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1 . <br />• •• <br />S . Insurance Coverage - The Jointly used dock is insured by one of the following: <br />X property o’vnor's horreovner'o policy. <br />ceporote group/association owned policy, <br />list the following information: <br />name of insured Dr. Glen & Marilyn Nelson <br />aane of insurance carrier The American Insurance Company--------- <br />name of insurance agency HarrIs-Homcya Co.. F.dina. MN 5542^ <br />policy no. NZA 131 9205 effective date of coverage 6/3/92 <br />amount of coverage; Public 1.'ability, per person, per occurence 300^00 <br />Public llabil;ty, per occurence inn, non. <br />Security and policing of the Jointly ’used dock and property Is provided by <br />(check applicable Items); <br />•• • <br />fencing. x sec-ority lighting. property owner's presence. <br />contract security service, other (specify) <br />DOCK IhTORMATION <br />11. <br />12. <br />List Dock Use Area Specifications: <br />Vidth of shoreline; ft. Length of main dock fr^m shore; <br />Dock setbacks from side property lines at shore; 3Qfl <br />ft. <br />Approximately Approximately <br />ft. and inn ft* <br />Dock Conatr'uctlon (check applicable items); <br />X seasonal dock (relocated or replaced each year). <br />permanent piling -.Ith seasonal deck. ___ permanent piling and decking <br />X wooden decking.metal decking. <br />13. List Dock Accessories; <br />of flro oxtlosulob.ro ovnU.bl, ot tbo dock <br />Uumber of life orcser/ers available at the dock Shgd contain <br />'•d’quatc preservers <br />14, U.t oaobor of .llr» lo o«cb cotogor;' lb=lud« bet lifts): <br />Ten.loot (day us. ooly) .Up. _!_• Tran.i.nt(d.y u..) off-.hcr, buoy. --------. <br />Permoaeat moorage off-shore buoys . — <br />Maximus number of boats at the dock 9 <br />Permanent moorage rllps -- - - -• <br />Dry storage (rack) slips _ _ _ _ _ _• <br />. narklnfl soaces available for users of the Joint use15. List number of off-street parxing space* Dubl'-' <br />.40/.W Parkins; <f provided must not be separated from -he dock «y <br />TJl: tpaci. (Residential, thers is nmpl. parking available) <br />Dr. N.l.on'. .hor.Un. 1. l?rf.»°'th' ccbln.d .bor.lln., .ddln, Mr. C.rUo.-. .nd <br />Mr. C.T*e's property Is 1.242 feet.