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k <br />fK':, <br />vnv <br />Association is (check applicable itecs); <br />unincorporated horaeovner's group, <br />incorporated Homeovner*s Associatioa. <br />unincorporated club or recreation group <br />incorporated club or recreation group. <br />m.7. <br />Principal purpose of Joint use dock is (check applicable items): <br />provide boat scoring and lake access for residential property, <br />provide svimming access, beach, or offshore dock. <br />_x_ provide a club or associatioa gathering place for activities. <br />Dock is located on (check applicable item); <br />one member's private property. <br />eu-.iineat or outlet ovned in common, <br />property leased by the group/as societion. <br />X property ovned by the group/association. <br />List Dock location and ownership infometion: <br />street eddress RL 19, RL 12 <br />r *r ^ ^ V' <br />'legal property description <br />PID # 22-117-23-42-0019 22-117-23 -42-0020 <br />-listed property ovner(s) _ Bi^ island, in £^ <br />i..: <br />:©'8 •Names of abutting lakeshore property owners: see Attached Exhibits a s b <br />(North/We St)______________ <br />(South/East) <br />> V <br />riff" -■ <br />•V?;- :.r( i i - <br />"P-:V <br />(Name + Address) <br />Neunes of ocher affected property owners : <br />.■ <br />liP$. .Page 2 of 5