HomeMy WebLinkAbout2116 F
- ATLANTIS C O N D O M I N I U b1
19T9 SFP 17 Pld 2~ 38
10102 S. A-1-A '
FI t:U AtrO A~COnGi`:U
HUTCHINSON ISLAND ~ S
ROGER
POITRASA•
JENSFrN BEACH, FLORIDA c~E~1t cutcutT co n
• RECORO ~'ERtF~EO a~
APPLICATION FOR MEMBERSHIP 4`~
+~s
Application For: Sale Lease -
Owner or L ssor AR-~t~5 A
Address . U ~ ~C ~a ~~F tC~l S - ~A ~wi l ~~QJU/11 • ~(p6~ - -
Apartment No. I • f7 Dates: From f~~~ to
Application to-lease must be accompanied by a Lease Form and Application
for Sale must be accompanied by AGREE'iriE.NT OF SALE, properly executed.
~hi plication is further accompanied by the required fee of
dollars. All Applications to Lease or Sell are subject to
th approval of the~fBoard of Directors of Atlantis Condominium.
APPLICA?'VT - S~ A 1.1 ~ to 1~ ~'I WIFE - -
PRESF:iVT ADDRESS a~lS ~ . ~ 6c~ . I1C p IG PHOI~vE~a la) S"4~t - ~ ~ 1 ?
-
IF RETIRED, PREVIOUS OCCUPATION -
HOW ?yANY PERSONS WILL OCCUPY THE APARTP1Fr~1T REGULARLY?
DO YOU HAVE ANY PETS? YES NO ~ KIND
VOTE: PETS ARE SUBJECT TO THE APPROVAL OF THE BOAP.D OF DIRECTORS.
Please give the names of two references, preferably local, or furnish
j two letterss, ofjreferencelto accompany this .application.
;V~1E ~ T AJU l~D/U ~U D PHONE
ADDRESS C~R.~ 8~~~`I?~IG v T ~u lJtYQCh ~A•
NAME i I[)6IG~ ~ T AlV ~tt~~ PHONE o~ o~ I LI ~ .
ADDF.ESS ~ ~ . Q~g A ~l
d _ -ll~let#~~ l
~u~ (~Cc~) ~~lyS~u ~~4.3 3~ls~ -
Ba.VK REFERENCE !T 1 ~ni lV K ''I
D ~o~ /,l U~ ~ ~ n - ~O G/ jp
Upon approval of this application, I (We) do hereby agree to abide by -
the DOCL1MEh~S and RULES A1~D REGULATIONS OF ATLANTIS CONDOMINIUM,, which -
have been explained to me (us). ATLANTIS CONDOMINIUM is hereby auth-
orized to make any inquiries regarding thi's application from any of
the above references.
I (We) do further understand that the approval of this application is -
discretionary with the Board of Directors. All information shall be
deemed strictly confidential.
talT:iESSES
APP CrLti~ -
.
~?i
APPP.OVED BY: '''`~~ytiVr~`J
;~v~~
•'dR~POR~~c~~''~~
.L l . ~ i
DATE OF AFFROVAL: • ~ ~ P -
y~+0
. ` • o~31R , 211 ~