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u L �. �-- ` I �� � � <br /> � , 2�,2 �� I 3 S <br /> SEP L;° <br /> � <br /> Bv �,� _�,! <br /> �Yi. Permit # - <br /> SHORELINE EROSION PROTECTION - FAST TRACK PERMIT <br /> MINNEHAHA CREEK WATERSHED DISTRICT (MCWD) <br /> 18202 MINNETONKA BLVD. Ph: 952-471-0590 <br /> DEEPHAVEN, MN 55391 Fax: 952-471-0682 <br /> I,KGv�N SWeE HAN reside at '.�13� �.HSr:a Cr � .�o��Q�w,�) , <br /> (Property Owner) (Street Address) <br /> C�Ro�c: , �� . 5�" '� , 'sa �.�u 8;�i�7 , (� , <br /> (City) (State) (Zip) (Phone) (Fax) <br /> 1', Mat <br /> ,{ sk��HAt� 19 � '="'�'`�� request approval to install riprap shoreline erosion protection <br /> (email) �� .IL� ^o,�\ <br /> ) <br /> �,a °�• / <br /> on property described as 1�3y�q ScI1C'oecS ►=�n , located in <br /> (Street address) (Within the City boundaries) <br /> �-�� , ao t 1"1 a 3 H3oo�.g The riprap installation <br /> (County) (Property ID# [PID#]) . <br /> will consist of�along the shoreline of -YYl� ka , � �.�� _ in full <br /> (Linear 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. I have contracted with <br /> COfV�EPT LAI�S�;AI�It�1Q �� <br /> pany) (Street address) (City) (Zip) (Phone) <br /> MOUND,MN 55384 <br /> :�v� �;\� , 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 /> two). I have read and understand the requirements of the MCWD relating to Shoreline Erosion <br /> Protection. <br /> � / <br /> �,��' /�'t ��!''""�-� b���'��l�Y <br /> (Signature f Property Owner) (Da e) <br /> Subscribed and sworn to before me on this day of , 20_ <br /> Notary Public <br /> Approved by: Date �V ��i 7/ <br /> Distribution: J Property Owner �Contractor V Municipality _DNR _District File <br /> Page 1 of 2 <br />