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CITY OF ORONO <br />I1.0. BOX 66 <br />CRYSTAL BAY, MN 55323 <br />473-7357 <br />(association) _ <br />ANNUAL JOINT USE DOCK LICENSE APPLICATION <br />Pursuant to Orono Municipal Code Section 5.42 <br />LICENSE YEAR 19 <br />!l <br />Date Form Sent by City Staff <br />Date Application Returned to City fZ- O - ,4 <br />// e57 <br />Fee Recived $ L / `ry By Employee � <br />9^• <br />Section 5.4- Subdivision 2. LICENSE REQUIRED - It is unlawful for any <br />(group or association of persons or families, more than two in number, <br />whether incorporated or not) to engage or participate in ... joint use <br />(of any lakeshore property) wi4out first ha,ing obtained a license <br />therefor from the City. <br />PLEASE COMPLETE ALL ITEMS AND SUBMIT SIGNED APPLICATION, REQUIRED <br />ATTACHMENTS, AND LICENSE APPLICATION FEE TC THE CITY CLERK BY <br />FEBRUARY 1 OF THE LICENSE YEAR. <br />ASSOCIATION INFORMATION <br />1 - A,esneiat inn title or name (if anv))0:0A>I' <br />M! C'c <br />1 �i'i �`%'�'>�OT�.►,, <br />2. Lake h// f r k •J Bav ` /y r Ai <br />3. Person responsible for this app. __Ation: <br />Name' k• « A� 1, , Phone/ ni <br />Mailing Address / �, ,, �, . a.. r --�,• /�,',,; ) S %/ <br />Relationship to association <br />�n <br />Page 1 of 5 WC <br />