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. � . <br /> p � � r ° ��7 !� <br /> p �� � I� R �] [� � <br /> AUG 3 � CU10 <br /> D aut;:� I �_��� <br /> Permit# �� - Z�� <br /> SHORELINE EROSION PROTECTION — FAST TRACK PERMIT <br /> MINNEHAHA CREEK WATERSHED DISTRICT (MCWDj <br /> 18202 Minnetonka Blvd. <br /> Deephaven, MN 55391 Ph: 952-471-0590 <br /> Fax: 952-471-0682 <br /> I, f��,�� �T�nzy resideat i3�in R���' ��+ c��. <br /> (Property Owner) (Street Address) <br /> � <br /> ar���,� , , ���n1 , ��5 -�r�t -�1 LI�t� request approvai to install riprap ' <br /> (City) (State) (Zip) (Phone) <br /> shoreline erosion protection on property described as 1�i�}8 (��i �'+���"" , Iocated in <br /> (5treet address) <br /> o rG:�c� , i���� : c� >>7 y3 � i o�Z?L. The riprap installa�on <br /> (Within the City boundaries) (County) (Property ID# [P►D#j) <br /> will consist of �7 S along the shoreline of fvl���e=r�n lE�., , `(�� in full � <br /> (Lineal feet) (Lake) (Bay) <br /> accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline far <br /> riprap placement required for issuance of a Fast Track General Permit. I have contracted with <br /> I�r` <br /> � , <br /> , ��� G����pr5t�:�c.. Z,��L, :I�...�. ��7c� l�-,12L �����,M t7{ CI�u�l�.5��,v.�:�5�1,7 �Z_) 1_zGi- `,�"'=�4�¢ <br /> , <br /> (NaIne of CompanX) y. (Street address) (Ciry) (Zip) (Phone) <br /> [�j�/. ., � � 1 •� •°7�j��v��cat=_ , <br /> � � <br /> [C��(��,�� ;,��� " � `" �=�- ;,�,;,�;to perform the work who is familiar with the technical <br /> f;_I"�f� .�:�';.���_�--- (Bond Number) � <br /> �' requirements and has fulfilled the bonding requirements of the watershed district(see page <br /> two). 1 have read and understand the requirements of the MCWD retating to Shoreline Erosion V <br /> Protection�_ �� <br /> � <br /> .�.�,� _�z, <br /> (S a re of Property Owner) (Date) i <br /> ,4 <br /> Subscribed and sworn to before me on this day of , 20r <br /> Notary Public <br /> Approved by: Date � <br /> Distribution: �Property Owner �Contractor�7 ,�Municipality _DNR �Dlstrict File <br /> Page 1 of 2 <br />