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U. Association is (check applicable itecis): <br />unitcorrcrated hor.eovner's group. <br />7. <br />8 <br />incorporated Eorceowner's Association, <br />unincorporated club or recrestion group. <br />X Incorporated club or recreation group. <br />5. principal purpose of Joint usa dock Is (cneck appUcable liens): <br />___ provide boat scoring and Uke access for residential property. <br />___ provide 8vl=ing access, beach, or offshore dock. <br />X provide a club or association gathering place for activities. <br />6. Dock is located on (check applicable Itera): <br />one cenber's pri'/ate property. <br />easement or outlot ovned la common. <br />___property leased by the group/association. <br />X property oveed by the group/association. <br />List Dock location and ovnership Inforcatlon: <br />street address RL 19, RL 12 <br />legal property description <br />PID # 22-117-23-42-0019 22-117-23-42-0020 <br />Names of abutting lakashore proparty owners: s.. Attached ssnibics a . b <br />(Worth/WeSt)(Name * Address) <br />fSouth/East)(Name ^ Address) <br />Names of other affected property owners: <br />See Attached Sheets <br />(Name -*• Address)(attacn sneet if necessary) <br />Paae 2 cf 5