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AT LANT I S CON ')C MIN I UM
10102 S. A- t-A .
HUTCHINSON ISLAND (9~1 23 P!! r 08
- J~iS~ BEACH. FLORIDA s~'iu~c~ Raw.
oc F TRA
EXHIBIT "A" tot ~ T t01Nt1
~.BAiM~.YERiF)ED~
APPLICATION FOR MEl?IBERSHIP 484149
Application For: Sale ~ Lease _
Cwner or Lessor _
Address - j• ~ /a ~
Apartment No. /6 ~ ~ ~ Dates: From to
Application to lease must be accompanied by a Lease Form and App~.i.cation
°or Sale must be accompanied by AGREE`IENT OF SALE. properly executed.
his application 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.
APPLIC~T JR~k ~ ~t h WYFE /.3t /'.vac
. ,Qo ~c i 9 7 ti r>~.v,~ 6 i S te.
i P.ESE~T ADDRESS ,Q 4L- %s!~ G i rtl ~-t ~ ~ Ir4 2 - _ PHONE 30 ~ - s~-~ - 6 6 7 G
rF RFTIRED~ PP.EVIOL'S OCCUPATION -
t?C;•i ~:.~`Y PERSO\S WILL OCCUPY THE APARTMENT REGULARLY? Z-
DO 1'Ol; HAVE A,`'i PETS? YES ~ NO KIVD Go-c~
COTE: BETS ARE SUBJECT TO THE APPROVAL OF THE BOAP.D OF D RECTOP.S.
°l~ase give the names of two references, preferably local, or furnish
t~~o letters of~reference to accompany this application.
ti A.~ PHONE 3 3 - ~f
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i ~rt.~'iu.~,.~~ ~wu,.-Pica-- PHONE
~ ~n`1; G£rEPE`CE
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L`pon approval of this application, I {We) do hereby agree to abide by
the DOCL?~I~TS and P.(lLES A.tiD REGULATIONS OF ATLANTIS CONDOMINIL~1, which
^ave teen explained to me (us) . ATLA.tiTIS CCNDOyL~1IL'~1 is hereby auth-
crized to make any inqui.ies regarding this application from any of
~ ':::e move references.
I (:.'e) do further understand that the approval of this application is
L:~cretionary Y:it:~ the Board of Directors. All information shall be
k tieesrf~d strictly confidentia7l~
A
~:II~ESSES:
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