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JUN-�3-2663 17�34 MINNEHAHA CREEK WATERSHED 6124710682 P.02/02 <br /> ; <br /> . RECFIYED JUN p 3 2003 : <br /> � <br /> : <br /> � Permit# ..._ � <br /> SH4RELINE ER�SION PROTECTfON = FAST TRACK PERMIT � <br /> MINNEHAHA CREEK WATERSHED DISTRICT(MCWD) ; <br /> 78202 Minnetonka Blvd. <br /> D�ephaven, MN 55391 Ph: 952-47'I-0590 <br /> � Fax: 952-471-0682 � <br /> , I, Ne^''�P�^ ��^�'"j reside at `I 11 N or�+�, s� S� � ; <br /> ���,�}.. �street address) ; <br /> � n') 1S ,i'YIN 55ya� ,� 3y$-�13'7Q request approval to ihstall riprap : <br /> ( ityi) (State) (Z,p) (Phone) <br /> shoreline erosion protection on property described as ����5 ���� , located in ' <br /> (Street address) i . <br /> �f�rl U N-G.vtc �n ,8$SII'-�i _3�13-UWS •et-cJoO?= 1�1A Clpf�P II'18��12�1011 � <br /> � ; <br /> � �thin the City boundaries) (Coun y) (Property ID# [PfD#]) : <br /> � s'1v�s Gt�,�,�-� in full � <br /> will consist of�along the shoreline of� �►� Ih+�� , <br /> , � (Lineal f�etJ (Lake) ' (Bay) ! <br /> � <br /> accor.dance with the Minnehaha Creek Watershed District Shoreline Protection Guideline for i <br /> � riprap placement required far iss�ance of a Fast�Track General Permit. I have corrtracted with ' <br /> � �t.n�. �o, E•,v, Stc`Liccs ,_„�,�„ N �-` �i' S,�{OI 61�) f('�l�1 : <br /> (Neme of Company) (Street address) (Ci (Zip) (Phone) <br /> �I� �rl�+t�e. Orrd.�.w. ,to pertorm the wo�k whu is f�miliar with the technical � <br /> (Bond Nutnber) : <br /> rsquirements and has fulfilled the bonding requiremeritss of the watershed district(see page ! <br /> � finro). I have read and understand the requirements of the MCWD relating to Shoreline Erosion ; <br /> Protectio . . i <br /> �! �� a, �o� � <br /> .. is�W � � � � � : <br /> � � Subscribed and swom to before me on fhis ' �^�� day of� � ,20a3 ; <br /> . �V-uyc�. Ya:+�.���-�c„ ' . TF�se M.PAlll.S�l , <br /> i Notsry Public NO����iNl�� ' <br /> � ;� <br /> � A roved b : - � � <br /> ! PP Y � i <br /> � I <br /> , Disln�iuUon: _Property Owner _Conlrador �Muniapa6ty _pNR _Disirirt Flla I <br /> j . <br /> ! Paga 1 of 2 : <br /> � � <br /> � � <br /> , <br /> I ' <br /> TOTAL P.02 <br />