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CITY OF ORONO <br />P.O. Box 66 <br />Crystal Bay, Mn 55323 <br />612-249-4600 <br />FEB 0 9 9m <br />Gll f Or wViOiVO <br />LICENSE YEAR 2000 <br />annual joint IrSF. POCK LICENSE APPf Jr ATmv <br />Pursuant to Orono Municipal Code Section 5.42 <br />Date Form Sent by City Staff January 31. 20nn <br />Date Application Returned to City <br />Fee Received $By Employee <br />association inform ATrnv <br />4. <br />5. <br />Association title or name (if any) <br />Lake Bay Ula5>-V <br />Person responsible for this application: <br />Name|t.<^.cW^ Phone <br />MailingAddress l&l^ ^.,...4^. Vhniv *VM0 <br />Relationship to association (^%jJ <br />Association is (check applicable items): <br />— I unincorporated homeowner's group. <br />----- incorporated Homeowner ’s Association. <br />SS40 <br />Pnncipal purpose of joint use dock is (check applicable items): <br />provide boat mooring and lake access for residential property. <br />------provide swimming access, beach, or offshore dock. <br />------provide a club or association gathering place for activities. <br />unincorporated club or recreation group, <br />incorporated club or recreation group. <br />Page 1 of 4