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10102 S. A-1-A
HUTCHI~SO~ ISL~~D
;919 J''''~ "8 P~ ° 3' 4
JE.VS~ BEACH~ FLORIDA '
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APPLICATION FOR M~IBERSHIP ~~r~~,-p i'i + ' -
44~'259
Application For: Sale X Lease
Cwner or Lessor ~2Ii,? ~iAINE
Add res 4~STA > YINFS #DD6, ~TU,+:~T , r Lti . 334y4
~oartment ~o. 4~ A Dates: From to
Application to lease must be accompanied by a Lease Form and App'.i.caCion
i or Sa le must be accompanied by AGRE~III~'T OF' Sr~LE ~ properly execuced .
~ a ication is furthei- accompanied by the required fee of
dollars. All Applications to Lease or Sell are subject to
the proval of the Board of Directors of Atlantis Condominium.
APPLIC~\"T Mr. and Mrs. Gerard DeMont WIFE ~'v~~•Y
i P.ESr.\? ADDRESS 10 Lee Street PHONE 6i7 ~~78
IF P.FTIRED~ PP.EVIOL'S OCCUPATION
~~0~; ~:.a`Y YERS0~5 WILL OCCUPY THE AI'ARTrL.,~'~iT P.EG~LARLY?
10~: Hr1VE A`': PETS? YES x v0 KI~SD
;:QT~: F'ETS c~R~ Si:EJEC? TO ~HE ~FDE:C~~L OF T~iE EOAP.~ OF DIRECTOP.S.
Please ~iv~ the names of two references. preferably local. or furnish
t,~r~ le.trPra of ~rpferAnce to accom~,any this app? ication.
~
t 1;;~~?~ ~'I`n~ L. S"I'R~DIEY PN~~IE 1-305-251-8014 ~
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' a ~ S 21121 S . W . 85`I'H STP.EF':', ~LIAMI , FL~I'IDA
~ . , . . _ PACTIA C~OOKE
FHOyE 2R6-1900
~
~ ~,~L ~:S~~~~rls° AIA HUIC~iII`LSO*l ISLAriD, ~~oA
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; i~I.1206E SAVINC~ BANK, RF'F~1DIN(;, MA.~S. 01867
- Ba.`~: f•.EFER~ICE
Gpon approval of this application. I(~,le) do hereby agree to abide by
the I~OCL'~'TS and P.LLES ~.tiD REGULr~?TIONS OF A7LA.~TIS CONDOMINIl;~1. which
~ hav~ teen explained to rne (us). A?IA.'~TIS CC~D4~lIVI~~`t is hereb~ auth- ~
~ orizc~ to make any inquiries regarding this application from a:1~J of
~ the ~i5ove referen~es.
~
~ I(:~'E~) do further understand that the approvat of this applicat ion is
~ discrerionary ~:it:l tl:e Board of Directors. :~11 information shall. ~e ~
deerr.ed strict ly conf ident ial .
~
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