEK WA7ERSHED DISTRICT (MCWD) <br /> GRAY FRESHWATER CENTER <br /> 2500 SHADYWOOD ROAD Ph: 952�71-0590 <br /> EXCELSIOR, MN 55331 Fa�c: 952�71-066Z <br /> � <br /> �, 1(�u�,�•_ 4�,,,,,�S resideat.3�, Pa -� <br /> (Property Owner) U � (Street Address) <br /> p„� , r�l S�� i ,(� :- ��� request approval to install riprap <br /> (Gh+� �'��) (ziP� (Phone) <br /> shoreline ervsion protectioi�an property descnbed as �arr�- ,located in <br /> (3�t address) <br /> _..�� <br /> �_�� ,do �1� a3 ti 3 oQS..�. The riprap insha�ation <br /> (Within the City boundaries) (County) (Property!D# [PlDf�j) <br /> �uill�eensist of_�along the shoreline of �'1�Ic� ,_� Ca�.,�.��- in full <br /> (lineal teet) (1�a�1 �8aY1 <br /> acoordanoe with the Minnehaha Creek Watershed Dislrict Shoreline Protection Guideline for <br /> riprap placement required ter issuance of a Fast Track General Permit. I have contracfi,ed with <br /> C _ 37b�p��..,...��— (Z;P) ��)�Phone) <br /> 3�153 PRIEST LA JE MC3U�Ja. MN 55364 <br /> f��C�U�J D, M N 55�64 _.�p pe�rm the woilc who is familiar with the technical <br /> � {Bond Number) <br /> requiremenfs and has fulfilled tt�e bonding requirements of the watershed district(see page <br /> finro). I have read and understand the requiremerrts of the MCWD relating to Shorelfne Erosion <br /> Protection. <br /> (signature M ropeity ) (Date) <br /> � Subsatbed and sworn to befo me on this �' of ��b� �20 n 3 <br /> �-�����-�� � <br /> �� JAMES HAR�LD SMITH <br /> �' ���� NOTARY PI1DLiFMINNE50TA <br /> NO�ery PubGC � _ � ��'�co�eMiss�oN ExaiAes�at� <br /> ■ <br /> APProved by. Date ;� ,� b <br /> Distribu�lon: _Property Owu�er _Contrector _Munlclpaffty _DNR _Dlstrfct Fde <br /> Page 1 of 2 <br /> TOTAL P.02 <br />