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AT,1.,ANTIS CONDOMINIUM ~
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10102 S. A-1-A _
NUTCHINSON ISLAND ~
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JENSEh BEACH, FLORIDA ~ ~ (n ~
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APPLICATION FOR MEMBER~,~P ~ o K
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Application For: Sale ~ Lease G'
Owner or Lessor WyOOi?i4''r''~
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Address
Apartment No. ~ 3 /.V Dates: From 5~~~ to
Application to lease must be accompanied by a Lease Forn? and Application
for Sale must be accompanied by AGREF~lF1VT OF SALE; properly executed.
T is application is further accompanied by the required fee of
e• dollars. All Applications to Lease or Sell are subject to
t e approval of the Board of Directors of Atlantis Condominiwn.
APPLICANT ~ /AA E I v~+ E ~ rE ccJ ~ D occJ
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I'RESLtiT ADDRESS ~ a ~ i1 N r' ~ ?0 ~ 3 PHONE ~~7_~=._
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IF P.ETIRED, PP,EdIOI;S OCCUPATION
HOil :1A:~Y PERSONS WILL OCCUPY THE Ai'ARTMENT REGULARLY?
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j JO YOU ,NAVE A:rY PETS? YES NO ? KIND
~OTF: LET'S APF SUIIJECT TO rfiE API'P.OVAL OF TIE BoaP.D OF DIRECTORS. -
Please give the names of two references, preferably local, or furnish
two letters of-reference to accompany this application.
tiaa~E /~in'y ~ ~ ~ ~ 1 I ,C PHONE ~~G .a 9~'
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ADDP.ESS ~iv»JR~a1~~i' .~Tc~AKT 33~9~
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-_!V~+r~_([_e Y { J~ - PHONE i w k'
aDDP.~ss _1.f?,A-2T , nJ v~~, - ~ k' ~4~~ c~e~, , Si,
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~ BArh REFERE~iGE :Jib 1 / i~ /Y~?~ ! ~ f - /~R ~~s
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Upon approval of this application, I (T'Pe~ do hereby agree to abide by
the L'OCLME:tiTS and RULES A,tiD REGULr?TIONS OF ATLANTIS CONDOMINIUM, which
have been explained to me (us). ATLA.'VTIS CONDOMLyIUM is hereby auth-
orized to make any inquiries regarding this application from any of
the a~ove references.
t
I (~+1,~) do further understand that the approval of this application is
I discretionary with the Board of Directors. All information shall be
deemed strictly confidential. ~
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f c ~ AYPLICA:~'T ~ f
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Ir.ECT R ~ti,''~iu~"~~~ IRECTOR cc~rr - c •
G 30 ~ BOCK JJ5 PAGE 3
DATE OF AYE'ROVAL: ~ .
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