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Water Department

water@cityblm.org

309-434-2400

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Annual Dock Permit 50
New Dock Permit 250
NonProfit Marina Dock Permit Fee waived
Yes Insurer
No
Yes of permanent docks
No_2
Yes of additional structures
No_3
Copy of all Lake Bloomington lot leases associated to this dock permit request
Certificate of Insurance minimum of 100000 coverage and City listed as additional insured
Payment of fee made out to the City of Bloomington
Coapplicant application if applicable a coapplicant must fill out a separate permit application
Signature HereClick to Sign
03/08/2026Click to Sign
Signature HereClick to Sign
03/08/2026Click to Sign
Approved
Signature HereJoe Darter Will Sign Here
Submitted Annual Boat Dock Permit Application with Waiver of Liability and associated documentation
250 fee check made payable to the City of Bloomington
Submitted plans to City of Bloomington Public Works Department for evaluation and initial review
Completed tree evaluation by City of Bloomington Public Works Department
Signature HereClick to Sign
03/08/2026Click to Sign
Health of Tree
Septic System
Home Remodel
Detached Building Construction
Boat Dock Deck or Sea Wall
x

Additional Signatures Required

Copy of All Associated Lake Bloomington Lot Leases Click Here to Upload
Certificate of Insurance Click Here to Upload
Co-applicant Application (if applicable) Click Here to Upload