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JUN-10-2004 16�53 FROM TO 9522494616 P.06/07 <br />����� � ✓v � . _ . . . <br /> t� ��� <br /> c��� � <br /> O�j �p 9 tidp4 <br /> ��y� , <br /> �, <br /> Pe it #_.- <br /> SHORELINE EROSION PROTECTION — FAST TRAC IT `' <br /> MINNEHAHA CREEK WATERSHED DISTRICT(MCWD) � <br /> (3RAY FRESNWATER CENTER <br /> 2500 SHADYWOOD ROAD Ph: 952�L71�0590 <br /> F.aCCELSIOR, MN 55331 Fax: 952-471-0682 <br /> �, char� Slh7p$o� reside at.����J� <br /> (Properly Owner) (Street Ad�ress) ��—" " <br /> ���-- .—z—�—U�d �1�� �—,q�2�2`r�q�est approval to install ripra <br /> �C<<Y) (State) R�P) (Phorie) P <br /> shoreline erosion protection on property described as�„�o�. rj�`�� ����located in <br /> �i�1.i.Pii.f.. - ��l IV � r �����!1'��� <br /> (W'dhin the Cit�r boundaries) (Counry) (Property ID# [p�p#�� "'''"�'' The riprap installation <br /> will consist of�_along�the shoreline ofl�T�� , ��Ph��h� in full <br /> (Lineal feet) {Lake) (gaY) <br /> accordance with the Minnehaha Creek Watershed District Shor+eline Protection Guideline for <br /> riprap placement required fvr issuance of a Fast Track General Permit. i have contracted with <br /> ������ , 45� S�Y►�r'CLlJ1G ��. S�Jrin� �.��ys� '7�34� <br /> (Name of Compamr) (Stteet address) (City) �( p.7'i ) � (Phone) <br /> 3Q$S`��_,to perForm the work who is familiar with the technical <br /> (eorid Number) <br /> requiremenfs and has fi,ifiiled the bonding requirements of the watershed district(see page <br /> twa). i have read and understand the requirements of the MCWD relating to Shoreline Erosion <br /> Protection. <br /> ��'3 � (��'��('� <br /> ` � �--, <br /> (slgnabxe of Propeny Ownerj " --�!`—�pa��-�---_ <br /> Subsc►ibed and swo o befare me on this 7� _ day of�Lt��L� _ ,20�� <br /> No Pub' � • sHEFnr�a u�TTERNE� <br /> . aoTaav Pueuc.Mir�ore <br /> A1Y COMM13310N E%PIR6i 1,91d006 <br /> � <br /> Approved by: Date <br /> DisWbuticn: ,_ProPerq�Owner _Contractor _Municipality _DNR _Dlsrrid File ' <br /> page 1 of 2 <br />