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<br /> FOA Ll�iCD U�Bt
<br /> Lake !iinnetonka Corecrva[ion Diotrict AppYOVed,6r
<br /> . Date :� .
<br /> � • Fee 4 Iaspwctioa:date
<br /> COamnIIt; :.
<br /> � �,�.., �
<br /> .
<br /> ?ERMANENT DOCK PERMIT APPLICA''_'�ON '
<br /> In accordance with Se_tion 3.032 of the I.HCD Code, the follwing application f�r
<br /> a Permanent Dock Pex-eiit ehall be completed in all reapec[e and aubmi[Ced.to the
<br /> Dietrir_t Office, 402 �aet Lake Street, ilayzata, Minnpaota 55391. No person may
<br /> locate, conetru�t, i:.stall or asintatn a nEv penaanent dock on the Lake vithout �
<br /> fire[ aecurir�g a pere�?.t there:or frcm r.he Fxeccti•re Director puravant to eaid `
<br /> Section, provid�d the� no auch permit ahnll be required of docka requlring a
<br /> licenae under Section 3.08 of eaid LMGD Cocie.
<br /> � .h.;,,.r;ya,�,+A�ewy'p�t�,4t.S�s r�qu:.*ed-vh�navar ihe sise, typa,` locatioaf��or^congign3�."4=`� �,�.,,_,,..._
<br /> } ��t�?�s.'t�a� '°'"" � ' �4"si�'"L#'�'YaqlCfis�ic'':�r �apai ,�nv� . eYn�.'�>�t�7�.,,��,�-xr•.�
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<br /> �"'.C4 .i•'��• �4�I��1�i�,'"�t�,��e��:�r.�a�i'� or'•`caitigurnt�on���of�°the Qoc3�. �'�'a � � o ���7��f.e�`
<br /> ' no_ be granted vhere deic'_�g equipment is needed.
<br /> Jamee Don�oeke '
<br /> (Print or type owaer'a neme)
<br /> P.O. IIox 58 Nava. re Mn. 55�y2 472-7505
<br /> (Ovner's addreas) (Ph�ne)
<br /> Che owner of land in :i�e City of _Crono
<br /> �� y� ��� ;� �_��_ mailing addresa or location of pP_IIIII[7P.21: dock for c7hich perwit is sought:
<br /> c,� �'M1�� a r
<br /> �,���e�^ '�'�bt� s��,4 ty87 Fa�;erness Point ??oad '���.��zata, �In. 55�91
<br /> �7�`����`���"�t���i�� a
<br /> "���T,��q taf -,���.;� � Bueinees name, or na:�.e of occupant on prem,ses vhere dock is :o be located: •
<br /> (Phor.e)
<br /> �
<br /> (Hailing addreee if differen[ from atreet address)
<br /> r+hich ie riparian to LMCD area{n) 'NOst A2'tn . �iote)• I7
<br /> Lake Hinnetonka, app�_�a pureuant to LHCD Code Chapter III, Sec. 3.032 for a Per-
<br /> � �ri#� ,��9.�� � maner.t Dock Permit, '_n accordance with rll data and other ?nfozmation ¢ubmitttd
<br /> "+�'�^,�i!'°�r, ��', � ' herevith and made a part hereof. The folloving nuet accompany thie application
<br /> � r`k���:,� „� vith name, addreas and date on all submittals:
<br /> �ig��� �` n (a) Locator map (d) Site plan of dockage on/or co
<br /> +� Y�x' S s
<br /> � r fa�� (b) County plat of the area overlay the survey
<br /> �r���k4 � (c) Certified suzvey and legal description (e) Dock cons[ruction de[ail sheei
<br /> ��� x�s.��1 ,�s �y,``�
<br /> �`�� � ,s
<br /> }*�� °fi� r+ ;-�,� s 1. Type of facllity: Q��xFrivate O Multiple dvelling _
<br /> �,��� ��� ( ) Co�ercial ( ) Ot`�er (explaln)
<br /> d�,•.6'��� �. h'� .
<br /> f�
<br /> �;%�� ,,� �,,
<br /> 2. Intended uae of c:ock facllity hloor 8 b04t _
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