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JUN-23-2004 09�34 FROM TO 2494616 P.04i05 <br /> � '_.��---- � ��y�`1 �- r`� <br /> /'�/ �`a ���-, <br /> . ' ;� <br /> '�J•1 <br /> , �i) <br /> /.. I <br /> . � <br /> /.)J <br /> � Permr - � r''';,,, ' .'� `� <br /> SHORELINE EROSION PROTECTION — �AST TRACK P IT <br /> � � <br /> MINNEHAHA CREEK 1NATERSHED DISTRICT (MC1ND� , <br /> GRAY FRESHWATER CENTEIt <br /> 2500 SHADYWOOD ROAD Ph: 952-471-0580 <br /> EXCELSIOR. MN 55331 Fau: 952�471-0682 <br /> � (�en . <br /> �� ra raside at 31�5 ('�o o �,' a�;� <br /> (�Y�e�1 (Street Addre�)_ <br /> .� 391 , 6(:-�$19- 964 I request appr�v81 to instell riprap <br /> (��►) f�e) C�P) (Phone) <br /> shoreline e�oaion pmtection on property described as�,}.w�-�- _�, located in <br /> (saeet address) <br /> QL1�.c'� � `,�c�0-�1�-a3-y3-ooa�1 ta5. '�}�gR�l►1S�8118�011 <br /> M�thin itta Clty dwndar9es)� (CountY) (P�opetly ID# (PIOI� ��1�11 ,,,�����_"""�..,, <br /> ��4��� CQJ1/lY�eM / <br /> will consist of_9 S along the shareline of �'(1��a. ,S��...� P�k �� in fuff <br /> (Llneal feet) (L�ke) (BaY) <br /> aconrdence with the Minnehaha Cr�aek V1Fabers,hed Disbict Sh�reline Protection Guideline fv� <br /> riprap placeme�rt required for issuance af a Fast Track General Pemnit. 1 have coMrac�ed with <br /> C:U�" �}�-- , <br /> �'�53 p � any) (St�etaddmase) (Clty} (Ztp) �"�)(phone) ' • <br /> 1UiC�U��[i, NiN W3� -.: <br /> �- �"" ,bo Perform the w�o►ic who Is familiar with the technical <br /> (6ond umbeh <br /> requiremer�end has ful�lled the bonding r�quirements oF the wadershed distrit�(see page <br /> tw�o�. I have r�ead and unde�and the requir+ements of the MCWID r�la�,ng b gtw��r��� <br /> Prote�iion. <br /> ls�s�ure or��ny own� � o� � <br /> N�e) <br /> Subscribed and swnm to before me on this_ ► Si�= day of �rYl� 20�. <br /> c�.-,�.� �. � ' <br /> I�101'd PUb1iC � JAMES HAROLD SMITH <br /> ry �� NOTAfiY PUBLIGMINNESOTA <br /> MY COMNISSION F�(PIRES 1�1-2006 <br /> ■ • <br /> . . <br /> Approved b�r. , � (Q l bC� <br /> Dlstrlbutbn: _Prop�riy Owner _Contra�or _Munic�a({ty ,DNR _Dlstrid FCe <br />