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JUN-10-2003 17�37 MINNEHAHA CREEK WATERSHED 6124710682 P.02iO3 <br /> �t���Ilr�" ��N " � ,nry� <br /> _ Permit #�-�� <br /> � SHORELINE EROSION PROTECTION - FAST TRACK PERMIT <br /> MINNEHAHA CREEK WATERSHED DISTRlCT (MCWD) <br /> GRAY FRESHWATER CEN7�R <br /> 2500 SHADYWOOD ROAD Ph: 952-471-0590 <br /> EXCELSIOR, MN 55331 Fax; 85Z�71-0682 <br /> tJoti S ��v�� 1.3� <br /> I,� G ---reside at_���� l�2-'�L�/�.4+�� /� <br /> (Property Owner) (Street Address) � <br /> —_� �'�' '�'����_�;�lQ�est approval to install riprap <br /> (Clry) � �� �state) (Zip) (Phone) <br /> shoreline erosion protection on property described as 1 �� ,�i.�•ti�'�r,ated in <br /> ( treetaddra s) <br /> ����V ,_���'''"t ___,�� '`��Q��. The riprap instalfation <br /> (Wlthln ' e City boundaries) (Couniy) (Property ID# [PI� ]) <br /> will consist of_S�along the shorefine of__h?�.�r� _,�����/�!�2 in full <br /> (Lineal feet) (�akej (Bay) <br /> accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline for <br /> riprap placement required for issuance of a Fast Track General Permit. I have eontracted with <br /> _�ocle� l.�'��-, (n�, �Ro Nl�,adow � �Xc�el�;o'►- .`_(RS7� �.�I S3�F3 <br /> (Name of Company) (Streeh add�ess) �(City) (Zip) (Phone) <br /> 3�'S S!�q `__,to perform the work who is familiar with the technical <br /> (Bond Number) <br /> requirements and has fulfilled the bonding requirements of the watershed district(see page <br /> finro). I have read and understand the requirements of the MCWD relating to Shoreline Erosion <br /> Protecti <br /> �(Sig of Prop Owner)T�— -----�— (pe�j '�" <br /> ubscribed and sw n to before me vn this_ a n�__ day of ��'�-L ,,Zp O'� <br /> QJ <br /> Not ry PUbIIC � r SHEAYLA.LATT�RNER • <br /> No�rARr PUBUGMINNESOrA <br /> MY COMM13910N FJtPIRES 1�y1-20p5 <br /> ■ • <br /> Approved by; � �,.,_,;- �� Date <br /> Distribution: ._Properly Owner _Contraclor _Munidpallty _DNR _Distrid File <br /> Page 1 of 2 <br />