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Dock Assignment and Permit

  1. Storm Lake Jump Right In
  2. DOCK ASSIGNMENT AND PERMIT
    City of Storm Lake PO Box 1086 620 Erie Street Storm Lake, IA * PHONE 712-732-8000 * FAX 712-732-4114 * www.stormlake.org
  3. Application is for (check one)*
  4. Sketch of proposed dock, dimensions. Shade in the correct configuration of your dock and fill in the proper dimensions ("A" through "E" listed below).
  5. Width of "L" or "T" portion
  6. Width of main dock
  7. Total length of "L" or "T" portion
  8. abc
  9. Length of dock from shore to point where water reaches 3 ft in depth (only necessary if dock is more than 50' in total length)
  10. Total length of dock
  11. Number of hoists or lifts adjacent to dock
  12. DO NOT USE- FOR OFFICIAL USE ONLY
  13. DNR District Supervisor
  14. The undersigned permit holder of the dock structure which is the subject of this application hereby agree that neither the City of Storm Lake, Iowa Department of Natural Resources, the State of Iowa, or any political subdivision will be responsible for any injury to persons or damage to property arising out of or incident to the construction, use, or storage of such dock structure. The undersigned permit holder of the structure hereby agrees to indemnify and save the City of Storm Lake, Iowa Department of Natural Resources and the State of Iowa, or political subdivision harmless from any and all claims for any such injury or damage. Excepting claims for injury or damage arising from activities of the City of Storm Lake, Iowa Department of Natural Resources, the State of Iowa or political subdivision in the use of said structure which are being conducted exclusively for the benefit of the City of Storm Lake, Iowa Department of Natural Resources, the State of Iowa, or politcal subdivision. I/We have read the City of Storm Lake Dock Permit Regulations and agree to meet those requirements that are applicable to the described situation.
  15. Instructions
    Please recheck the application to make sure that all of the required information is provided and permit fee is enclosed. Mail or deliver the application to the City of Storm Lake, 620 Erie Street, P.O. Box 1086, Storm Lake, Iowa, 50588. The City of Storm Lake requires proof of $1,000,000 liability insurance policy naming the City of Storm Lake and the State of Iowa a additionally insured on each dock (attach a copy to the application). The City strongly recommends that you warn your guests by signs or other means, of any hazardous situations that may exist as a result of the construction or use of your dock. Please refer to the City of Storm Lake Dock Permit Regulations regarding any dock configuration restrictions. Don't forget, the dock address must be displayed on the water end of the dock. Please keep the dock permit available in a safe place as you must provide it, upon request, to any park ranger/conservation officer or any person you may hire to place your dock in the water. Dock rights or privileges shall not be transferable. No structure or inflatable device except a boat hoist may be placed adjacent to any portion of a dock. The hoist may not be placed next to any portion of the dock greater than six feet in width. A copy of this application with appropriate approvals will be made and returned to you and shall constitute as your dock permit.
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