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C.YJ O IV1U1 <br /> Permit #��- �1 <br /> SHORELINE ERO;SION PROTECTfON � FpST TRACK PERMIT <br /> MINNEHAHA CREEK WATE�iSHED DISTRIC7 (MCWD) <br /> 18202 Minnetonka Blvd. <br /> Deephaven, MN 55391 Ph: 952�171-0590 . <br /> Fax: '95Z-471-0682 <br /> I,�i�a � ���'�t��re4side at l�vn�T ��aricf� /�v � �� <br /> (Praperty Owner) (Street Address) <br /> ('� �Q.�;, �l�l� ' , �1/U S5�`Z�, (�� Sc�` �r�quest approval to install riprap <br /> (Clry) (State) (Zip) (Phone) <br /> shoreline eroslon protection on property described as S�' � � �rr e, lacated In <br /> sStreet addr 5) <br /> (�r my�� �.��n " �,r (��'il�• Z3-53-C�;� . The riprap installation <br /> �thin the City boundaries) (Co ty) (Property Ip# �PID#)) <br /> will cansist of�along the shoreline of �`��!�� , /��► I'��V'� in full <br /> (l.ineal faet) (�ake) (eay) <br /> accordance with the Minnehaha Creek Watershed District Shvreline Protection Guideline for <br /> �i��i u�r d for issuance of a Fast 7rack General.Permit. I have contracted with <br /> e�o� �'�'"g c—> Y�/fl.� <br /> (N ��� � (Straet address) (City) (Zip) (Phone) <br /> 4'I�� _, to perform the work who is familiar with the technical <br /> (Bond Number) <br /> �equirements and has fuffilled�he bonding requirements of the w�tershed district(see page <br /> two). I have read and underst�nd the requirements of the MCWD relating to Shoreline�rosion <br /> Protection. <br /> ' ��-- 2�- �� <br /> 5ignelure M Property Own�er) (Dale) <br /> Subscribed and swom to before me on th� 2� day vf d��obee , 206�. <br /> thomos C. Nlacum <br /> Not�ry PuhNc <br /> Jsxmy91.2012 <br /> / <br /> Approved by: � Date ` �y D� <br /> DlstribuUon: _Property Owner _ConUaCfor T,Nlunlclpahty _DNR O,l�trlct.�ile• „ �, � <br /> i,l� •i' �� � I;� l <br /> Page 1 of 2 ►�5 u ` � il � <br /> �1 � I <br /> � OCY 2 � 1007 ,, <br /> ..,.�...•;, .•�:. <br /> za/Z0'd Z�:bZ LOaZ—bZ—fION <br />