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A T L A N T I S C O N D O M I N I U M
19T9 SEP I7 PlI.2~ 38
10102 S. A-1-A
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HUTCHINSON ISLA:'VD ~ >jt:lUCl couFIT~F~a.
ROGE~ POITRAS
CLERK CIRCUIY COQ
JE.NSF~1 BEACH, FLORIDAr pecoxo ~~Ealf~t:o._ ~
459224
APPLICATION "~MErIBERSHIP
AQplicat ion For: S e e e
Owner or Lessor
Address / n ~ - ~ - O O~-~
Apartment No. Dates:'" From to
Application to lease must be accompanied by a Lease Form and Application
for Sale must be accompanied by AGREEMENT OF SALE, properly executed.
his ~plication is further accompanied by the required fee of
~ dollars. All Applications to Lease or Sell are subject to
the approval of the Board of Directors of Atlantis Condominium.
APPLICANT 0 'r i ~ .WIFE c
h5e
PRESENT ADDRESS re e n ! ~ ~ - u P. ~~Q l ~~tc/j_ ~F/, PHONE 2 Z 9 " O ~ ~ 0
IF RETIRED, PREVIOUS OCCCPATION ~ ~ t~.l s - n ~ F~
MoS ~~w "r
HOW MANY PERSONS WILL OCCUPY THE APARTMENT REGULaRLY~ ~ u h Q
~ ~ .D
DD YOU HAVE ANY PETS . YES Na I.II\
NOTE: PETS ARE SUBJECT TO THE APPROVAL OF THE BOAP.D OF DIRECTORS.
Please give the names of two references, preferably local, or furnish
twu letters of reference to a/c/company this application.
NAME 5 Q n Yo r? l t,~ b b PHONE
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i
~ ADDRESS~rf
een ~rT`~ ~~2d ~ e!'t Sail ~eQ.C
NAME nr~ G av _ [ ~ f~ ~ :~'1 - PHONE 'L 2 ~L ~ F6 3 ~,~d
"ter
ADDRESS1g,~~~L~e 1~, ~ ~ ~ ~
BAND F.EFEP.ENC~:~~~t~~¢.C K ~ l
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Upon approval of this app _ic2tior., I (We d.~ hereby agree ..o abide y
the DCCL~Nffti'TS and RULFS A:~D RGCL~TIUVS OF .-?TLA'iTIS CONDOMItiIU~., which
have been exp:aine:ti tc me (us). ~TLA~lTIS C-DNDO~IIVI`JNi is h. reb.; au~.h-
ori2ed to make and: inquiries regarding this applica~ion frc:m a-y o.`- -
the above references.
I (We) do further understand that the approval of this application is
discretior_ary witr. the Board of Directors. All infotcnation shall be
deAmed strict".y confidential. ~ f ~ h ~ n`
~JIT~iESSES: /~,~-jJ
~ rr
9YPLICr~\T
Al'PLICA:`~
APPP.O ED BY: . _
ti,
DIRECTOR ~C..~k:;•,.c~~°= DIR TU.
c~
DATE OF AFFROVAL: ; ~Ct~';.8~?~~ , B {
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