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0 <br />5 <br />Association is (check applicable itetrs): <br />unincorporated homeowner's croup. <br />incorporated Homeowner's Association. <br />_ unincorporated club or recreation grour. <br />Principal puxpose of joint use dock is (check arplicable items): <br />provide boat mooring and lake access for residential property. <br />provide swiauning access, beech, or offshore dock. <br />provide a club or association gathering place for activities. <br />Ac3S <br />6. Dock is located on (check applicable item): <br />one member'e private property. <br />_ easement or outlot owned in common. <br />` property leased by the group/associet'__%. <br />property owned by the group/associatio::. <br />7. List Dock location and ownership information: <br />street address &1, <br />legal property descri, t,ion (1��� <br />�..ro <br />PID�3-���-Z3-��-ve�o� �. <br />_ i arPd ^mrPz-t•oa er(s 1 pi �,� � 11l-.�C <br />llama r1 C, l v� wUio <br />B. Names of abutting lAkeshote p�ogerty <br />(North/West) <br />(Name + Addres <br />(South/East) [�w�tior.wt►s 5533� <br />(Name + Address <br />e.zu, {-C�, �I 4) Zz ►.� <br />eii r�� tom— L2 <br />ajL <br />s' , ja �+.•. TL.wLj l k+u.� l Z3� <br />. (L3) 5a ► <br />►n e r s : °�''S iti.. (o�st.n� � �.i �,.ti,r <br />ta+3t e ew,q UL ^ <br />Er�t- <br />Names of other affected property owners: <br />(Name + Address) (attach sheet if necessary <br />2 of' 5 <br />