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4. Acsocintior. is (,--heck an11licWle items): <br />_ unlncorj�orntcd homea-vrier's grou .,,. <br />incorporated Homeowner's Association. <br />unincorporated club or recreation group. <br />incorporated club or recreation group. <br />5. Princij�al purpose of joint use dock is (check applicable iteaxs;+: <br />provide boat mooring and lake access for residential property. <br />provide swimming recess, beach, or offshore dock. <br />provide a club or association gethering plece for activities. <br />6. Dock is located on (check applicable item): <br />one member's private property. <br />easement or outlot owned in common. <br />property leEsed by the group/associetion. <br />property owned by the group/associetion. <br />7. List D)ck location and ownership information: <br />street cddress SIG �5 Lc.+�!�> ��2�►�fl �vT i� � __ <br />legal property description �;� T f- L.S 1 2-9! <br />PIDl�GZ- <br />listed property oumer(s) <br />8. Names of abutting lakeshore property owners: <br />North <br />(Name + Address) <br />(So/East)Cr- . P/4grs <br />(Name + Address) <br />Names of other affected property owners: <br />(Name + Address) (attach she-t if n-cessar,-'� <br />2 of 5 <br />