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4. Association. is (check anplicnble items): <br />unincorporotcd homeowner's group. <br />_el"incorooruted Homeowner's Association. <br />unincorporated club or recreation group. <br />incorporated club or recreation group. <br />5. Principal purpose of joint use dock is (check applicable items): <br />z"v'rovide boat mooring and lake access for residential property. <br />_Zprovide swimming ecccss, beach, or offshore dock. <br />-Zprovide a club -or esEocietion gethering plece for activities. <br />6. Dock is located on (check applicable item): <br />_ one member's private property. <br />easement or outlot owned in common. <br />property leased by the group/essociet:on. <br />_,,t,-p-roperty owned by the group/association. <br />7. List Dock location and ornership information: <br />street eddress <br />legal property description L,•rS 1 4 'L !'LQLb 3 <br />PID / <br />listed property ovmer(s) <br />B. Names of abutting lakeshore property owners: <br />North/West <br />South/East) <br />Name + Address) <br />Name + Address <br />Names of other affected property owners: <br />/_ <br />Name + Addrest) (attach sheet if necessary <br />2 cf 5 <br />