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MAR-02-20a4 16�46 MINNEHAHA CREEK WATERSHED 6124710682 P.02i02 <br /> Permit #�`� - � � <br /> SHORELINE �RO�iION PROTECTION — FAST TRACK PERMIT <br /> MINNEHAHA CREEK WA►TERSHEO DIS7RICT(MCWD) <br /> 16202 MINNETONKA BL�JD. Ph: 952-471-0590 <br /> DEEPHAVEN, MN 55391 �ax: 852-471-0682 <br /> I, �AU� �l C��klv�{.�.lreside at Z�7�' �✓ni c✓ors� Y' �C <br /> (Property Owner) (Street Addfess) <br /> \ �_ <br /> �.J�Y��i A- , J .55 3�, ( -y� -�i�/�equest approval to install riprap <br /> (Clty) (State) (Zip) (Phone) <br /> shoreline erosion rotection on property described as_2'(75�✓���tl�Y ��, locateci in <br /> INA��T� �R�NO —�fUNE(�(r� (Street address) <br /> , . The riprap installation <br /> (Withln lhe City boundaries) iCouniy) (Proporty Ip# [PID#�) <br /> will consist of I a� along the shoreline of ��►►r�Ta�kl�- , �P�2i� QAJZI�-. in full <br /> (Lineal feet) (Lake) (Bay) <br /> accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline for <br /> riprap placoment required for issuance of a �ast Track General Permit. I have contracted with <br /> �.J. l�a�� �O�s i/'��"' �5`� `{7� 77 7 3 <br /> , <br /> (Name of Company) (Street address) (Cily) (Zip) (Phono) <br /> , to perform the work who is familiar with the technical <br /> (Bond Number) <br /> requirements and has fuffilled the bonding requirements of the watershed district(see page <br /> two). I have rea nd der�tand the requirements of the MCWD relating to Shoreline Erosion <br /> Protectio <br /> z - 2 � � � <br /> (Signature of Property Ow�er) (Date) <br /> Subscribed and sw rn to bef�re me on this � a , 20�. <br /> � ' ruu�aa�o <br /> Notary Pub NOriiARr <br /> �r Qa.Woa�t�Aa�M1.il� <br /> n <br /> Approved by: ,� \`i�-�/Uc Date �1� d <br /> Distribution: _Properiy Owner _,Contractor _Municipality _DNR _Dlsulct Flle <br /> c.. �/�`1 � ��j K"$S� I�"Lti"� <br /> Page 1 of 2 dl �',,� �� ,i i• v �a <br /> F��! <br /> FE�` � 4 2n04 <br /> TOTAL P.02 <br />