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t' . <br /> D � � ��� � �� �� <br /> �1AY U 71i11U <br /> � <br /> Permit # i(;- i ��` <br /> SHORELINE EROSION PROTECTION — FAST TRACK PERMIT <br /> MINNEHAHA CREEK WATERSHEU DISTRICT (MCWD) <br /> 18202 Minnetonka Bivd. <br /> Deephaven, MN 55391 Ph: 952-471-0590 <br /> Fax: 952-471-0682 <br /> l'��/A�' �..'FFLSJ:rr�n� <br /> �, ��C�c sv:� �v reside at ��J�w �'i��=.��c� f�"c% <br /> (Property Owner) (Street Address) <br /> �'�G'/L��' _ ���;� r�S=��� ��/� �j G .'S� �``jCY'request approval to instail riprap <br /> (Gity) (8tate} (Zip) (F�o��s} <br /> shoreline erosion protection on property described as ,_�'�',a� t?f%��'���i f}-1/:- , located in <br /> � � , (Street address) <br /> �irU/�.���� ,/��f��-�i/✓ ,�� �//7'�,3 .�:~s C�Y-�The riprap installation <br /> (Within the City boundaries) (County) (Property ID# [PID#)) <br /> will consist of 1a0 along the shoreline of /.'?,��/.•_ tf�:v,�� , /I,�CT�i /-1-�i�'� 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. I have contracted with <br /> ���� ��� L-_�� 1�" ,'i`;��c�:��i����l i��`�>K�Lt_:�t-��.�,�r;f=a�� `: �.`;:�54 (°L:�:�)�� l� S':���)`) <br /> (Name of Company) (Street address) (City) (Zip) (Phone) <br /> .���� C� �:� / � (, <br /> .�' � 1S .) j , 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 /> '!' '� --1`_____-.-- .=5�1-�' /G� <br /> ( ign re of Property Owner) (Date) <br /> Subscribed and sworn to before me on this �3ral, day of �Ctl�-� , 20 IG <br /> . C��; a.��.�u�..� <br /> Nota ublic ' SHERYL A.LATTERNER <br /> ; NOTARY pUBLIC-MINNESOTA <br /> �*;.� tVty Canmission Exqres Jan.31,2015 <br /> �:�., > � � ' � � <br /> Approvedby: l� %� �� �� ��_ IJate�•� � / C' <br /> Distribution: _Property Owner _Contractor _Municipality _DNF2 _District File <br /> Page 1 of 2 <br />