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/ , '� I <br /> � � � � � � <br /> ` � <br /> 'JUL 0 7 tU1U <br /> ; <br /> � <br /> Permit #�D -_�� <br /> i <br /> SHORELINE EROSION PROTECTiON — FAST TRACK PERMIT <br /> MINNEHAHA CREEK WATERSHED DISTRICT (MCWD) <br /> 18202 Minnetonka Bivd. <br /> Deephaven, MN 55391 Ph: 952-471-0590 <br /> Fax: 952,471-0682 <br /> I,_�s�es_����X��_reside at����_r-,�a����---------- <br /> (Property Owner) (Street Address) <br /> _�p�lo�rri� _,�� ��J3��, (�30)�'�-�l_OC�request approval to install riprap <br /> (City) (State) (Zip) (Phone) <br /> shoreline erosion protection on property described as�1����i?'i Wcx�Y���.=, iocated in <br /> �� �` Street address) <br /> _�j���_.__►Z�V1�e �N_ _,_���1�a�1�DO6�---. The riprap instailation <br /> (Within the City boundaries) (County� (Property ID# [PID#]) <br /> wiil consist of S�along the shoreline of ������ ,_ 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 J�.YT� <br /> , ���.�- ' �C.. <br /> � ' � . � - ��������? � r ���`��-�_��)�����v-� ���nw. <br /> (Name of Com any) (Street address) {City) (Zip) (Phone) <br /> ,to perform the work who is familiar with the technical ��'?—�� ` ����D�i) <br /> (Bond Number) <br /> requirements and has fulfllied 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 /> Protec'�r�. <br /> �'`� _ `��_ --- --�U�Z� � c a <br /> (Signature of Property wner) (Dat��--�--- <br /> }lj.� <br /> Subscribed and swom to before me on this_ 01.� __day of_�(�___ ,20�a. <br /> --���-� KEELO J. <br /> Notary Public OHLAND <br /> � Notary Publlo-Minnesota <br /> �''i"ri� �'�Y Corrrnieelon <br /> Expfrea Jen 31,201b <br /> Approved by: Date / ��J��Q <br /> Distributan: _Properry Owner _Contractor _MunidpalKy _DNR _Dishict File <br /> Page 1 of 2 <br />