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4. Associntior Ir ('.heck MT-rllicnble iterrs): <br />_ unireory-crated honieow-ner's grou.). <br />✓ incorvoreted Homeowner's Associatior;. <br />unincorporated club or recreation grouy. <br />— incorporsted club or recreation groin,. <br />5• Frincil•al purpose of ;cint use dock is (check a Tlicable items): <br />✓ provide boat mooring and lake access for residential propert;; . <br />ZI-rovide swimming access, bend, or offshore dock. <br />y provide a club or essocietion tethering plece for activities. <br />6. Dock is located on (check applicable item): <br />_ one neaber's private property. <br />easement or outlot owned in corrm,,)n. <br />_ pro}erty leesed by the grou,,/EssC�ciet_on. <br />nro; erty owned by the group/essocietion. <br />List Dock location and ownership information: <br />street cdd_'e£8 loftVsr L.AK4 <br />legal property descri ticn Lots ( C - <br />PID # <br />listed !roperty owner(s) pt�w�a nS_AsSacI4TLoV <br />P. Names of abutting lakeshore Property owners: <br />(North/West) ikw ILNOwpj <br />(N.ime + Address) <br />(Sout.h/East) -TieCT�(L. -` Qa*,%,T LAI rr DILWIE <br />(Name + Address) <br />Names of other affected property owners: <br />Not <br />IName + Address) (attach sheet if necessary) <br />2 of 5 <br />