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i. Assoc{etion is ar,_,lic;=b]c it.eFs): <br />unircort-cretcd honeovrer's grou.i. <br />incorporated Homev,%•mcr's Association. <br />unincoruorated club or recreation group. <br />incorporated chin o•- recreatior grout. <br />5• Frinciyal purpose of joist use deck is (check applicable items): <br />.X piovide boat moorir, lake accer s for residential propert;; <br />_ trovid:e sui:ur.:iriF, cceess, beach, or offshore dock. <br />_provide a club or association gathering piece for activi' ies. <br />6. Dock is located on (check applicable item): <br />c•ne nember's private property. <br />Xeusement or outlot owned in coir,;=. <br />_ property leEsed by the grroup/Esscciet:on. <br />_ property owned by the group/association. <br />7. List Dock location and ourershiir, information: <br />stree`. Eddress d Scc4 t. ,f �Ne�� M�.,,/yP� t <br />legel property description SGO Ve, Gar►.►. /_7 r. Moa,,� <br />listed property ov.Ter(s) ►1 CY a v' S O h �i,�' ✓c" f �Q ✓s� �� l <br />8. Names of abutting lakeshore property owners: <br />(North/west) Gi 550C ' %()$A Mo,rN iff S ,1 <br />(Name + Address) <br />(South/East) t i <br />(Name + Address) <br />Names of other affected property owners: <br />InVOle <br />(Name + Address) (attach sheet if necessary) <br />2 of 5 <br />