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HomeMy WebLinkAboutMCWD permit JUN-28-2094 16�20 FROM TO 9522494616 P.03/04 ; . . • � �"'' r "'f ry.., . � .�. . � �D �� a;`., ��/ � JUN � 1 2004 D . b�-I— 33,� SHORELINE EROSION PROTECTION — FAST TRACK PERMIT MINNEHAHA CREEK WATERSHED DISTRICT(MCWD) 18202 Minnetonka Blvd. Deephaven, MN 55391 Ph: 852-471-0590 Fax: 952-47'I-0682 � 1 1 �drOY►6reside at 2..� S G �e1�e�1 1'Olw�� VJ�?I ���_ (Prope Owner) 5treet Address � � .� _v`�"'��� ,��. S�3S�� (�SZ) �� 6��request approval to install riprap (Cily) (St-ate) (Zip) (Phone) shoreline erosion protection on property described as l,A�C F� � CGe SS , located in � � (Street address) � ror�o _,_�Q��n p� 1h , ,,.,^__ ThE ripr�p installation (Willtln the City boundaries) (Countyy (Property IO# [PID#Jj^ • will consist of�S along the shoreline of_���n e�o�1���0� ,�V�` .� �Gt� in full (Lineal feet) (Lake) (6ay) accordance with the Minnehaha Cr�ek Watershed District Shoreline P�otection Guideline for riprap placemerrt required for issuance of a�ast Track General Permit. 1 have contracted with T��GK� Iri�`-1- .� . �5� Sl�sr�.l�i.�,�r. �n� Pa�45�2_471�83�3 (Name of company) (Street address) (City) (zip (Phone) 3�18 S��' _�„�,to per�orm the work who is familiar with the technical (Bond Number) requiremer�ts and has fulfilled the bonding requ(�ements of the watershed district(see page two). I have read and understand the requi�ements of the MCWD r�elating to Sho�eline Erosion 'Protection. � ' re oF P�e a�, Gr����a � a h u►o��� � � �2.�D�' c � Subscribed and swom t before me on this 1(v�` day of , 2p0� . -��ry�; 6ARBARA G.SILUS NOTARY PUBUC-MINNESOTp My ConunL�sba Expires Jan.3�,2008 Approved by: Dete ' Dislribution: _Property Owner _Contraclor� _„Mun�lpallty _DNR _Gistrid File , Page 1 of 2 �