Laserfiche WebLink
6. <br />7. <br />8. <br />9. <br />Principal purpose of joint use dock is (check applicable items); <br />XX 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 />Dock is located on (check .applicable item): <br />____ one member’s private property. <br />____ easement or outlot owned in common. <br />____ property leased by the group/as\.ociation. <br />»c__ property owned by the group/rssociation. <br />List Dock location and ownership information: <br />Street address 1801 Shoreline Drive, Orono, MN____________ <br />Legal property description Outlot 1» Foxhill <br />PID# ________________________ <br />Listed property owner(s) Foxhill Hcxneowners Association <br />Names of abutting lakeshore property owners: <br />tNorth/WestI Alden L. A Helen M. Anderson; 1830 Shoreline Drive, Orono <br />(Name + Address) <br />(«grtiith/Fa^t1 Michael Winton; 1780 Shoreline E)rive. Orano______________ <br />(Name + Address) <br />Names of other affected property owners: <br />None ____________ <br />(Name + Address) (attach sheet if necessary) <br />Insurance Coverage - The Jointly used dock is insured by one of the following: <br />____ property owner’s homeowner’s policy. <br />XX separate group/association owned policy <br />List the following information: <br />Name of insured '^•oxhill Homeowners Association______________ <br />Name of iimimice carrier Scottsdale Insurance Agency <br />Name of insurance agency Hcroeyer-Harris Agency----------------------------- <br />Policy No. GLS 307569 ________Effective date of coverage 3-01-92 to 3-01 - 93 <br />Amount of coverage: Public liabUity. per person, per occurrence S—^--------- <br />Public liability, per occurrence $ 1,000,000.00 <br />Page 2 of 5