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09-19-2005 Planning Commission Packet
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09-19-2005 Planning Commission Packet
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' ��;_ Lalce Mimletonka Conservation District <br /> ' j� �� I8338 Ntinnetonka Blvd. <br /> " :.� Deephaven, MN 55391 � <br /> . `��,, .� �� ;���' Phone (952) 745-0789 <br /> � ------------------------- ----- <br /> LMCD Rcccipt# . ..i, `�'%�r ...,. <br /> In accordauce�t�th Sec.2.OG of tl�e LMCD Code,lhe followin�application for a permanent Docic Liccnse sliall l�c <br /> completcd in all respccts and submitied to the District offce. No person may locaie,construct,install or maintain a <br /> new permanent docic on the lake��ithovt first securing a license providing that no such license shall be required of <br /> docics 1•equiriiig a ticense m�der sec 2.U3 of ihe LMCD Code.A new license is required whcnevei•the size,type, <br /> location,or configuration of the dock is changed. No new]icense is required for repair or replacement of a previously <br /> permiti:ed dock wl�ere such repair or replacemcnt does noi alLer i�he size,lype,location,or confguration of t�he dock. <br /> 1�'ecause Oeis fnrru is tn be cnpied,please«se b/uck i►ek or t}pe. <br /> The person conlpletii�g tllis fonii is tl�e�v�horFZed age�t or p�oper�y orw�e�•(circle o�ie}. <br /> Apglicant:_ /v/i,��r.Pfa�K4+ ��Yftl�%'. �� f��'��U;�f,7� <br /> � <br /> Address:_ J��U 1tir�St Luk� ,�f'Y'c.2 f" <br /> City, State, Zip: �Ce�s�i��- �/�� 55?�/ � <br /> Phone:_ y5Z-�71/�y.5�y Fax: UhZ- ����71�- <br /> Property�Owner(if different from applicant): ��qy �Sr'-e�i�hQ�/e/' <br /> Address /l5 0 �/c� Ci'ys�� .��-�zy ��� <br /> -� <br /> City, State,Zip: _ ��Oi?v /�l/II 5�31� ' <br /> � Pl�one: �a��-$02�3/v�� Fa�: <br /> Documents listed below are required; and must accom�any this applicatiou: <br /> ❑Locator Map ❑Scaled drawuig of docks ou abutti.ng properties <br /> ❑County Plat Map -OProposed facility site plan <br /> ❑Certified Land Survey,Legal Descriptiou ❑Existing facility site plan <br /> tlbse�r.ce of signr.�ca��t requested data, cauld r•esult itt a processing delay. <br /> 1. Ty�e of facility �}private O multiple dwelling � <br /> () comm.ercial () other(ex��lain) <br /> � <br /> 2. Itztendeci use of dock facility �75��%�'1lI Q nd {'� c=i%���i vrL � <br /> 3. Abutting property owners at t���lakesl�br�: <br /> NQ�-t1�or West � r7/-�-�—���,-,�v 2�� /�(. S��U►'e l�t! b I'Gl�a M i� <br /> p nume and nddr�ss - ` <br /> S'OU��7l O�'�'-J+1St ��I'���'Pi'r /`l l�A ;/' .�l�5" �I Sl��i�� ���' �!�?7t1 �l/1/V <br /> nan c and address <br /> Otller affected Iaarties <br /> :.� namn and address <br /> � . 1 of 2 D L5 � � � (� (� i <br /> U I� <br /> . JAN. 2�� 2005 <br /> . - ey <br /> --______ <br />
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