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\ �` <br /> . � • Application: LMCD 2 <br /> Charter Boat Registration <br /> (vessel) <br /> . <br /> E. Pick-up points ( in order of frequency of use) : <br /> . � <br /> 1. Usual ` <br /> �,� <br /> 2. Ol hers ' ' " ' <br /> �- �,f- <br /> 3. <br /> 4. <br /> 5. <br /> 6. <br /> F. Public liability insurance: Amount $ �, , Companysf'�,A/ /'.�o ��4�'f� <br /> G. The following must be attached: <br /> �1. Copy of current state inspection certificate of operation. <br /> �2. Copy of all current pilot licenses. <br /> �3. Copy of current charter boat insurance endorsement . <br /> �. Locator map showing boat storage and pick-up points. �� <br /> L�S. Fee of $50 (please make cliecic payable to LPICI)) . If after tlay 1, <br /> also enclose late [ee of $50. <br /> Fee $ 5U.00 <br /> Late fee <br /> Total fee enclosed $�_�( <br /> I certify that the information provided herein and ttie attactiments hereto are <br /> true and correct statements. <br /> Authorized signature <br /> Title ' t <br /> Date � � � <br /> Return application and attachments to: Lake Atinnetonka Conservation District <br /> 402 East Lake Street <br /> Wayzata, Piinnesota 55391 <br /> Phone : (612) 473-7033 <br />