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I <br />f.:: <br />f <br />r ■ <br />li. <br />5. <br />o. <br />8. <br />Association is (checic applicable itens;* <br />’jn'^nccrrcrctsd hocieovner's group. <br />incorporated Homeovner's Association, <br />unincorporated club or recreation group <br />Incor ' ated club or recreation group. <br />^5'^ncipal nurtose of joint use does is (checic applicable itess): <br />vide boat scoring and laie access for residential property, <br />provide sviaming access, beacn, or off snore docs. <br />provide a club or association gathering place for acti'/ities. <br />Dock is located on (check applicable item): <br />one member's pri'/ate property, <br />^^^eaaenent or outlot ovned in common. <br />property leased by the group/asscciation. <br />■orooerty ovned by the group/association.. <br />List Dock location and ovnersr.it information: <br />street address kJx <br />legal property description t—_ _— <br />PID # _ _ _ _ _ _ _ ___ _ _ _ <br />V ( <br />Names of abutting lakeshore property owners: <br />fNorth/West)hi . <br />(Name + Address) <br />(South/East)—> <br />(Name + Address) <br />Names of other affected property owners: <br />LName Address)(attach sheet if necessary) <br />Vi.-A S' <br />2 Of 5 <br />^-