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CITY OF ORONO <br />P.O. Box 66 <br />Crystal Bay, Mn 5S323 <br />952-249-4600 <br />LICENSE YEAR 2002 <br />cm' USE ONLY <br />Date Form Mailed to LicMMC Januanr 7.2002 <br />Date Applicatioo Return^ to City <br />n.::j <br />Fee Received S By Empiovee ^:.g^ <br />•’ - * '• ANNUAL JOINT USE DOCK LICENSE APPLICATION <br />CITY \jr unOjVO Pursuant to Orono Municipal Code Section 5.42 <br />Section 5.42, Subdivision 2. LICENSE REQUIRED - "|| is unlawful for any (group <br />or association of persons or families, more than two in number, whether incorporated <br />or not) to engage or participate in... joint use (of any lakeshore property) without <br />first having obtained a license therefor from the City.” <br />Please complete all items and submit signed application, required attachments, and license <br />application fee to the City Clerk by March I of the license year. <br />I. ASSOCIATION INFORMATION <br />1. Association title or name i if any) _____ <br />Lake ___________Bpv2. <br />3.Person responsible for this application: <br />Name "TTcNy Phone 9 5^ <br />Mailing Address ^2.ViJ <2yA€€sa <br />Relationship to association <br />4. <br />__ unincorporated club or recreation group. <br />j^:f1ncorporated club or recreation group. <br />5. <br />6. <br />Association is (check applicable items); <br />___ unincorporated homeowner's group. <br />___ incorporated Homeowner’s Association. <br />Principal purpo:e of joint use dock is (check applicable items); <br />____ provide boat mooring and take access for residential property. <br />____ provide swimming access, beach, or offshore dock. <br />provide a club or association gathering place for activities. <br />Dock is located on (check applicable item); <br />___one member ’s private property. ___ property leased by the group/association. <br />___easement or outlet owned in common. _5^^property owned by the group/association. <br />Page 1 of 4