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FEB-10-2005 10�56 P.02i02 <br /> P�rmit #� <br /> SH�R�L�NE ERaSlal� PROTECTION - FA�T TRACf4 PERMI�' <br /> M�NNEHA�HA CREEK WATERa�HEp pISTR�CT(MCWa) <br /> 182A2 MIMNET4hIKA @LVD. Ph: 852-47�-0590 <br /> DE�PHAVEN, MN 55�91 Fax: 85�;-471-0682 <br /> f, � �`'��� < <r�1 reside at �99 l � er n esS Yo�.ri t �oc� <br /> tProp ny Owner) (91�a ddress) <br /> _�a.i.4�a, . M� _ 553�.1� (qsz ��1-1Jo1 requsst aPProya!ta ir�stall ri{�rap <br /> f��=Yl (State) (Z1P) (Phvne) - <br /> . shoreline erasio� pratectlon on pru�erty d�scribed as W q i F'a.aern�sg P#, Rd . located in <br /> . ( M (st t add►�ass� <br /> . - The fiprap instal�ation <br /> (Wi in Ihe Ciry boundarfes� (County� (Properiy ID M [A�D��) <br /> will consist of_�slong the sf�orelin�of Mi�1h e�n ka. . I,�J-�s-� �r n��in full <br /> {Un�e�faec) (L�kal — - (gay� <br /> a�corda�ce with the MinneMaha Creek Watec�hed Dlstrict Shorelirre Protectlon duideline for <br /> riprsp piaoe�nent required for i�sue�nce of a Fast Track Gen�ra9 Permit I have cv�tracted wRh <br /> i"\iC'�C�i'.l �sCc�TTCC�'�4�.'1 7C1 ril�.v►�G� w`�C"�crJ.r. S.s.S�� �t� ���,jS�c�s' <br /> {Namt oi GomP�Y� iSarseet address) ~ (�rtYI (Z�P1 (Phon�) <br /> �0�1� 3���N 3 ,to ��ertomn#he work who is famiiisr with the technical <br /> (Bond Number) . <br /> requirernents and has fulfifled the b�onding requiremer�ts af the water�hsd dlstrlet(see pa�ge <br /> two). I have r�ad ar�t(understand t�e requirem�nts o�f the MCW a rsl�ting to Shoreline Erasion <br /> Pcotect�on. .. <br /> + � z/��/� <br /> t8�9n of ProAett�►Uwner) (p�� . <br /> Suhs "be and swom o befiore m�an th is_ i�day of _ � o r , 20Q�. <br /> G), ' . , MATTHEVfI�.�SCHMIDT <br /> Notary�ublle . <br /> Notary I�ublic �' , Mlnnesota <br /> �„i,,,r�ti;, r�s ' r 9i aooe, . <br /> approved by. �ate <br /> Dlstnbuqan: _p�Uper'�y pwnef _Conhactor �MUnlCipbtlity _,phlR Dtsttkt RIB <br /> Page i of 2 <br /> '11 `�r� ``;;15'�n� I <br /> ��� �.r-; �� 4:� �a � <br /> �I <br /> L':`•�'I `".`,� �. k 2��� � <br /> . ._._--- <br /> TOTAL P.02 <br />