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k«; :.y-j <br />district <br />hone 612/ 473'703i <br />fXICUTIVE D'«IC10« <br />% <br />MO <br />I ■■■.4 <br />f <br />■U <br />tW:^- .''"tFPimm ^r. <br />IW <br />LAKE MINNETONKA <br />402 East Lake Street <br />Vayzata, Minnesota 55591 <br />475-7055 <br />CONSERVATION DISTRICT. <br />No. of Loats__ _ _ _r <br />Boat Density Index <br />Can be reached at phone w» <br />/6/p ------- <br />^....TON TOH NEW OR HEV^Km™.g°gOg^^ <br />ciuiei d^‘ <br />53^i7 __* <br />(Rioine} <br />Owner's address <br />the owner of land in the Cii^ of <br />Business name: -----1-----^------- -?---------------""If different fx <br />(street address) <br />A/C;- STT>% <br />which is riparian to LMCD area(s) <br />•55^? <br />No(s) <br />vhich is riparian to IMCi. mCD Cc^e, for a <br />Lake Minnetonka, applies pursuan all data, and other in- <br />• oR Milltinle Dock License, in accordancenew or revised Multiple no ^ following must accompany <br />formation submitted herewith a.d Bade a part hereof. The folio g <br />the application (see samples attached): <br />w « * <br />(a) Locator map“rrJrri.. ». -‘-Tzr “ “■ <br />Minnesota Department of Natural Resources (for permane <br />(c) Site plan <br />(d) Dock construction detail sheet <br />Data: <br />1. <br />' 4.- r Vi nvV Private » Commercial. MultipleType of application (check). Private- - -_» <br />Dwelling, Cluh- - - -, Other (explain) <br />2. <br />5. <br />Dwelling- - - -> - <br />The Baxirmm numher of boats stored rn the water <br />iiic lucww + ^ 0+ moorings <br />6^ <br />The maximum numoer oa <br />■L r -Kr>o+c «;tored in the water at moorings is_----------- <br />The maxiBUB nuBher of boats stored ...stored for Lake use is /6f. <br />The BaxiBUB nuBber of Botorized or sari boats dr,s ,L,eIhG. . <br />^ ft 300^900 Company __----------------------------Public liability insurance. Amount 5-----J.--------- <br />_______A .>TiT.-rnval R have beeni- r::.r rr":::rr <br />/ n 4- > V Q <br />4 <br />■ t <br />I <br />> > - ^ <br />1 <br />•M <br />T' <br />i <br />a <br />Page 2 <br />LAKE N <br />Commercial and <br />information: <br />Check the <br />a) Boat E <br />e) Boat 3 <br />f) Hestav <br />g) Other <br />h) Parkii <br />Re as 01 <br />8. Sanitary j <br />9. Boat toil< <br />I certify tha ‘ <br />true and corn <br />revoked by th« <br />officers and : <br />times to invei <br />complied with <br />Date