05-13-2002 Council Packet - Laserfiche WebLink

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7. 8. 10. List Dock location and ownership information: Street address 500 Tonkawa Road Legal property description NW 1/4 - SW 1/4. Section 5. Township 117, Range 23 PID# ____ Listed property owner(s) nr. r.ipn n. anrf Mariivn c. Nelson Names/addresses of abutting lakeshore property owners: (North/WesO Mr.& Mrs. Edwin C. Gage. 460 Tonkawa Rd., Long Lake, MN 55356 <’South/East'>**’*s. Curtli; L. Carlson, 550 Tonkawa Rd., Long Lake, MN 55356 Names/ .es of other affected property owners (attach sheet if necessary): Nonv 9. Insurance Coverage - The jointly used dock is insured by one of the following: ^ property owner's homeowner's policy.__separate group/association owned policy. Name of insured Dr. Glen D. and Mrs. Marilyn C. Nelson_________________ Name of insurance carrier Lumbermans Mutual Casualty Company_______________ Name of insurance agency Marsh, inc.___________________________________ Policy No. F5D 008 000-00______ Effective date of coverage 7-01-01 to 6-30-02 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 lighting x property owner's presence contract security service Note; Dr. Nelson's shoreline Is 396 and uage's is x,z4^' Other (specify) ’ ; the combin 1 ned shoreline, adding Mrs. rSrlsof's II. DOCK INFORMATION 11 . List Dock Use Area Specifications: Width of shoreline: 296 _____ft. Length of main dock from shore: Dock setbacks from side property lines at shore: _________ ft. and ft. ft. 1 2. Dock Construction (check applicable items): A seasonal dock (relocated or replaced each year) _____permanent piling with seasonal deck ____ X wooden decking ____ metal decking permanent piling and decking Page 2 of 4