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New Multiple Dock LIcense Appltcatlon <br /> 4. Documents listed below are required; check that they are attached: <br /> OLocator Map OScaled drawing of docks on abutting properties <br /> ❑County Plat Map �Proposed facility site plan <br /> ❑Certified Land Survey, Legal Description �Existing facility site plan <br /> Absence of significant data requested above could result in a processing delay. <br /> 5. All required permits, licenses, and approvals have been obtained from the MN DNR and from the city in <br /> which the multiple dock,ramp, and/or mooring is located, copies attached? <br /> YesO�No if no explain: <br /> 6. Check the parking requirements of the City if you provide the following services: <br /> Boat Storage <br /> Launching ramps <br /> Sales <br /> Service <br /> Boat Rentals <br /> Restaurant <br /> Other(explain) <br /> TOTAL <br /> 7. Restroom facilities provided: Yes ,�No_Indoor J�_Outdoor portable(number) <br /> 8. Boat toilet pumping service provided? Yes�No <br /> 9. Total square footage of dock area including maneuvering space= �l/ sq. ft. <br /> If 20,000-sq. ft. or over, an Environmental Assessment Worksheet(EAV�is required. <br /> 10. Boat Stora e Units(BSU)computation: Lakeshore Frontage 331D feet divided by <br /> SO= �BSU's allowable under the one-boat-per-fifty-foot rule. If this number <br /> is less than the total BSU's applled for in No. 12 below, an application for a Special <br /> Density License is required per Code Section 2.05. <br /> 11. Number of BSU's applied for: <br /> LOCATION USE <br /> Sli s Rent, lease, etc. <br /> Slides Service work <br /> Lifts Com an use <br /> Tie-ons Private use <br /> Moorin Transient use <br /> Off Lake Rack Stora e Other <br /> Other <br /> TOTAL BSU's TOTAL BSU's �� <br /> D <br /> Page 2 of 3 FEB 15 2013 <br /> 8Y <br />