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HomeMy WebLinkAboutMCWD permit OCT-05-2001 16�27 MINNEHAHA CREEK WATERSHED 6124710682 P.02i02 � �- ,�v ;'�,�� ,!< <;;� �..� J,}', `�er''.'� -�+ ` � y d —' ��'f ��� �C�o 6 � � L�7� J .� .,.��,�"-�`-'�-��'� r•�� Permit # QO- •��-(� C SHORELII�E EROSI4N^PROT�G�IOtV-F�►STi i�4CK PERMI'� MINNEHAHA Ci2EEK WATERSHED aISTRICT ��AY FRESMWATEP. CENT�f� P�� d?'�-���Q 2500 SH�t��'ifVOdD RCiG� FIA:: 4T1-f�682 EXCELS[OR, MN 55331 �, Qn�v,r� �an�o.., reside at � lo i �.K „a oo �r.e� ._ (Pro�ert.y Owner) �� (S�rPet Address) �r�--�,� �, ��„1 SS 3��l .��t Z g�9 y�oo request app�'ovaf to inst� (�;;y) (Slate; (Zip) (Phone} � riprap shorelin� erosion pratection on �ropenjr described as, 5���.� ; located (stre�t address) ��,�„o , �,,.,.,.,� �, U�.7- � i� � �.�a -� , oo��. Tt}e rip rap instaltation (�Ehin the City boundaries) (County) (P10#] wilf consist of zo a along the sfiorelin� of "r2-�k� , ��.,� 1-�k� _in f� (!ineal feetj lLake) (BaY) ac:caidance with tMe Minneh�ha Creek Watershed District Shore{ine P�otectio� Guideline for ri�rap p)ace!�nent required for i�suance of a F�si Track General Permit. I have contracted witl �01�-��•��`i i�►tiL�C;4°II�G 3153 PRIESY �A�IE • — _�. ( am�u Company} tAddress) � (Phone) , to perform the work who is familiar with the technicaE requiremen� (Ban�Number) �t^d has fc+Jf!��� +l�e b��C;�g req�irer�ents of f.h� wat�rshed �iisfrirt �see reve�se). f have i�a: and understand the requirements af the MCV1/D relating to ShoreY�ne Erosian Protection. . ��./1%��-�,,..�..�—,. .._. ---- (Signature of Propeity Owner) (Rale) Subscribed and swom to before me on ihis �!"'�'� .�,day Qf Oc.�-�$-t-�� , 2�Q� , � /� �, •> . � "�;�, :r i�ES MAROLU�1RITf{ � � .�. ... lIDTARY PUBLIC•WN� i � �:� �v CCLWt6S10N EXPIAES 1�� Nat�ry qllb{iC -"� �i�P�rv��� s�: �at�: .� Distri�butian: �Propeny Owner t'.ontractar _�Mun�apahcy _DNIt _Distric�File � T Tnrni o ra-�