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CITY OF ORONO LICENSE YEAR 19 83e,) <br />P.O. BOX 66 <br />CRYSTAL BAY, MN 55323 <br />473-7357 <br />(association) 5 9 &-A -4 S;Woe�j <br />ANNUAI. JOINT USE DOCK LICENSE APPLICATION <br />Pursuant to Orono Municipal Code Section 5.42 <br />cl!> <br />Date Form Sent by City Staff <br />Date Application Returned to City <br />rr?V rr 'ir• AVI <br />EA r r ur <br />i•rwrt�• <br />Fee Recived $ 3 7 By Employee 7� _ :LF r,.44 rrtrr <br />n r,j r-•l : nr� <br />Section 5.42 Subdivision 2. LICENSE REQUIRED - It is urJaWf-Cr1 frjr any?::;, v <br />(group or association of persons or families, more than two_i,n-,TnyThgrvr, <br />whether incorporated or not) to engage or participate in..:j'dFin`t'tf W_ <br />(of any lakeshore property) without first having obtained>:H•_ 1f,'ceii�h&-1 <br />therefor from the City. <br />PLEASE COMPLETE ALL ITEMS AND SUBMIT SIGNED APPLICATION, REQUIRED <br />ATTACHMENTS, AND LICENSE APPLICATION FEE TO THE CITY CLERK BY <br />FEBRUARY 1 OF THE LICENSE YEAR. <br />ASSOCIATION INFORMATION <br />1. Association title or name (if any) ,chard Z�:ckman <br />2. Lake rnl �d _Bay Uj JA RrVy\ <br />3. Person responsible for this application: <br />Name 11 &LV\ard ?-';C' 'r\arl Phone w 311-now <br />Mailing Address_15` 1_9 D ��}x"1 f't le Jp �pi�, m►� ! - 9Q <br />Relationship to association <br />Page 1 of 5 <br />