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,1 <br />% <br />U. Association Is (check applicable itexs): <br />5. <br />6. <br />7. <br />8. <br />unincorporated kor.eovner's group. <br />^ Incorporated Homeowner's Association, <br />unincorporated club or recreation group <br />Incorporated club or recreation group <br />Principal purpose of Joint use dock is (check applicable Itemc): <br />^ provide boat mooring and lake access for residential property. <br />provide svianlng access^ beach, or offshore dock* <br />provide a club or association gathering place for activities. <br />Dock is located on (check applnable item); <br />one member's private property <br />easement or outlot owned in eomnon. <br />property leased by the group/association. <br />y property owned by the group/association. <br />List Dock location and ownership information: ^ <br />•tpMt eddre** 0 'P-Jl E-Tr eUipr-Hl^' <br />legal property description Sc ^ c c/ ^ <br />PID # ^ f - 1 1 1 - ^ O’? > *^1 <br />listed property owner(s) S <br />6T33 / <br />C o-t-lf < <br />Names of abutting lakeshore property owners: <br />tNorth/West) /</cTX- <br />- - - (Name + Address) (T <br />(South/East) <br />Names of other affected property owners: <br />A/ twj£ — (y~yJL^\ <br />iName Addressl (attac^i sheet if necessary) <br />Page 2 of 5