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TT r, Tr , <br />f <br />I* <br />LAKE MINNETONKA CONSERVATION DISTRICT <br />TT <br />Uf)? <br />^■0- <br />Application and Special Permit for Deicing Installation - Page 2 <br />I <br />That the applicant has taken appropriate steps, cither by the obtaining of <br />Insurance or otherwise to hold the District and its officers and employees <br />harmless from any damage or injury arising out of the operation of the <br />equipment; <br />That the installation will be made in accordance with applicable building, <br />electrical and other construction codes; <br />That the installation will be Mintained in a safe, neat and orderly con­ <br />dition and be completely removed from the Lake by April 20th, <br />That the applicant will, by the installation of adequate screening, signing, <br />or other means, effectively prevent the feeding and congregation of water- <br />fowl and other animals and the creation of conditions constituting health <br />hazards or public nuisances within the permitted area; and <br />(i) That tha $25.00 permit fee accompanies this application. <br />X certify that the information provided herein and the attachsients hereto are true <br />and correct stateatents as to the conditions of the application to the best of my <br />knowledge. I agree to the provisions of the special permit if granted, and consent <br />to permitting officers and agents of the District to enter the premises at all <br />reasonable times to investigate and to determine whether the Code of the District <br />is being complied with. <br />Signature of Applicant <br />•7 4 <br />Can be reached at phone number? 471-949S <br />or emergency number:_ _ _ _ _ _ <br />*• <br />Permit <br />Number <br />-«.« <br />16 PERMIT <br />Special Deicing Permit approved by the Lake Minnetonka Conservation District Board <br />of Directors as abova, subject to the following requirements:_ _ _ _ _ _ _ _ _ _ _ _ <br />In no case nay deicing extend or affect areas beyond the dock use area for which <br />this permit is issued. <br />LAKE MINNETONKA CONSERVATION OISniCT <br />Apprc»ved : 12-9-81 <br />Inspected: 2-24-82 <br />Issued:_____ <br />Executlve>6ir(ctor <br />9/81 <br />III 111 lipgJI <br />’’wHHBIHnBBI. • <br />TV