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u <br />A <br />I <br />I <br />% <br />A <br />-T. <br />rI:'- <br />>: <br />h. <br />/•o. <br />8. <br />Association is (checs applicable itans): <br />% r^xT\\\ <br />uninccrpcratsd ncr.ec*..T:er’s <br />incorcora'csd Eomecwner ’s Asso-iacion <br />uoincoirporated club or recreation ^roup <br />incorcorated club or recreation group <br />5, Principal purpose o? Joint use dccic is (cnecs appuicaoue i>»ec:s); <br />provide boat mooring and laice access for residential property <br />orovide sviamiing access, beach, or offshore dock. <br />orovide a club or association gathering place for acuiviv*es. <br />Dock is located on (check applicable item): <br />a uL I__i'tv.. ‘y pri-/ate property. <br />easement or cutlot owned in common <br />property leased by the group/association. <br />property owned by the group/association. <br />List Dock location and ownersnip i.nfomaticn: <br />street address <br />legal property description n»\n <br />n ft. i>tz_ _ _ , <br />PID # >0.w. fate).-S <br />s ^ w «n H8«5 <br />listed property owner(s)U.RiaV\arA 7.ucV«*>^m <br />Names of abutting lakeshore property owners: <br />(Morth/west) a.V>ftr ^6as <br />(Name'’+ Address) <br />fW«.A lt.^S s-t-. <br />(Name + Address) <br />Naioes of other affected property owners: <br />(Name + Address) (attach sheet if necessary) <br />2 of 5 <br />J