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FROM FAX N0. Jun. 13 2005 09:41AM P3i3 <br />MAR-28-08 TUB 12.01 PM CITYt-OFMLAM-RNO PAX N0, 651 777 9615 P. 2 <br />Waft <br />ton 0111ce Of the Sheriff <br />..,., <br />0, <br />Cofmfaztntmaz to 'C&jtce <br />Steve pott <br />shxlwltt <br />Chuok Yottor <br />Chlot pepulY <br />APPLICAVCyl'y rf OR WATER SVRFACE USIE PtCI XII <br />To Place a rak booye or olhar structure sit or in the waters of this county pursuant to MN Rules '110.1800 <br />AYam®P= Homephona:_ULi\ <br />Address: «?, i_ h .,...__ WorkphonalA&� <br />Zip Codiu a s@—".," <br />l;ody of water wh ro structttye will be locootad; Lw e' t ItN e <br />Type ofstructure ;� W. w ', �y c" <br />Installation OR200ctura (dates) <br />Permit requirements: <br />1. Diagram ofwater surface showing placement of structure, Include the depth of tha water at the <br />location oftbe Structure, . <br />1 Permit must be tseued before struetura Is placed on or in the watar, <br />3. Floating rafts, swim buoys and Mooring buoys most be placed between the permit holder's property <br />lines as they extsnd into the take.. These strotetures mast be wlthia 100 feet of shore. <br />d. Structure must display proper reiiective material as deseribed In HN State Rule 6110.1800. <br />9. Permit number must be displayed On the structure using numbers that are at least two Irtebos high <br />and a contrasting color to thearea where they are attached. <br />6. Permanent water ski slalom courses and water ski JUMPS must be approved by a reprasaatativa At the <br />City or TownsWlp whero the course will be locate& slalom soUrsas canner exceed 900 feet in length <br />and must display permit aamber An tilt and finals. Surface frosts most be submerged or removed <br />when the course is not in use., Property owUara which the course directly affects AICTST gives written <br />partulSSiom Slalom courses and stti jumps cannot be a Uavlgational baaard. Water Ski jumps Must be <br />lighted during the boars of darknesS. <br />CityfTowaship Represcntathe printed <br />signaturev <br />qv <br />% a <br />Signature of Applicant. y <br />Date; -:�\;7.-v —n <br />._--- <br />L.aw ertloroament center • 16^15 62nd Street Worth ^- P'O- BOX 3801, 8611WAter, Minnesota 55082-3801 <br />Phehe: 061.430m1506 - FAX: 651-430-7603 • 1TY' 081-4SM248 <br />W Ww.ao,washington.mn.ua <br />Equal rniployrhent bppartumly w Affirmative Aotion <br />