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/!rs' 13 Q � - y/ q4 13-1 ,I Vo P 37 i ar 47 � 33 5y PE ,e ,eI s7 /r ti S7, e e- a r ;� See Lot 28, Hofman Addition, for W/D dated 4/30/74 See Lot 28 , Hofman Addition for Special W/D d t 6 14 76 See Lot 28, Hofman Addition for W/D dated lg�2 76/ / d REQUEST FOR NEW ADDRESS 0 2// L t4 14 or�N�* -q- . (NAME) (ADDRESS) Kola) Z. 627 Lz;,,l) 4--o ( HONE N0, ) LOCATION: LEGAL DESCRIPTION: (SUB—DIVISION) (BLOCK NUMBER) 3V /U0 k (LOT NUMBER) (SIGNATURE & DATE) ----------------------------------------------------------------------------------- ----------------------------------------------------------------------------------- THE FOLLOWING ADDRESS HAS BEEN ASSIGNED TO THE ABOVE: (NUMBER) (STREET NAME) APPROVED BY: Copies To: Utility Billing j Arlene Eubank, Public Utilities I YELRAY BEACH FIRE DEPARTMENT 17 i Donna Quinlan, Building Dept. (2) City Clerk DATE Steve Ford, Engineering Police Dept. Administrative Div. a . _, � °�� � � �,� W/D 9/29 64 Lot 54 Hofman Addition CITY OF DELRAY BEACH, FLORIDA. REQUEST FOR NEW ADDRESS OR CHANGE OF ADDRESS -------------------------------------------------------------------------- NAME J� 6 Ar ICS CO& ��, ADDRESS x 6 /y A( )L" PHONE NO . a- D- BOS L DP- fQAPL LOCATION Ass in- - da,4, below 3 -1— 1 _ ©w n 8 r J's CL l°*j LC, Q r0 w� Prn P •� LEGAL DESCRIPTIONN�/ SUB Of)4/na,17 �'U � BLOCK ✓' LOT G Ll DATE SIGNATURE 7 -------------------------------------------------------------------------- THE FOLLOWING ADDRESS HAS BEEN ASSIGNED TO THE ABOVE : (6 Q 6- Y-� 19140� APPROVED BY gze ` /`/ COMMUNITY IMPROVEMENT DEPT. DATE --------------------------------------------------------------------------- COPIES TO: POLICE DEPT ADMIN PUBLIC LIBRARY UTILITY BILLING POSTMASTER PUBLIC UTILITIES 911 MGMT FIRE DEPT SO BELL " _- CITY CLERK K'AS'!'E NtANAGEblENT ENGINEERING CITY OF DELRAY BEACH, FLORIDA REQUEST FOR /NEW ADDRESS OR CHANGE OF ADDRESS -------------------------------------------------------------------------- NAME �/� �//L,SO A/ ADDRESS PHONE NO.,'? 7F- -11Q LOCATION LEGAL DESCRIPTION SUB BLOCK LOT DATE SIGNATURE ----- --------------------------------------------------------------- THE FOLLOWING ADDRESS HAS BEEN ASSIGNED TO THE ABOVE: APPROVED BYf" LR BE CH I DEPARTMENT DATE -------------------------- COPIES TO: POLICE DEPT ADMIN PUBLIC LIBRARY UTILITY BILLING POSTMASTER PUBLIC UTILITIES 911 MGMT BUILDING ( 2 ) SO BELL CITY CLERK As -� /'1')/9I'J ENGINEERING