Laserfiche WebLink
�_ �C V <br /> Permit #� <br /> SHORELINE EROSION PROTECTION — FAST TRACK PERMIT <br /> MINNEHAHA CREEK WATERSHED DISTRICT (MCW�) <br /> 18202 Minnetonka Bivd. <br /> Deephaven, MN 55391 Ph: 952-471-0590 <br /> Fax: 952-471-0682 <br /> I,l.,i�'� v•� V�LU'(ll? reside at �� �v �-�--' � e �Y �� U>�� �(�' �x�J�O <br /> (Property Owner) (Street Address) <br /> _ �a��.Un� , 1�IPv _�����, �J�Z)o�y�1-y�d� request ��pproval to install riprap <br /> ' �Ciryj (Statej (Zipj (Phone) <br /> shorelinP erosion protection on property described as ` V v ���� ,'�I��� , located in <br /> (Stree ddress) <br /> 0���f1� �►�?Cl� ; ,��- I I '� -�3 - � �"6CX.�/ The riprap installation <br /> �thin the Ciry boundaries) (County) (Property ID# [PID#)) <br /> will consist of�db� along the shoreline of �� (1 Y1�7a����1, L�u�r �c��C� �OUf�n full <br /> (Lineal feet) (Lake) (Bay) <br /> accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline for <br /> �rjpl� la em nt required for issuance of a Fast Track General Permit. I have contracted with <br /> �Nr�r�e�pnica�or�bl�Dredginq <br /> (—) <br /> (�Farnenf;�Q,rr���y�)5��`9 (Street address) (City) (Zip) (Phone) <br /> C�i��ISW� MfV <br /> (�14749,4�, to pertorm the work who is familiar with the technicai <br /> (Bond Number) <br /> requirements and has fulfilled the bonding requirements of the watershed district (see page <br /> two). I have read and understand the requirements of the MCWD relating to Shoreline Erosion <br /> Protection. <br /> F�02�✓1� <br /> (Signature of Property wner) 1u (Date) <br /> a <br /> �uusci�ueo ariu sv��rn to i�eTore me on mis � day ot , 20� <br /> _ ^ <br /> � <br /> N ta Public ����-:.Heidi Lynn Basil-Niccum <br /> ;� �= Notary Public <br /> .,w, ` Minnesota <br /> �,�.. ,s <br /> -� . <br /> ' - , <br /> Approved by: ��- �'� % '' Date �`f� ` �� <br /> Distribution: _Property Owner _Contractor _Municipality _DNR _District File <br /> Page 1 of 2 <br /> �-_: f ,n r,-: — <br /> � <br /> � i' � <br /> L' I �i' i I�� �'. <br /> APR � � � <br /> � 201i <br />