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)i. Ar.socir+tior. it (%:i,eck ar.;,i.ierab.lc it.ems). <br />unircori (�ratcd ao'!icrorner's Grou!i. <br />✓ incorporuted Hor"euurer's Association. <br />_ unincorporated club or recreetion group. <br />incorporated club or recreation group. <br />5. Princi�i,al purpose of joint 1 e dock is (check e: pl.icable items): <br />_Vncprovide boot mooring and '.ake access for residential property. <br />provide swimmiriE, vccess, beach, or offsrore dock. <br />_ urcvide a club or essocietion gethering, plece for activities. <br />5. Dock is located on (check applicable item): <br />_ on members _private property - <br />easement or outl.ot ovmea in common. <br />property leesed by the grroup/ess^cietion. <br />nmpert.oned by the gupro/essocietion. <br />7. List Dock location and ownership infomr atfon: <br />street eddress _SqO Age) lT(.} <br />legal property descri ration <br />PID # <br />ii6T.Pd j)iUrerty nhT.@r(5,.r �,/`1 �l±�iC /Juui CC � j 1 <br />I�GArLI.J 1 /fir Away eAT,,,4 _ <br />B. Names of abutting 'Lakeshore property owners: <br />(North/West) /j LOfi <br />(Name + Address) <br />South/East) 14,1t'(%Ar_ <br />_ —(Name + Address) <br />Names of other effected property owners: <br />Name + Address) (attac}1 sheet if nccr_ssary) <br />2 c, t• 5 <br />