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)1. Associat;or. is (check ar-pl.ic. ble itcrr.$): <br />unircorl,rrotcd homeovner's-rou.). <br />incorport:ted Home wrner's Association. <br />— unincorporeted club or recreation group. <br />incorporated club or recreation grout,. <br />5. Prirciral purpose of joint use dock is (check er-plicable items): <br />xprovide boat moorin6 and lake access for residential- propertlii*. <br />Crovide swimminE t:ccess, beach, or offshore dock. <br />urovide n club or essocietion gethering plece for activities. <br />6. Dock is located on (check applicable item): <br />` one member's _private property. <br />easement or outl.ot owned in common. <br />_ property leesed by the grou_p/essocietion. <br />_ property owned b;; the group/essocietion. <br />7. List Dock location and ownership information: <br />street eddress <br />legal property description <br />PID # <br />IiSted rc,,erty ::krer(s) <br />S. Names of abutting Lakeshore property awwrot <br />(North/West) S A/A-)(`),IrA!- Q/' <br />Name + Ad ress) <br />r1�T w � <br />South/East� ' <br />L/�L- /� l L.!'/.. �/d�' -'�'r l,.�E !�. /�s.4a <br />(Name + A ress) <br />Names of other affected property owners: <br />( ' _ <br />awe + A ress) (attach sheet if necessary) <br />2 of 5 <br />