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Variance Application <br /> TOTAL FEE ENCLOSED...... (this #ee is for processing of the <br /> application and does not <br /> entitle the applicant to a variance).................. 500.00 <br /> (certify that the information provided herein and the attachments hereto are true and corre�t;i understand that <br /> any variance granted may be revoked by the District for violalion of the LMCD code. 1 agree to reimburse the <br /> District for any iegal, surveying, engineering, inspection, maintenance or other expenses incurred by the District <br /> in excess of the am�unt of the application fee. I consent to Qermitting o�cers and agents of the District to enter <br /> the premises at reasonable times to investigate and to determine whether or not the Code of the bistrict is being <br /> complied with. <br /> 1 agre ' a cer#ified, as-b ilt survey up completion of the docks. <br /> Authon ignature � ?� �� <br /> Date <br /> Peter W_ Johnson, Attorney for Applicant <br /> Title <br /> Attorney <br /> Return this application,attachments and fee to: <br /> Relationship to Owner <br /> Lake Minnetonka Conservation District <br /> 98338 Minnetonka B)vd. <br /> Deephaven, MN 55391-3232 <br /> Fax:(952)745-9085 <br /> Application for variance is submitted without prejudice to existing <br /> rights as a legal nonconforming use. <br /> ,,:-- i ��- <br /> .�.��i_�.rl_,...'.I.---I <br /> , <br /> I)� �.�� (i;� �.., �� �_� a.', ;���� <br /> l f�ll(� �f 2Di),% il��!� <br /> I�l� ; <br /> E,�__ __ W � <br /> Page 3 of 3 "-y � ��' <br />