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A T L A V T I S C O V D O M I N I U b! .
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. 10102 s. A• 1-A '919 h0'. -9 fi`; 32
HUTCHINSON ISLAND
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S ROGER
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J~1S~i BEACH, FLORIDA CLERK CIRCUIT CcU~
APPLICATION FOR ME*IBERSNIP 465461
Application Fors Sale ~ Lease •
Cwaer or Lessor James H. Evans and Ann. D.•Evans .
• Atlantis Condominium X507 - 10102 South-State Foad AlA
Address
X507 Jensen Beach, orida
Apartment No. Dates: From to _33457 ,
Application to lease must be accompanied by a~Lease Fonu and App'.i.cation
for Sale must be accompanied by AGREE?IFNT dF SALE, properly executed. -
This application is further accompanied by the required fee of _
dollars. All Applications too Lease or Sell are subject to
she approval of the Board of Directors of Atlantis Condominium.
~APPLICA?tiT Henry L. Mathes WIFE Dorothy
21 Grandview Street 516 549 - SSOl
;-P.LS~"I e1DDRESS ~ PHONE
Hunti ton N.Y. 11743 -
IF P.L'TIZED, PP.EVIOCS O~UP~TION
~?CSl ::.~~y PERSOtiS WILL OCCUPY THE APARTr1IINT REGULARLY?_ 2
~C YC~: HAVE A,`1' PETS? YES NO x KIVD
~oTE: F•ETS ARE SUBJECT TO THE APPROVAL OF THE BOAP.D OF DIRECTOP.S.
Please ~,ive the names of two references, preferably local, or furnish
rwn letters of reference to accompany this application.
Herbert Haas 516 - 271 - 0900•
,~r'~~!E PHONE
34 Dewey Street, Huntington; NY
f ~.DLP.~~S _
a ~ Bernard Aronson PHONE S1 - 271 - 3188
'.~L rrSS 14 John Danes Lane , .Huntington, NY
National Bank of No. America
V :;A::i: rEFER~ICE 250 Main~Street Hunti ton NY 11743
Acct 1 4 4 - 4 -checking acct.
.
L pon approval of this application, I (We) do hereby agree to abide by
the DOCL~1E.1'TS and PULES r1l~iD REGULATIONS OF ATLANTIS CONDOMINIU;l, which
have been explained to me (us) . ATLAivTIS CC1~D0`lINI~r1 is hereby auth-
crizcd to make any inqui}ies regarding this application from any of
she ~:5ove references.
I (:~'e) do further understand that the approval of this application is
:iiscretionary wit: tre Board of Directors. All information shall be
dee::c:d strictly confid ntial.
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AP LI G
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AYPLICA,~ ~ r
t1YFPOVED BYa . ~ 3
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ilI:.ECTUR DT~~ECTCi? -,.3 - .
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