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HomeMy WebLinkAboutMCWD permit NOV-29-2004 a8�39 P.02i02 _ : : . .. :�_::� , �-:��. �1� � ` I�I U• u" i.:� Permit � �� � 2 z00� �HOpELINE ERO�ION PRCJTEGTiON - �A�T T�aC�c PEaMIT MINNEHAHA CREEK WATERSHED OIS7RICT(MCWQ) i6�d2 MINNETONKA BLVD. PI�: 9g2�47t-0580 DEEPHAVEAt, MN 55391 F�x� 852-471-0682 1, �Y/� B/ou�t� reside at 1390 C�i .ryr.� �la�-e� (Prc�peny Ownar) (S�ree�A dr�j _ ��Ovl c� ,�� 5�'�.✓��'', 'a�l� ��/ vZSSU request approval to install riprap (City) (Stato) (Zip) (i'hene} :� snoreline erosion protection on property descnbed as __�3_�ID CGIeI�/l1/�4C�2., located in ��oh v s�ree►�dd�ess, ,��,,,e _�8-jl7-23 3�- QO?.3 The riprep instaHation (WAhln the Ciry beundadea (Coun�~ (Propeny!D� �PID#�j wlll consist � along the shoreline of %'Jh � ,�vrfi1, �}'� in full �'�!(Uneal fBet) (Leke) (Bay1 accordanCe w�th the Minnehahs Creek WHterahed District $horelino Protaction Guideline for rfprap placement requlred fior issuance of a Fast Track t3enera�i Permit. I have contracted with ,t��'1hfr�Z�'rdl,�p��''�u�v/c QrPd�/i�T�V, �,C'�.sf'��/.fiov S�� i�7,��f�s y f Name af Company) (Sf{eet address) (Glty} (Zlp) (Phbno) .�, to perform the work who is larniliar with the technical (Bond Numher) requiremerits and has tulfiUed the bonding requlrements of tha wpttr�rsY�ed tiistrict(see pa�e two), { h�ve read 2�nd undarstand th.e requirements of the MCVUD telating to Shorellne Eroslon Protection 11 �`� (Slpnaturs � orty Ownorl I yL0) Subscribed and sworn � before me an this__S��day of , 2p� — - ' .�� _ - PAMF.LA J.01tV16v.11 IVoianj Publi ` y` Np1'qRY PyJ6llGMJNN�SOTA,. P�NNINCiTON CQ6fNTY MY COiWi!!.6XP.JAN.31�20l}:f Apptoved by: , _ Dat� � D1slrlbuUan: _Property Ownor _Conuactor __Munidpel'�r _ONR .,Distrid FUe Pa�e 1 oi 2 � � � TOTAL P.02