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Support - � r 0611 2� 2ly � U R� l` Al, a I, th REQUEST FOR NEN ADDRESS r-,F ��i C)encig (NAME) (ADDRESS) I �L , �b�c (PHONE N0. ) LOCATION: LEGAL DESCRIPTION: , CL !�A &-46 _ (SUB—DIVISION) (BLOCK NUMBER) raw, o N Tt1 Z-or 1 (LOT NUMBER) IGNATURE & BATE) -------------------------------------------------------------------------------- ------------------------------------------------------------------------------- THE FOLLOWING ADDRESS HAS BEEN ASSIGNED TO THE ABOVE: (NUMBER) (STREET NAME) APPROVED BY : Copies To: f Utility Billing DELRAY BEACH FIRE DEPARTMENT Public Utilities Building Dept. (2) y ✓ City Clerk DATE Engineering Police Dept. Administrative Div. Delray Beach Public Library • 1 4 � t i ki • e y Zvs off, o g 6 o AA X t 4 V J EITY OF DELRAY BEAR 100 N.W lsi AVENUE DELRAY BEACH FLORIDA 33444 305/278-2841 BUILDING DEPARTMEIIT (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: ZDA M F S VAN -DO R O (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: 18 LAxE Cou�T :bpi, sow P��� Number Street Subdivision LOT 45 BLOCK, 2. That he intends to: Ryio4p- W oOD'PRAHE QLII L'Dt N 6- bVOL (Describe Change) leaving �_ building(s) on this property; (Number) 0perty. (Number) 3. That he has appointed to act as AGENT (Name) his behalf to accomplish the above. S]CN: OWNER OF RECORD BUT&BING OFFICIAL: SWORN TO & SUBSCRIBED BEFORE ME THIS S'g a Date DAY OF 19 COPIES: P.B. County City Clerk Notary Public, State of Florida At Large. Utility Billing r NDtafy Public, State of Florida My Commission ExVes Feb. 10, 1992 y�R ,' Yf` h �+ �_. -�:-a.,{ t ��5�'!�� r �4 1 � r �� 1 f � • j� 1 i �' '� �� �� � � � � � � h � � �1 �� � 1 � �� � .� �� \ Q �1 � v1 v� �� �O ��' � 't,l �o � �i � � h °c � 10 � a� �� '' `\ �� h �- \ , � �"�-� �,:� R- ,� 3, _, - V CITY OF DELRAY BEACH, FLORIDA REQUEST F R 1c 0i� o� NEW ADDRESS OR CHANGE OF ADDRESS ----��cgs ------------------------------------------------------------- NAME f fC `F e2-ftl1C JCNiq K`j ADDRESS j3 Di Xritf- PHONE NO. LOCATION LEGAL `DESSCCtRIPTION j SUB 1 �'I f2 r BLOCK "I LOT 7 �� �J r DATE SIGNATURE -------------------------------------------------------------------------- THE FOLLOWING ADDRESS HAS BEEN ASSIGNED TO THE ABOVE : 3 APPROVED BY ELRAY BEACH FIRE DEPARTMENT DATE --------------------------------------------------------------------------- COPIES TO: POLICE DEPT ADMIN PUBLIC LIBRARY UTILITY BILLING POSTMASTER PUBLIC UTILITIES 911 MGMT BUILDING (2) FPL / CITY CLERK SO BELL ENGINEERING • r a �C-I � DISTRICT CITY OF DELRAY BEACH, FLORIDA �,�, eA ht2 SUBDIY'SION BLOCK LOT PP {� Improved OWNER - - -!V XF, -Del��Q 720r//`f O - 9 Vacant ADDRESS Exempt DESCRIPTION: - perM�tL�!'� A e- OWNER Gw�sG G�Tpj12Gq� QQ/Q't�On Cp ADDRESS �X�aG�/7Q ✓/�/ QLge�a� OWNER ADDRESS YEAR— 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 EXEMPTION LAND BLOCS. '1 '1 TOTALS PER. PROP. DESCRIPTION OF BUILDING BUILDING PLAN BUILDING DIMENSIONS -- - ��- NO. -- SIZE HEIGHT STORIES ✓TYPE BLDG. V BASEMENT ROOF INT. FINISH MISCELLANEOUS ------Single Dwlg• _________None -__/Cable -------- �cPlaster --------Sprink. (Fire) — — -- -- --_--��� — ,p/� --__Double Dwlg. _____.Part _____Hip .__ _Pine .__._.__.Fire Escapes Duplex Dwlg. ___-Full ______Flat ---Hardwood Refrigerators __Apartment ________Dirt Floor Mansard Meta l —Vat.C.Sys. _ Marble&Tile ------- _ _ ____Store .____Cement Floor PORCHES Panels Skylights I X --_Store&Office Finish FLOORS —.-Fireplaces —_Store&Apt. X Front _-__Incinerators -- -i—I I p -___Wood Joists EATING — — - ------Of}Ice � X Side --------Mill _-------Solar W.Sys. � I X j^} Lj. — — — — ---- — — — _—__Hotel -----_None X Rear -_------Steel Beams Air Con.Sys. — , __—__Theatre ---------Stoves X Sleep. --- - Reinf.Concrete -------- — ——— -- — CONDITION ._________Reinf.The _—___Garage(Apt.) ------011 Burner girt — - -Fireplace �,gXT, WALLS FACTORS — — — — — — GOOD FAIR BAD Garage(Serv.) ---- ___-__Wood Siding FLOORING --_---No.of Rooms Gas -Garage ion CONSTRUCTION Pine _� ��[—I— _ Church Station \/ _Brick - Hardwood -- APartmenta -- ---- -- __-_Wood Frame ____Brick Cased Concrete ------Rooms&Apt. School Lumber Sheds Sheds --Steal Frame ___-.._Stucco _______Tile .—..Fin.Attic R. 7 Reinf.Concrete .----- Metal -------Marble __.Fin.Base.R. — Mill Dlo^k Terra ro -- — — --- S0.FT. V.P. TOTAL ROOFING ---- - .Date Ccmplt. _ _, Brick SLirgle Linoleum — ---� _.Shlnpte Concrete Tile -Ago -- — —— —I — _—_Pitch&Gravel PLUMBING EXT. TRIM ____Remodeled _ —— —_ FOUNDATIONS ✓ _None _Metal ___Plain Fixtures VALUATION LIGHTING — — RECAP TULATION -_--.Composition - Stone _____.Ornamental . _Toilets —___Slate —p-Concrete ____._Wood ___Bathroom: _Electric -- — — -_____Brick _______Stucco —___Til,Floor ---- —_ — -- -- S _.Tile—Flat or -______Tile ...____.Terra Cotta _—_Baths,Built-In as Ornamental Piers l0etal Showers Lamps LAND APPRAISAL ] _ �J — — --I— 1— — ADDITIONAL I I�� — BUILDINGS �Gjy`OHf�'rj�/7/ Front and Depth Unit Depth Corner Front Valuation 4- V22' _g �5�� Price Factor Factor Foot Value LOTS ACREAGE ST. IMPROVEMENTS X Level ____ Level -------Paved 90 X ------High __.__Hilly ------Dirt TOTAL X —__ Low ____Rocky ------Sidewalk BUILDINGS $ Rocky ------Swampy -----Curb Enhancing Factor p� Farm ._. Water TOTAL Detracting Factor /� ACRES@ ---------Swampy -------- - . - Wooded Sewer LAID _. Electric Light TOTAL LAND TOTAL LAND VALUATION Gas AND BLOCS. $ ,r W/D 7/19/67 See Lots 23 & 24, Block 4, Del-Ida Park ..'or W/D 11/10/67 See Lots 23 & 24, Block 4, Del-Ida Park For W/D 6/24/69 See Lots 23 & 24, Block 4, Del-Ida Park For W/D 6/13/74 see Lots 23 & 24, Block 4 Del-Ida Park For W/D 3/8/77 see Lots 23 & 24, Block 4 Del-Ida Park .- . : -- . � '�} - � � � � „' :r .,, s" .,.._.. .N' �. i i � � ,.� �� y;� �1 • 1 � � r � •� I- 4 .� 1�7: �_\ `o