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4: ' Arsoclatior, is (, :heck arlplicsble it.cr.$): <br />unlrcoxlvorotcd horieovrier's 6rou!,. <br />incorporated Homeowner's association.. <br />unincorporated clvb or recreation group. <br />incor:,orated club or recreation group. <br />5 • Princil al purpose of joint use dock is (check applicable items): <br />provide boat mooring snd lake access for residential property. <br />._ T rOvide sMi , rr.ir &ccess, beacn, or offshore dock. <br />` provide n club or asso^iation gethering plece for activities. <br />6. Dock is located on (check appli.cablc item): <br />oue-.1ber's PrIvate property. <br />_ Cusement or outlot owned in common. <br />_ property leesed by the group/associetion. <br />Xproperty owned b., the group/e.ssociation. <br />7. List Dock locat'cn and ownership ir:forrmtion: <br />street eddress %7 ` 7J/JC'_? <br />legal property descr{ption [/PLC>T �, i"•'���/ f!/C `1��- 1"tiJti`�"N <br />.117 <br />listed property ov er(s) _ /j� c�ir�".C'�-" C-cfc� Are-e-- <br />8. Names of abutting lakeshore property owners: <br />(North /West) <br />(Name + Address) <br />(South/East) tt L -,-f/ 7'�y <br />(Name + Ad. res"s) Rd <br />Names of other affected property owners: <br />(Name <br />+ Address) <br />(attach <br />sheet if necessary) <br />2 of 5 <br />