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�� r <br /> , . Lake Minnetonka Conservation District <br /> Application: 1'emporary llock ��P�i�-P�� � <br /> � z�silc� z. <br /> Extension Permit Name �,<{u� �LL�!�^ v'�<<7 <br /> 5. Special requirements: <br /> A. Please indicate the need for the temporary dock extension: <br /> - �L� �•� t�.�.A�T�r- 1 �}fl�LC� �/`fz�r-� A�'F� f�A T! <br /> B. The extension shall be a temporary, seasonal type dock. No extensions�may�/ <br /> be on pile driven or permanent year-round docks. Noted: check here (C�! <br /> C. The extension shall meet all requirements of the LMCD other tha,n�/the length <br /> limitation described in this application. Noted: check here (�I. <br /> D. The extension shall only be permitted during the time the water level is below <br /> elevation 929.4 feet and, at any given time, shall be permitted only to the <br /> � extent of the equivalent dockage and comparable depth existing at a lake eievation <br /> of 929.4 feet. Noted: check here ((�! <br /> E. The extension, together with the original dock, shall not be used to provide <br /> storage space for a greater number of boats or watercraft than are authorized <br /> under the LMCD Code or for a greater number of boats or watercraft than are <br /> licensed if a 1'cense for the dock is required under the LMCD Code. Noted: <br /> check here (� <br /> I certify that the information provided herein and the attachments hereto are true <br /> and correct statements; I understand that any license issued may be revoked by the <br /> District for violation of the LMCD Code; and I consent to permittiag officers and <br /> agents of the District to enter the premises at all reasonable times to investigate <br /> and to determine whether or not the Code of the District being com�ed with. 3��� <br /> �� Ownc � <br /> (iu�"�i''',;'� G�.c�/� � �-.-^-,Q . <br /> tiu_7or�zed sigr►at•�are ui�,.� � ��c.:�=4�� fj�r to <br /> Title <br /> Relationship to owner .�,Q '� . <br /> Date �"�,� �� <br /> Return this application and attachments to: Lake Minnetonka Conservation District <br /> 402 East Lake Street <br /> Wayzata, Minnesota 55391 <br /> Phone: (612) 473-7033 <br /> 4-6-87 <br />