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7 i:,£'....• :( ...Vkl'`..�1'. - r,•'e y: �i' . bE.i f�r•'... _s :,usurQ'�'. �i C'ii <br />10 <br />n:oyert.y cvner's :io:::ecxner'r vo, icy. <br />_ re}'r+rtate Associetion owned ,olley. <br />list the followJn; information: <br />name <br />of <br />ins:ired <br />N bote O W Nl; RL Astoe . <br />:tame <br />of <br />i nsurnnce <br />carrier A <br />name of insurance nger,cy T T I+IL_L <br />policy no. 4S —5-.o. 1W effective dPt.e of coveivp-e <br />amount of coverage; Fublic .lietilf ty.. per nersor., per occurence $ <br />Fublfe Ifability, ier occurence�- <br />Security and policing of the jointly used dock and property is provided b�- <br />(check er,nlicable items): <br />_ fencing. security li&.tling. y property owner's presence. <br />_ contract securityservice. other (specify; <br />DOCK I*IFOPJITION <br />11• List Dock Use Area Specifications: <br />Width <br />of shoreline; <br />-L'&_v ft. LenKt: <br />cf main dock <br />from shore; <br />1W-b <br />ft. <br />Dock <br />setbacks from <br />side property limes at <br />shore; ILL <br />ft. and <br />ti O <br />ft. <br />12• Duck Construction (check applicable <br />7� seasonal dock (relocated or replaced eLcn year). <br />Permanent piling with seasonal deck. _ uermanent pi-ine and deckinv. <br />vooden decking. metal decKirg. <br />13. List Deck Accessories: <br />Number of fire extingulEhers svr:ileble at the dock 0 <br />Number of life preservers available at the dock 1.0 <br />14• List number of slips in each category ("slips" includes boat lifts' <br />Transient (day uFe only) slips Transient(da;; use) off -shore buoys <br />i enwirient moorage slims t Yermenent moorr,Ee off -shore buoys <br />Dry storage ( rack) slips Maximum number of boats at the dock 1� <br />15• List number of off-street pprking spaces available for users of the joint use <br />dock. Yarki:ij;, f_f provided must not be se;.arsted from the dock by any public <br />