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JUL-25-2003 16�30 MINNEHAHA CREEK WATERSHED 6124710682 P.03iO3 <br /> . �E��'��� ,.rr1�r �� � ��,�� <br /> Permit #Q3- � 5 <br /> � SHORELINE EROSION PROTECTION — FAST TRA,CK PERMIT <br /> MINN�HAHA CREEK WATERSHED DISTRICT (MCWD) <br /> GRAY FRESHWATER CENTER <br /> 2500 SHADYWOOD ROAD Ph: 952�71-0590 <br /> EXCELSIOR, MN 55331 �Fax: 952-�71-0662 <br /> I,���'� �l��_reside at��,; r'l�C,-�r�L�1�S�__.�'41113�f-' �flf1? <br /> (Property Owner) (Street Address) � <br /> ��_��.� , '1�_ �-��, (��Z^�7f� request approval to install riprap <br /> (Ciry) (State) (zip) (Phone) <br /> shvreline erosion protection on property described as!�(QS_��)�SS p� �a. ,located in <br /> (Street address) <br /> C�.�fJ�b ,_�,��i N ,_I r'I I�—�a,�-L���_ The riprap installation <br /> (Within the Clcy boundaries) (County) (Property ID# [PID#]) <br /> will consist of�_afong the shoreline of����Y ^,_� ST ��„in full <br /> (Lineal feet) (Leke) (Bay) <br /> accordance with the Minnehaha Creek Watershed District Sho�line Protection Guideline for <br /> riprap placement required for issuance of a Fast Track GEneral Permit. I have contracted with <br /> ��- 1��-�- t,�c , 3��o m-ea�a� !-�, �ae��o�- ��s� ����&3�3 <br /> (Name of Company) (Street address) (Cfty) ^ (Zip) (Phone) <br /> 3�gg'�q ,to perform the work who is familiar with the technical <br /> (Bond Number) <br /> requirements and has fuffilfed the bonding requirements of the watershed district(see page <br /> two). I have read and understand the requirements ofthe MCWD relating to Shoreline Erosion <br /> Protection. <br /> ___����b3 <br /> ignature oF�operty�wner) � (Dato) <br /> Subscribed and swor o before me on this 1 ' � day of \_ _ �" — ,20 D� <br /> �� <br /> NOt Pubfic -,,� SHERYLA.LATTERNER <br /> NOTARY PUBUGMINNESOT4 <br /> ;� MY COMMISSIpN E7�IRE91�1•2o0fi <br /> �emeeeee <br /> Approved by: �rP. Date � � � <br /> Dietribution: _Property Owner _Comr�elnr _Municipallry _DNR _Distnct Fle <br /> Page 1 of 2 <br /> TOTAL P.03 <br />