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ze'd �d101 <br /> -.�,..�;,.�--;� ' . <br /> _ '..�n" - , <br /> ,:��/1}.. ` .• . ,'r i J <br /> Irr , • <br /> �t' , ���., o �.2ao� � <br /> ,�v� � �,� P � <br /> � �,�,,.� e rm i t # 00- � ���� <br /> .,.�� .. .., .. ..._i __. . . _._._..—... <br /> SHORELINE ER�SION PROTECTION-FAST TRACK PERMIT __� <br /> MINNEHAHA CRE�K WATERSHED DISTRICT <br /> GRAY FRESHWATER CENTER Ph: 471-0590 <br /> 2500 SHADYWOOD ROOD FAX: 471-0682 <br /> EXCELSIOR, MN 55331 <br /> �, reside at_ �,�7� ����� ���_ <br /> (Property Owner) (Street Address) � <br /> ��,�,o , �► . SS 3`�,1,, �, � 1 - s request approval to install <br /> �city� r�tatPl �zir) (PhonP) <br /> riprap shoreline erosion protection on property describ�:d as �a.,� ; located in <br /> (street address) <br /> �r-a-�-� � �.....� , ao - �I-t- �3 - �z oo�� . The rip rap installation <br /> (Within the City boundaries) (County) (PID#) <br /> will consist of� along the shoreline of��fS� , �,��,,,�a� in full <br /> (lineal feet) (Lake) �+ (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. 1 have contracted with <br /> c�obc�r u�P�Na <br /> (t�U�+1D�QIM�(�i (Address) ' (Phone) <br /> o-�.�.� , to pertorm the work who is familiar with the technical requirements <br /> (Bond}�umber) <br /> and has fuififled the banding requir�ments of th� watershed district (see reverse). 1 have read <br /> and understand�the requirements of the MCWD relating to Shoreline Erosion Protection. <br /> �� ' . <br /> (5ign�ture of Properly Owner) (Date) <br /> Subscribed and sworn to before me on this_ t I�h day of �u,,.�_,._ , 200Z <br /> .� <br /> ■ — <br /> • ` .��•� JAMES HAROLD SMI7H <br /> +�I NOTqRY PUBLIC-MINNESOTA <br /> MY COlpA18810N E1�IRE81�1-00� <br /> Nota Public . <br /> Approved By:. Date:� d <br /> ,% <br /> �' <br /> Distribulion: _Properly Owner _Contractor _Municipality _DNR _District fiile <br /> zaiz0'd Z89aTLbzZ9 Q�HS�I�ld�1 �1�3�1� dHdH3NNIW 9S:zti z0ez-ei-�nr <br />