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4. Association. is (check armlicnb]e iterrs): <br />unircori%rrctcd homeotirer's grou_). <br />incorporated Homeowner's Association. <br />unincorporated club or recreation group. <br />incorporated club or recreation group. <br />5. Princii-al, purpose of jcint use dock is (check applicable items): <br />provide boat mooring and lake access for residential property. <br />provide swimming access, beach, or offshore dock. <br />provide a club -or association gathering place for activities. 1 <br />6. Dock is located on (check applicable item): <br />I <br />crie member's nrivate property. <br />I <br />easement or outlot ovmed in common. <br />property leased by the group/essocietion. <br />_ property owned by the group/essocietion. <br />? List Dock location and o%mershi_p information: <br />street eddresg <br />legal .property description <br />P I D # 7-23 <br />listed property owner(s) 2 t! f /� <br />8. Names of abutting lakeshore property owners: <br />CNo r t� west) 4' <br />(Name + Address) <br />((Soul/Fast)CC o CC�C� �•�Y� ,�/6f /fieYtT�%�y1E'/�z <br />(Name + Address) <br />Names of other affected property owners: <br />(Name + Address) (attach sheet if necessary) % ,"fry / <br />2 of' 5 <br />