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DEC-29-2969 09�34 P.02i02 <br /> Permit#4�- 310 0 . <br /> SHORELINE EROSION PROTECTION — FAST TRACK PERMIT � <br /> MINNEHAHA CREEK WATERSHED DISTRICT (MCWD) � <br /> 18202 Minnetonka Blvd. <br /> Deephaven, MN 55381 Ph: 952�471-0590 <br /> Fax: 962-471-0682 <br /> �,Cindy J. Gray reside at 880 Partenwood Road � <br /> (Properiy Owne� (Street Address) <br /> Long Lake � MN 55356 � U 471-8016 request approval to install riprap <br /> . (City) (State) (ZIP) (Phone) <br /> shoreline erosion protection on property described as same , located in <br /> (SVeet address) <br /> Long Lake Hennepin , o�-���-�-a�-000� � . The riprap instalia�an <br /> �thin the City boundari�s) (CouMy) (Property ip# [PID#]) � <br /> will consist of 200� along the shoreline of Minnetonke MaXWell in full <br /> (Lineal feet) (�) ' (B�1 <br /> accardance with the Minnehaha Creek Watershed�istrict Shoreline Protectian Guideline for <br /> riprap placement required for issuance of a Fast Track General Permit_ 1 have contracted with <br /> Minnetonka Portable Dredging 500 West Lake St, °�'�,CQISI6`.^ 55331 ! 952� 474945d <br /> (Nsme of Company) � (Street address) (Clty) (Zip) , (Phon� ej <br /> ON FILE ,to perform the work who is familiar with the ioechnical <br /> (Bond Numbeh <br /> requirements and has fulfilled the bvnding requirements of the watershed district(see page <br /> iwo). I have read and understand the requi�ements of the MCWD relating to Shareline Erosian <br /> Protection. <br /> ..1 � . , 1 �— c� �-(— D9 <br /> (Sign of Property Owne� (Date) <br /> Subscribed and sworn to before me on this�day of �r`��'�'�`��� , 20 0.� - <br /> � .�, . <br /> ' +"'"� Haldl I1fl IEF�m ,. r <br /> r ` <br /> �' �u� .� � ��;�'�,E;l,N.�;%' L�O�/�.(i(�`h.. ' . <br /> ��� � <br /> Approved by: D�� 2� �9 <br /> Oistcilw6on: ^Property Owi�er _Conlractor ,Munlcipaliiy _DNR _Distrid File <br /> Page 1 of 2 �� <br /> DEC 181009 <br /> TOTAL P.02 <br />