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rover°,mil' - T:!e j!:;in;.',y ,:.sed C10:.. iG �n�ur ' r , fe tiy on <br />c- t..c <br />cuner's ^o;j:ecw+er's-+Kr?fC;^.ld(�lc1675 <br />r•e►.r+rate ;;Yu-!: /e!aoeir!'.ion owned _.olic•y. <br />as the following information: <br />r,e496:' -3J <br />name of insured_S yi✓d�3i�G <br />Name of insurance carrier <br />name of insurance agency ESN-�YIG(�CiyCE` �ci�YC i� <br />policy no. effective date of coverage <br />amount of coverage; Public lie il_t;;, per person, per occurence $,3G�(Jf <br />Fytb che i].it der occurenc $ 3.� <br />J �% 0' <br />u�Lf� U`Z'L/� �UC <br />10• Security and policing o= joint sec dor_k an roverty is rarovided by <br />(check enpliceble items): <br />_ fencing. security Lighting. property ovmer's presence. <br />_ contract security service. c7-,_,r (specify) <br />DOCK IPiFOFcMATTON <br />11• List 'Jock Use Area Specificatiuns: <br />Width of shoreline; ISO f'z. LenKt�: of main doc;t from shore; �G--�f� ft. <br />Dock setbacks from side property lines at shore; ft•. and �%C/ f _ ft. <br />12. Dock Construction (check applicable items): <br />X seasonal dock (relocated or replaced each year). <br />permanent piling with seasonal deck. permanent piling and decking. <br />X wooden decking. metal decking. <br />13. List Dock Accessories: <br />Number of fire extinguishers eveilebe at the dock <br />Number of life preservers available et the dock /0 f <br />19• List number of slips in each ceteCory ("slips" includes boat lifts): <br />Transient (day use only) slips Transient(dry use) off -shore buoys <br />Iermanent .,00rage slips 3 Iermanent moorsge off -shore buoys <br />Dry storege (rack) slips Maximum number of boats at the dock <br />15. List number of off-street parkIrg spaces available for users of the joint u��e <br />- dock. Yarkine,, 4f provided must not be se_arnted from the dock, by any public <br />ro(:d . n s,)oces . <br />7 p I' r, <br />