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4. Af�societior. is (check ai.lplicrble items): <br />` unircori-cretcd horieo,-ner's grow.). <br />incoricrut.ed Association. <br />_ unincorporated club or recreation group. <br />_j_ incorporated club or recreation Croup. <br />5• 1'r ireil s ' purpose of joint use deck Is, (check a: r;licc,blp items): <br />— provide boot, mooring end lake access f(.r residential propert,,. <br />c rovide t:vi a�r:i t�, , LCCOrc . benc'i . or offshore dock. <br />X Provide +: club c -' P_SEOcietlon ;et.qering ple.ce for activities. <br />6. Dock is located on (check applicable item): <br />one menter's ;)rivatr_ property. <br />euEement or out,ut ouned in corroon. <br />_ Property ler sell t., the group/css cietion. <br />X rronerty owned t,,• the group/nssociation. <br />7. List Dock location and ownership information: <br />8. <br />street cddress BIG ISLAND <br />lefal ,)rol erty desc: _ t inn <br />PID I <br />listed l it,uerty o,.Ter(s) <br />Names of abutting lakeshore property owners: <br />(Nei th/west) ABUTTING CHANNEL <br />(Name + Address) <br />(South/East) PARK AREA <br />(Name + Address) <br />Names of other affected property owners: <br />N/A <br />(Name + Address) (attach sheet if necessary) <br />2 u i' 5 <br />