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LV MVBA to: <br />BH <br />nestle <br />e U. S. <br />have <br />are <br />d <br />uck <br />Id <br />d us <br />nanaged <br />ficialLy <br />lited <br />:s for <br />>e very <br />>ther <br />1 the <br />L body <br />lly <br />ing <br />Type C <br />nat Ion <br />and <br />of <br />abttat <br />to nix <br />nd the <br />it <br />Mi <br />......I ift'TT rMMiiiMHffflniTii' <br />f’ <br />'4- <br />it' 'i, <br />^ -• «Vt <br />t <br />Lake Minnetonke CoDservation District / to <br />. AFFLICATIQN iND SI^IAL IBBMIT FOR DB-IC1N6 EQUIIMBNT INSTALLATION <br />In accordance with Chapter III of the Lake Minnetonka Conservation District Code, <br />the following special pomit application shall be conpleted in all respects and <br />suboitted to the District Office, 402 East Lake Street, Vayzata, Minnesota. It <br />is unlawful for any person to instil, operate, maintain or use de—icin^ equipoent <br />in Lake Minnetonka without a special permit issued in aooordanoe with this Chapter. <br />Date:-(l) Name: bU <br />CA^<Jl4l^UA/£? AfAJ <br />(5) Location and description of de-icing equipment: <br />(a) Size of unit used: <br />(b) Number of units used: <br />h g. p.m. <br />h. p. <br />(4) <br />(c) Area capability of unit(s): O sq. ft. <br />Purtx)ae: <br />(5) De-icing period (dates unit will be in use): from C, <br />(6) Municipal Permit: <br />to 1^1^ <br />• I <br />Before a special permit may be issued by the Lake Minnetonka Conservation District, <br />the following statements must be checked: <br />0>) <br />(o) <br />w <br />That the proposed installation will not be detrimental to the public , <br />health, safety, order and convenience; <br />That the area to be de-iced be no greater than is necessary to prevent <br />damage to the instillation and does not extend nor affect areas beyond <br />the dock use area for which the permit is issued; <br />That adequate safety precautions will be followed in its installation <br />and operation, including providing a enow fence four feet ^ hei^t; <br />*a minimum of six reflectorized signs; de-icing occur only in the i»r- <br />mitted area; and all other requirements as specified in the permit; <br />That the installation will be properly enclosed and adequately marked <br />and lighted to protect the public; <br />That the applicant has taken apprepriate steps, either by the obtaining <br />of insurance or otherwise to hold the District and its officers and <br />emplcyees harmless tsom any damage or injury arising out of the oper­ <br />ation of the equipment; <br />(Continued on Page 2) <br />*Bee sheet attached <br />¥Bmm- <br />Application ar <br />Page 2 <br />^ (f) Thi <br />buj <br />(g) Thi <br />I certify tha*! <br />true and com <br />of my knowled^ <br />consent to pei <br />at all reasoni <br />District is b< <br />Can be reaohe <br />or <br />Special De-Ic: <br />of Directors < <br />In no ( <br />which \ <br />Dated: <br />Approve <br />Inspect <br />Issued