Laserfiche WebLink
RAMSEY COUNTY SHERIFF'S DEPARTMENT <br />SHERIFF CHARLES ZACHARIAS <br />APPLICATION FOR <br />PERMIT TO CONDUCT WATER EXHIBITIONS OR PLACEMENT OF STRUCTURES IN THE LAKES <br />Applicant agrees to defend, hold harmless and pay on behalf of the County of Ramsey, <br />Municipalities, Conservation District their officials and employees any demands, claims <br />or suits arising out of actions of applicant under the permit. <br />Applicant will obt in and pay for a Comprehensive General Liability insurance policy <br />in the a' aunt of 4/171000 , The policy .shall name the County of Ramsey, <br />'"unicipaiities, Conservation District their officials and employees as additional <br />assureds for the term of the permit. Certificate of insurance shall be supplied to <br />the Ramsey County Risk Manager within one week prior to usage and be noncancellable. <br />"TAME 'F ORGANIZATION Midwest Sport Events, Inc. <br />ADDRESS OF ORGANIZATION 1250 Doe CIrcle White Bear Lake Mn. 55110 <br />ti <br />NAME OF PERSON MAKING APPLICATION Barb Lunzer <br />PHONE NUMBER: 484 -8764 h <br />ADDRESS OF PERSON MAKING APPLICATION 133 Bluwood Ave. Little Canada, Mn. 55117 <br />LAKE ON WHICH EXHIBIT OR STRUCTURE PLACED Gervais <br />CATE OF EXHIBITION '" __ 1992 �e5. /Sd- i <br />INSTALLATION OF EQUIPMENT FROM No equipment other than bases TO <br />(DATE) <br />TYPE OF EQUIPMENT <br />Bases <br />ATTACH DIAGRAM OF LAKE WITH <br />SIGNATURE OF APPLICANT <br />(DATE) <br />VILLAGE RECOMMENDATION FOR APPROVAL (DATE) <br />AUTHORIZED SIGNATURE <br />RAMSEY COUNTY SHERIFF'S WATER PATROL AUTHORIZED SIGNATURE (DATE) <br />DATE <br />PERMIT ISSUED AND APPROVED BY THE RAMSEY COUNTY SHERIFF'S DEPARTMENT <br />..Page 8 <br />PERMIT NUMBER <br />