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HomeMy WebLinkAboutMCWD permit MAY-05-2005 10�07 P.03iO3 Permit#�$- /qS SHORELINE EROSIO�V PRQTECTIQN — FAST 7RACK PERMIT MINNEHAHA CREEK WATEf�SHED DISTRICT (MCWD) � 18202 Minn�tonka Blvd. � Deephaven, MN 55391 Ph: 95��71-0590 �ax: 9�2-471�0682 I, ' � � " � . reside at�y(� Gr���_���.���Occ� (Prope Owner) S atr et Address) ,((��t� , Pf'I I`? 5 " I, (�2)�}'1 I-�IZ'�� ►�qu�st approval to install riprap (Clty) (State) (Zp) (Phone) shoreline erosion protection on property described as�{� C�.tt.`'�i c�r� 4�.i 4�(k3�'� , located in (St et address ���(ll� � , I�I-��-23 y�k-�D22 . Theriprapinstallation (Within the City boundarles)� (Count ) (Property ID# [PID#]) will consist of �� along the shoreline of�inn �nk. ,��'C.� in full (Lineal feet) (Lake) �(B2y) accordance with the Minnehaha Creek Watershed District Shor�lino Protection Guidelfne for riprap placement required for issuance of a�ast Track General Formit. I have contracted.with �.�x�,-� �►� 1 r1 C_ , ��J JYvlXe.l�r� �I��� 5Df 1�0.��- ���J��- (�) 1- 3� (Name of Company) (Street address) ( ity) (Zip) (Phone) �J�`l���q ,to perform the work who is familiar with the techniCaf (Bond Number) � r�equirements and has fulfilled the banding requirements of the wate�5hed district(see page iwo). I ave read and understar�d�h�r�uirem nts of the MCWD i�elati�g to horeline Erosion Pro �, � �' J, / � �-�' � U5 ._ (Signa4,re Pro � (Daie) Subscrfbed and sworn o before me on this �n� day of ���.- . 20 OS � �'u' � ' ��� �� SHEF�YLA.LA7TERNER No Publi NpTpRy pU91�.INWNE9pTA , ARy CommleeMn 6�iee J1n.31,2010 Approved by: Dafie �/O�-1/� Distribution: _Pmperty Owner _Contrac6or _Municipalily _DMR Oistrict File Page 1 of 2 D ��� ti► ��%a�� c � ppR 2 5 Z005 TOTAL P.03