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??> ■ ■ ■'mw <br />p+^''. ‘ ^^ <br />^ ,T« The lointly used dock is Insured by one of the follovlng:Instirance Coverage - The joinwiy uscu. <br />property ovner's homeovner's policy. <br />».,.v <br />is::* IS--.. <br />f- <br />certificate of inecrance^to^docX at <br />list the follovlng Infonnation: <br />» <br />wm- <br />k:?‘ ■H "V <br />name of Insured Big me <br />Sit <br />nans of Insurance carrier western world Insurance <br />^mnmk ©f InsuTance agency Tnguranrp rnnsnlt-ing Seruirca. <br />effective dete of coverage6/29/91 II ;^r. coverag. <br />policy DO* GLA 31447 5 . <br />,»«Bt of coverage; Public llablUty, per person, per occurence S 500,OOq^ <br />10 <br />l£ i • ' <br />Public HebUity, per occurence ♦----50(1 ,000 .01 1 <br />Security enl policing of the Jointly 'ised dock and property Is provided by <br />(check eppUcable Items): <br />fencing. ^ security lighting. ^ property owner’s presence, <br />contract security service, other (specify)- --- - - - - - - - -- <br />mmM: <br />■ ■ ■•'s VSOCK inoH <br />P-. <br />3v,- ■ ' <br />% <br />p <br />0:^- - '-K .-• ' <br />ISP: . <br />11. List Dock Use Area Specifications: <br />Width Of shoreline; 1.500^ ft. length of main dock from shore; <br />Dock setbacks from side property lines at shore; -----500+----- ft. and _ 500+ <br />Dock Construction (check applicable items): <br />ft. <br />ft. <br />ms--' <br />y seasonal dock (zelo'-Tted or replaced each year). <br />_ pannsnant piling vltu seasonal deck. _ _paraanant piling and decking. <br />wooden decking. ____ metal decking. <br />1^; - <br />fPms ■■ <br />13. List Dock Accessories: <br />of fire extinguishers avallsbla st the dock Boats required tg havt— <br />of life preservers avallsble at the dock ------Boats required to have . <br />I'd List number of slips In each category ("slips” includes boat lifts): <br />’ Transient (day use only) .Hp» X* Translent (day use) off-.hore buoys ^ <br />Feznanent moorage alipa permanent moorage off-shore buoys <br />Dry storage (reck) alipa <br />Maximum number of boats at the JBkflftk dock <br />i ”■ a.-ssi'S'sans'jrrrss’* sn.;: rrws <br />road. 0 spaces. <br />pp, ■ <br />p:-Page 3 of 5 <br />i: <br />*. <br />% <br />•h <br />"A <br />i <br />5 <br />■j <br />a <br />! <br />/l