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DOCK - NEW <br />RECtIVtU Lake Miiitietonka Consetvatlon District <br />JUN 29 1992 Receipt #__li£l <br />UM.C.D. <br />city response due <br />received <br />(for LMCD use) <br />License Year <br />No. of Bo.it 8__ <br />Boat Density Index ________ <br />C.in be reached at piione # <br />Because this form is ! <br />to be copied, please f <br />use black ink or typo.i <br />f <br />APPLICATION: NEW MULTIPLE DOCK, <br />LAUNCH I NO RAMP, <br />AND/OR MOORING LICENSE <br />Pursuant to LMCD Code 12.03, a new multiple dock license is requested, in accordance <br />with all data and other information submitted herewith and Sa a part hereof. <br />Print or type owner's name Phone; if no <br />, _^nswer, callt <br />‘ /Tf P H A-^ - /7LL jjV 9 CP2.^ <br />Owner's address <br />/HjuMLpJjl <br />Owner's addrei <br />Business name (if different from owner) <br />Oc* /t / CA V K*_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___ -— <br />Contact person (If different from owner) , <br />Street address <br />Phone; if no <br />answer, call: <br />vr/- ‘jy/f <br />9‘^9-ce-^U <br />Phone <br />Mailing address (If different from street address) <br />Property located In the City of_ _(5y fCCAd <br />Property is riparian to LMCD bay/area(sVjLiAZj)l/*A' » No(s).- - -77 <br />1. Claeelfication ot use per 12.11, Subd. 2 (please check one)i <br />e) cosBserclal suirlne_____ d) transient ______.___ g> private resldenc* <br />b) privata club <br />e) iminlclpal______________ <br />e) outlot eseocletlon X <br />t) multiple dweillng_____ <br />h) other (explain) <br />2. Type of dock construction, describe ant^attach to*scalf drawlngi^- - - - --i ■" . <br />1 itJ^L_ _ _ _ _ _ _/. . . . . . . . .. . . .. <br />3. Pteeae submit names and mailing addresses of owners of abutting sites and owners <br />of other affected sites. Such ovnets may be verified by checking with Hennepin <br />County property description offices. 348-3271 . which can provide ectual maUlM <br />labels at a cost of 11.00 per tax parcel. Thie service uauallv takes three days, <br />and you must have your tax parcel ident if icat ton number ready when calltng for <br />this assistance. <br />4. DecusMnts listed below arc requtrwdi chech that they ere attached: ^ <br />Locator map_______/______ Staled drawing showine present deebage <br />County plat ewip_ <br />Certified land survey, <br />legal description V <br />1.Scaled drawing sbrrwing proposed doekote,. <br />Scaled drawing of decliB ee abetting propert lee. <br />and other offoctod doefcal* _ __ _ _ _ _ _ _ <br />Absence of etgniflcant data requested above eeuld reMit tn • proeeasing delay