04-12-2004 Council Packet - Laserfiche WebLink

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•♦I c 7. 8. 10. List Dock location and ownership information: Street address 500 Tonkawa Road Legal property description NS 1/4 - SW 1/4, Section 5, Township 117, Range 23 PID# ______________________________________________________________ Listed property owner(s) Dr. Glen D. and Marilyn C. Nelson_______________ Names/addresses of abutting lakeshore property owners: (North/WestlMr. 6 Mrs. Edwin C. Cage, 460 Tonkawa Road, Long Lake, MN 5! rs^^tith/Fasrt Mrs. Curtis L. Carlson, 550 Tonkawa Road, Lo<ng Lake, MN 55356 Names/addresses of other affected property owners (attach sheet if necessary): None 9. Insurance Coverage - The jointly used dock is insured by one of the following: X property owner's homeowner's policy. __separate group/association owned policy. Name of insitred Dr. Clen D. and Mrs. Marilyn C. Nelson______________ Name of insurance carrier Chubb I ndemnity Insurance Co._______________ Name of insurance agency March inr_________________________________ Policy No. 12451450-08_______ Effective date of coverage 6/23/03 to 6/22/04 Amount of coverage: Public liability, per person, per occurrence $_ Public liability, per occurrence $ Security and policing of the jointly used dock and property is provided by (check applicable items): ____ fencing x security lifting x property owner’s presence ___contract security service_____other (specify) Note; Dr. Nelson's shoreline is 396'; the combined shorelmej adding Mrs. Carlson's & Cage's is 1,242' 356 11. DOCK INFORMATION 11. List Dock Use Area Specifications: Width of shoreline: 296 ft. Length of main dock from shore: 95 ft. andDock setbacks from side property lines at shcre: ft. ft. 12.Dock Construction (check applicable items): X seasonal dock (relocated or replaced each year) ____permanent piling with seasonal deck _____permanent piling and decking X wooden decking ____metal decking Page 2 of4