02-07-1977 Planning Packet - Laserfiche WebLink

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CES ■ $SISS Jntrol ?s In 1 n the >ut the » cut ‘ use a itlon on 1 be mailed g period Is office. / .W*,. ■-V*- ^ _ IT *x - •% APPLICATION FOR AQUATIC NUISANCE CONTROL PERMIT I. I (W«) Bom* address _ _ _ _ _ _ _ _ _ uL^^r:, ,r contra: Li~ B* JJochanical control of» sutaereed vogotntion___, energent vegoution LIm c” control ofs subaerged vegeUtion___. energont vegeUtion-----T MB* g- Chnm . filanentoun algae_ _. leeches , snails (ssiner's it^hT .Line D- Plankton algae III. in Lake loca ted ln Township No.Range No.Section(s) XV, The size of the area to be treated is; (Fill in where applicable) _ _along shore by feet lakeward out to a depth of c nnel long and -- - - - feet in width extending to open water. County. The lake is tThis oust be coapleted.) feet. The whole lake or bay of bay acres in area, (plankton algae only). Name of 1. &ve you ever applied for a permit to treat at this location? No If aMwer is Yes, give your permit number_ _ _ _, and the year Yes ?• Jf area to be treated used for drinking water or public water supply7 No (Nn« Applicant- -Co—rci.l .ppUctor 4. r Yes «cribe the type and amount of aquatic vegetation present: 5. The following method(s) and/or chemical(s) will be used: (If chemical is to be used,give brand name) dinensions of propossd trsstment area, names and total frontages of each oronertr owner. Include enough detail on the sketch so the property can be located for possible inspection. JUSTIFICATION; (Explain why this project is needed.) I f VI. P^IT lEES; (Refer to Section II above.) If you checked an item from: Line A- the fee is 15.00. Line B- the fee is $5.00 plus $0.10 per shoreline foot of the proposed treatment area. Line C- the fee is P«** 100 shoreline feet or portion thereof proposed to be treated. Line D- the fee is $5.00 plus $0.10 per acre proposed to be treated. If two or more lines are checked, only the largest fee shall apply (maximum fee is $50.00). DO NOT SEND CASH. Make checks payable to STATE TREASURER. Fee must accompany application VII. ENC|/>oJR^: sketch-, Signatures , Check/money order_ _, Amount_ _ , Other I understand that the control of aquatic nuisances, including destruction of water plants and algae, is subject to rules and regulations of the Commissioner of Natural Resources. Applicant's signature*Date*ehere this application is being made for the treatment of an entire lake or ba^ an officer of the lake improvement aeeoeiation or other official representing the sLreilna property holders must eign. Where this appiiction is being mad. for t^t^^t^” 1“tin- UOM area adjacent to tne shoreline property of more that one individual, all the oeraona holding property adjacent to the water area to be treated must sign. Signatures of Dronertv dimensions of the areas to be treated by each may be submitted on an additional sheet of paper. : .k i Wf h r 1 ,:\n , \ X -'-± I. 1 (w.) Borne addre request fr (Check the Line A- M Line B- c; Line C- c; Line D- P XXI. In Lake located inT XV. The size oi fei A channel^ The whole 1 bmy_ _ _ 1. Have If ai 2. Is tl 5* It if (Name k. D 5* The folic give bran 6. Sketch th direction dimension owner. I possible V. JUSTIFICATIOI VI. PERMIT lEES; Line A- thf Line B- the Line C- the Line D- the If two or mor MOT SEND C VII. ENCI/)3UF.£• «*^ • O I understand end algae, is Applicant's sig *i(here this app officer of the property holder uous area adjac holding propert; owners and the < additional shee