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DOCK - HEW <br />RECEIVED Lake .linnetonka Conservation District <br />JUN 29 1992 Receipt it ^5^"/ <br />City response due <br />|^M.C.D. received- - - - - <br />License Year <br />No. of Boats <br />Boat Density Index <br />(for LMCD use) <br />Can be reached at phone f <br />B#CAUsa this form is t <br />to bs copied, please ! <br />use black ink or type.! <br />i <br />f <br />APPLICATION: NEW MULTIPLE DOCK, <br />LAUNCHING RAMP, <br />AND/OR MOORING LICENSE <br />Pursuant to LMCD Code S2.03, a new multiple dock license is requested, in accordance <br />with all data and other information submitted herewith and made a part hereof. <br />Print or type owner's name <br />/>?n <br />Omar's dddreas <br />__ 9y/9_ <br />Phone; if no <br />^nswer, call: <br />/2L L /jiJ R <br />0(gd£. pr^rCK^ii.. - ------------^ <br />Contact person (if different fromomer; <br />C< FX ^ - -i <br />Street address <br />Phone; if no <br />answer, eallt <br />Phone <br />Mailing address (if different from street addressi <br />Property located in the City of —j- -——yy——- --r^r »./_) <br />Property is riparian to LMCD bay/area(s)^/|^/tVA ^ <br />): ^ <br />1.CU..lfic«to, ,f u.. p.r jririv.t. <br />c) municipal___ <br />IB ^ —----------------- <br />£) multiple dwelling. <br />2. lyp. o( dock con.tructlor.. d..crf-. .nd^ch to-.c.l. dr..ln,. <br />3.Please submit names and *‘*VrV*i^ay °be ^^rified by'^chicklng with Henneplr <br />this assistance. <br />U.Docu..nc. u.t.d P.10W.« <br />Locator map ^ <br />County plat map X <br />Scaled drawing showing proposed dockag —^ <br />Certified land survey, <br />legal descriptlon___K <br />I::ud dr.wtn, o( docL on .bottln, prop.rtl.., <br />and ocher affected dockage-------------------------------- <br />. . Ifle.nt daca r.quo.cd .bov. could r.iuU In o proc.tn* dtUy. <br />Absence of slgntflcant <iaca r«su«» <br />(over)