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pan:^._c_. � _c :c•. .._ _ ... f�..,. „='(• <br />,r,nof:!('ti`.,f <br />Wll')col-',orEtAC` club ;,r receeYtho, i,mu, <br />ircorf.":•rated club or recreation group. <br />5. Frirci;-a?. of joint use deck (check Prclicable iterx): <br />.%20vjde OCbt .:;Cc:'-,a:ie scums fc.:-- reFident:ia:, <br />r.rCvir!r- f=t'i.u":i!Y; Lcces" Gene:-.. Or offrnore dock. <br />rrv!-Io? a cljb @eFocl"ELlo^ v,-.,.er:n CV ir: C�.�sV:+lL'c <br />TDDc%: ie Lc•cated on (cnece applicable i;:em): <br />crie +tee-='.. , rivate nro;erty. <br />eveerlent or c„r;:lut v6med in corroon. <br />_ ;:roierty :eesed ry the <br />rroj.erty o:mec b; toe group/P. sociatinn. <br />. List Lt=C{ !ocat?cn e::'l ol.nershi info —Ft -ion: <br />street cd.dlress acic 5,-V-L 112�Q wm --- -- _— <br />�e,_.. -. . -rtv des, Gc,.`c)Set 1 �e�w�Si►. 'I 2 ,N.W. Co(of(-A Sc-c �'I L. <br />1�n��c��Z'362,35-�i�l�ll,.g�t•-u.�;,�.$)��r<��ES �'ie>ho.---1�',.u;.���.,jS:•�'���.w. (����I:c.�{•oJ <br />8. Names of abutting lakeshore property owners: <br />(North/west) 406,; We S1\fe Dr. A16v'%\ hlia 55S <br />(Name + Address) <br />South/East) 4,�-�,�n�_ �� 1(`-3!i Ce,--\cL-g J1a `A._ Wll Alfayn.•. <br />(Name + Address) —I <br />Names of other affected property owners: <br />(Name + Address) (attach sheet if necessary) y <br />2 of 5 <br />