Support .
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REQUEST FOR EW ADDRESS OR�� OF ADDRESS
e .P. L.�� S�o 33°�° - �'�;� ��I , P 33�
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�NAME) �ADDRESS) I
(��� 2�� 1�a�-
�PNONE No, )
LO CAT I 0 P�: ,��e �. n�oJc�� �s
LEGAL DESCRI('TIOW: sE F a ,� �1�.�C
�SUB—DIVISION) �BLOCK ��UMBER)
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�LOT P�UMBER)
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�SIG�NATURE & �ATE)
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THE FOLLOWING ADDRESS NAS BEEN ASSIGNED TO THE ABOVE:
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�NUMBER) �STREET ��AME)
APPROVED BY: �
I
i.opies To: �
� , � �� � I
Utility Billin9 '�` �
DELRAY BEACH F E DEPARTMENT �
Arle�e Eubank, Public Utilities !
-- �
Donna Quinlan. Building Oept. (2) ,� - / C� - k,� I
�/ Ci ty C1 erk DATE ;
Cathy Dearden , Engineering i
Police Oept. Administrative Oiv.
Delray BeaCh Public Library
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BUILDING DEPARTMEPIT
(305) 278-5770
PROPERTY CHANGE
A F F I D A V I T
Before me, the undersigned authority, personally appeared the OWNER of
the described property: /�'/v0/e�� (�/�/�l�/r//}'��
(Property Owner's Name)
who, being by me the first duly sworn, on oath deposes and says:
1. That he is the fee simple OWNER of the following described property:
�b � �
Number Stre Subdivision
LOT BLOCK � Type Of Structure � �,,��
2. That he intends to: � T �"'
(Describe Change)
is MOVING Building(s) , leaving O building(s) on this property; o- '-.-�-+-i�A�
(Number)
(Number)
3. That he has appointed CG�/�Z�'� ���-- to act as AGENT
� (Name)
his behalf to accomplish the above�
S IGN: �Z�-z-�. cf`1-L �,�--L-_� ----
OWNER OF RECORD
BUILDING OFF AL: SWORN TO & SUBSCRIBED BEFORE ME THIS
� , � _ l�_ 81 r/
�p DAY OF I9 d � .
Sig ature Date
COPIES: P.B. County �
City Clerk Notary Public State of Florida At Large.
Utility Billing t�lotary Public, State of Fiorid�.
My Cammission Expires Aug. 24, 1591
Bonded ihru iroy fain•Infurancs Inc.
i
.
�'�� �� ������ � ��
. .�. � . .. . . . . ,:� _�J: :'-.-. - ..
BUILDING DEPARTMEPIT�
(305) 278-5770
PROPERTY CHANGE
A F F I D A V I T
Before me, the undersigned authority, personally appeared the OWNER of
the described property: ��j/�,��(,[� �f�LQ�/f IT/
(Property Owner's Name)
who, being by me the first duly sworn, on oath deposes and says:
1. That he is the fee simple OWNER of the following described property:
3 7� o ' ' ' �
Number Street Subdivision
LOT ;�� BLOCK / Type Of Structure �t (�����
•-7--- �
w
2. That he intends to: : �'
(Describe Change)
is MOVING Building(s) , leaving C7 building(s) on this property; ----'-s" ''�`^�'�'
(Number)
� ���i=a�e�S � w Tw�i�i�'�—p s,.P`� �7 .
(Number)
3. That he has appointed � �/ to act as AGENT
(Name)
his behalf to accomplish the above.
'7 . .
S IGN: �y2Zl� � ---
OWNER OF RECORD
BUILDING OFF� IAL: SWORN TO & SUBSCRIBED BEFORE ME THIS
�/ �
nature Date _�DAY OF _��- I9 ��.
. ��
COPIES: P.B. County
City Clerk Notary Publ c, State of Florida At Large.
Utility Billing FJotary PuElic, State of Ficrida
My Commission Expires �'.u9. 24, 1`;�1
Bondad ihru iroy Fain-In:umnce Int.
, + � �s. �'i.. V
� -. .. _ . .. � _. ...... . � . .�� � � ... •-� � -�.1�►[.�+t�-'�. . •. ,. .
REcu� Foa N�+ AoaaEss o
�C. �(�zt ��-E�fl ��'� S�Qo I'J 1� �3�h � �� ��
(NANE� �ADDRESS) I
(���5 � ��d - `��-� .
(PHONE No.)
LOCAT I O�i: -
� LEGAI DESCRIPTION: ����z �o%� -
($UB-�IVISION� �EI.00K NUMBER)
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�LOT f�UMBER� -- -
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�SIG URE 8 �ATE)
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THE FOLLOWING ADDRESS HAS BEEN ASSIGNED TO THE ABOVE:
, D l�A�G-t,% � ���
c� I I k'� �
�f�UMBER) �STREET I'�AME�
APPROVED BY�
Copies To: !
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, ,
�
Utility 8illi�9 �
DELRAY BEACH FIRE DEPAR7MENT
Public Utilities
, ,
i �
Building Dept. (2) ' ,
✓ City Clerk DATE
Engineering / �
Police Oept. A�doinisLrative Oiv.
Delrav Beach Public Library
�IiTY�..
"Le village de Province" C�� OF DELRAY BEACH, FLORIDA
���ir�si�r �u�� �•T �...�.� ow�c. Southern Housinq Partnership (F/D 11/3/83)
Sect. 13-46-43 """' �oo�Ess 203 S.E, lst Avenue; Boca Raton, FL 33432
E � �
�tiC�I/TIMi 01►NE� _ �
AYO�Etf
LEGAL: Sect. 13-46-43 -- N 409. 6' of N.W. 4 less �w■E� �
W 1817 . 04' thereof and the r��' S0' thereof for Canal „�o,��
R/W and W 377. 24' of N 409. 38' of Sect. 18-46-43
less N 40' Canal R/W.
(See Individual Sheets for addresses)
Master card is file3 in Sect. 13-46-43 & 18-46-43)