HomeMy WebLinkAboutMCWD permit ,t-It'''brand fax transmittal memo 7671 1 d of pages ► 1 p p z ,y r 1 r ,v
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Dept. 7 /} } Phone % es
fagtx N �!3�Ll--�/" fax�97 7/- -- PERMIT
. ,. �,.:/l\,.%A1l A
{ " MINNEiAHA CREEK WATERSHED DIS RI
CT
}. SHORELINE EROSION PROTECTION
1. � wr
tS?55 K rth S re rive ,
1,
,A residing at „_ (Street)
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(City)• (State) (Zip Code) (Telephone)
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request approval to install riprap shoreline erosion protection on property described s in
above 07 117 23
Henn. ;
•; Orono 114 Section) (Section) (Township) (Range)
` ' (County)
. (City)
installation will consist of3 (lineal feet) along the sltbtelint of
f �: • The West �1r�i-Lk.Mtk a. (Lake), in full accordance with the technical g .
';'. V of the Minnthaha Creek Watershed District Shoreline Ere sion contractedction with Guideline, as
���.�. published) required for issuance °�".��•
of Company);of of a general permit. T have Lake t;,� r-
.c.,�,sic - (Address);
. Mt:.4.117.9.L$5.4,—•
454 } (Telephone);; g4-flib (Minnehaha Creek Watershed District
e
f; icense No. to perform the work who is familiar with the techWatni l Disrements. 1P and
hoc
•1 read and understand the requirements of 1innehaha kmy Contractor.
M, as amended, and have provided a copy of the rules to
(Signature)
. ---�' --' (nate)
y Feb. 199 .
Subscribed. and sworn to before me this
28th. da of
01
J1 y/ . •/ ~ . . s 0.rsi
1.
: otary Public 11.31-2004
•
Ap,r.ved b ,\ l
la 4 L i I �� A.
(Date)
. Minn!:° aha Creek Watershed ti4.trict
April 19, 1993
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