SALISHAN LEASEHOLDERS, INC.
P.O. Box 219
Gleneden Beach, Oregon 97388
A LEASE TRANSFER FEE OF $100.00 MUST ACCOMPANY THIS APPLICATION
Name______________________________________Occupation___________________
Place of Employment___________________________________Years Employed_____
Spouse’s Name______________________________Occupation___________________
Place of Employment___________________________________Years Employed_____
Home Address___________________________________________________________
Mailing Address_________________________________________________________
City________________________________State____________________Zip_________
Home Telephone______________________Business Telephone___________________
Homesite #___________Salishan Address_____________________________________
Assignment of Lease will be filed and recorded under the name (s) of
_______________________________________________________________________
In signing this application, I/we certify that I/we have read the Uniform Lease Agreement and will abide by the covenants and restrictions contained therein and agree to comply with SLI Board Policies established to administer said covenants and restrictions including the prohibition of short-term rentals.
Dated this ______day of __________________________20_______
________________________________________
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