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1a. AFisocintior. is (check an;ilicrble iterr.$): <br />unincori crotcd 7omeovner's grou!). <br />incorporated Homeowner's Association. <br />unincorporated club or recreation group. <br />incorporated club or recreation group. <br />5. Princira 1 purpose of joint use dock is (check e:•Dlicable items): <br />4 provide boat moorir,6 and lake access for residential property. <br />Lrovide swimmirW, 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 />pri•j-.te property. <br />easement or outlot curved in common. <br />property leesed by the group/essocietion. <br />property owned by the group/e.ssociation. <br />7. List Dock location and ounership information: <br />c+roo+. nAr?rPeR Qaa'� No C-,6z,(e Or - <br />legal property description )'j -111 ' �3 22 o0ol � j L-t <br />< <,, UJ C ),'5 N ,w. cww FIE. Wo . •,c et 2 361. 35.5' i4`s.S t'� w, c•r. f, -a � y h .S �C�o <br />P I D a W . d ��ws� C1 . `� . t✓`�' t).�".` <br />listed property owner(s) <br />8. Names of abutting lakeshore property owners: <br />(North/West) ��� _ 1-v- 140C< Nc S)-,x re <br />South/East) <br />Name + Address) <br />(Name + Address) <br />Names of other affected property owners: <br />(Name + Address) (attach sheet if necessary) <br />2 of 5 <br />