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F- ^ <br />M: <br />;tV <br />h. <br />5. <br />8. <br />Association is (checic anplicacle itens): <br />vninccrrcrntad hor.ec*..r.sr's ^rcuo. <br />incorcorsLad Honecvner’s Assoc_?^icn. <br />unincorporated club or recreation group <br />incorporated club or recreation group <br />Principal purpose of Joint -ose dock is (check applicable itass): <br />)/ provide boat nooring and lake access for residential property. <br />provide sviaming access, beach, or offshore dock. <br />provide a club or association gathering place for activities. <br />6. Dock is located on (check applicable item): <br />one r.en:.‘tr'3 pri ’/ate property <br />^ easement or outlot owned in common. <br />property leased by the group/associaticn. <br />property owned by the group/assooiation. <br />List Dock location ar.d ownersnip information: <br />street address _ _ _ _ _ _ __ <br />legal property description <br />PID # <br />listed property owner(s) <br />Names of abutting lakeshore property owners: <br />(North/West)____________0^ O <br />(South/East)IMkv <br />(Name Address) <br />j^eeAjL 2-70 } kvft-liioa iXXtlANJl. <br />(Name + Address) <br />Names of other affected property owners: <br />(Name + Address) (attach sheet if necessary) <br />2 of 5 <br />in H-II J