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JUN-24-20e3 16� 18 MINNEHAHA CREEK WATERSHED 6124710682 P.02iO3 <br /> , ��� <br /> ��� <br /> ��� <br /> � SHORELINE EROSION PROTECTI Permit #03-?�i0� <br /> , �N — FAST TR�4CK PERMIT `��`�� <br /> MINNEHAWA CREEK WATERSHED DISTRICT (MCWD) <br /> GRAY FRESHWATER C�NTER <br /> 250p SHADYWOOD ROAD Ph: 952�71-0590 <br /> EXCELSIOR, MN 55331 Fax: 952�71-0682 <br /> ��-�._��,�reside at�,�_��� <br /> (Property Owner) (Street Address} `� — <br /> --"��� ��"�-�'�'��� (�)� - �.� request approval to install rinra <br /> �C�tY) (State) (Zip) (Phone) p <br /> shoreline erosion protection on proporty described as��� — <br /> p���� (5treetaddress)�����O�ted in <br /> (Within the C��'ty boundaries) '^��� �l2��e���.�p-�.G�_aL,�. The riprap insrallation <br /> [ ]) <br /> will consist of�along the shor�l(ne of <br /> (Llnaal feet) (Lake �' `����---'n full <br /> ) (BaY� <br /> accordancs with the Minnehaha Cresk Watershed District Shoreline Protection Guideline for <br /> riprap placement required for issuance of a Fast Track General Permit. I have contracted with <br /> � �cpet �' �, (,�c_ _, 3�'��0 �aa�'ou� d.n � r�fsr'� qS µ�i-834 3 <br /> (Name of Company) (Streot address) Ci�—�-- —��---- <br /> � �� �ZP� (Phone) <br /> —�q S�`�9 ,to perform the work who is familiar with the technical <br /> {Bond Number) � <br /> requirements and has fulfilled the bonding requfrements of the watershed district(see page <br /> iwo). I have read and understand the requirements of the MCWD relating to Shoreline Erosion <br /> Protection. <br /> (Signeture o Property ) � � � (p�te) ~�— <br /> Subscribed and sworn before me on this�3� _day of � ,200',� <br /> Nota Publi �"� , ���a � <br /> � ��EA <br /> � <br /> •'M����N D�IRES 151,40QE; <br /> Approved by:�� � � <br /> — Date <br /> Distrlbu4on: _Prapeiiy Owner `Cantractnr `Municlpafity _DNR <br /> _�istrlet Fle <br /> Page 1 of 2 <br />