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FEE-1n-2��� 13�3� MINNEHAHA CREE� WATER�HED b12�71�6�2 P.�1��_11 <br /> . �� � a � � `';f <br /> . �EB 16 2000 <br /> Permit # 00- D� `� <br /> ��--------'S!'tC���t7p'� �I�OSION PR�TEGTIt]N-FAST T�tA►CK. P.ERMlT . <br /> _ _ .. , <br /> MiNNEf�AHA CREEK VI�'ATEC�SHED DISTR�CT <br /> GRAY FRESHWATER C�NT�R Ph: 471-0590 <br /> 25�� SHADYWOOD RDOD FAX: 47'I-068� <br /> EXCELSI4R, MN 53331 <br /> . <br /> �, reside at r�����f '�'���s�� <br /> (Praperly Qwner) . (8tre�t A�dress) <br /> ���—���� ���%z request app�t�vai t� inst�#i <br /> (Gity} i I State) (Zip r (Phone) �6��Yf l�it1� a� <br /> riprap sh�reline �rosion proteckion on property described as ���� ��EET, lOCated En <br /> (street address) <br /> �, , ., ��/�� �,-� --. The rip rap instaflation <br /> (Within the Gity boundaries) (counry} (Pio#7 <br /> will consist of ,.:��-alor�g the shoreline of . , in full <br /> (lineal feet) {Lake} ���Y) <br /> accordance with the Min���ehaha Creek Watershed D'+strict Shvr�line P�oteciion Guideline for <br /> ri�,r�p�p�lt�ent r�ec uired far i�ssuance of a �ast Track General Permit. ! have cantracted wi#h <br /> vrEr� �c�dg g <br /> 500 M�t t�a�� , � � <br /> t�� {Address) (Phone) <br /> ��'�� _, to per�orm the work who is farniliar with the technical requirements <br /> (Bond Numbery <br /> and has fulfilled the banding requirem�nts of the waters�ed dEs#rict (see rev�rse). I hav� read <br /> and under and the requiremen#s of the MCWD rel�ting ta Shorefine �r�sian Pratection. <br /> :�� G� � � � d�f -- `�., C�C� <br /> . (Si re df Prope Owner) Gti 1G �'`r'1��C�S (I]ate) <br /> Subscribed and sworn t��� before me ar� this i��-h . .day af •.�a r,u Q_�u _—, 20�� <br /> . e � • k <br /> � , _ MARYANNJOH�lSON <br /> L{ �',if ��-' �'.n f� NDTARYPUBLlC•M(NNE50TA <� <br /> Na4� U b�IC Z�� .:. "_ My Cartmisston�es 1ar�.31.2000 i <br /> .-.Y-.:.r.„ <br /> .:.�,.�.::_.,^;: •_..a.r..-,.._ �,—�...-....-..,, <br /> Apprvved By: � D�te: �/�.��� <br /> Dish'I uttbri' _ �opem+0�a' „�Contractor _Municip�lity _,.,DNR _Distriot File <br /> TOTHL F.�31 <br />