LOA Membership/Treatment Form

Notice: Initial email sent 3/1/25 stated per foot rate of $5 but the correct amount is $3 per foot for 2025 and this is reflected below.

Treatment sign-up form and amount due

LOA membership and application for a permit to control aquatic plants.

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Shoreline feet owned*

Shoreline feet allowed for treatment*

Please enter a number from 1 to 100.

(“allowed” = up to 100′ or 50% of owned shoreline, whichever is less. e.g. own 80′, max allowed 40′. If your lot is less than 70′ you are allowed up to 35 feet of treatment.)

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Shoreline feet requested to be treated*

Please enter a number from 1 to 100.

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Lakeside house color

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House description from lakeside

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Treatment area description / other comments & instructions

(e.g. boat brand, type of dock, gazebo, etc)

MN DNR – Application for Permit to Control Aquatic Plants

Name*

First Middle Last

Cell Phone Number

Home Phone Number

Lake Home Address*

Street Address City State ZIP Code

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Fire # / 911 #

Permanent Mailing Address

Same as Above

Permanent Mailing Address Information

Street Address City State ZIP Code

Email Address*

(Enter the email address we should send future LOA communications to)

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Size of Area Proposed To Be Treated

(For Admin Use Only)

Terms & Conditions

By signing this form I hereby make application for a permit to destroy or control aquatic vegetation or aquatic nuisance as described above. I understand that the control of aquatic nuisances, including destruction of aquatic plants and algae, is subject to rules of the Commissioner of Natural Resources. I understand that an Aquatic Plant Management Specialist may wish to inspect the proposed treatment area before, during, and/or after work is completed and that by making this application I give permission to the specialist to enter my property to make such inspection at reasonable times. I understand that an annual report will be required on results achieved. Your signature on this form applies to both a fluridone treatment or a traditional treatment in the event the backup plan is exercised.
Completion of this form and processing of the accompanying application fee does not constitute obtaining a permit.

Applicant's Signature*

Sign your name in this box using your mouse, trackpad, or touchscreen:

Electronic Signature Consent*

By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper.

I agree with the Terms and Conditions

Date*

Amount Due

Total includes “allowed” = up to 100′ or 50% of owned shoreline, whichever is less. e.g. own 80′, max allowed 40′. Cost would be 40′ x $3.00 = $120 + $10 membership for $130 total.) If your lot is less than 70′ you are allowed up to 35 feet of treatment.

Lakeshore Footage

Price: $0.00

Membership Dues

Price:

Total

Treatment sign-up form and amount due

MN DNR – Application for Permit to Control Aquatic Plants

Terms & Conditions

Amount Due

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Treatment sign-up form and amount due

MN DNR – Application for Permit to Control Aquatic Plants

Terms & Conditions

Amount Due

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Contact

Recent Posts

Site Search