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91
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CITY OF DELRAY BEACH, FLORIDA
REQUEST FOR
NEW ADDRESS OR CHANGE OF ADDRESS
--------------------------------------------------------------------------
NAME ADDRESS
PHONE NO. Z ' C�'FI
tj .�s
LOCATION $� 2 /�-v� /�J a Y-;'1� r� S� q �" y
LEGAL DESCRIPTION
SUB (0 S C# o c. � > k BLOCK ) y LOr / Z
DATE L SIGNATURE
------------------------------------ ---------------------------
THE FOLLOWING ADDRESS HAS BEEN ASSIGNED TO THE ABOVE:
Lo4- ii . k -10 sE 1 "j A„ i IL
APPROVED BY L i S-_ 1 1_ 90
DELRAY BE H FIRE DEPARTMENT DATE
---------------------------------------------------------------------------
COPIES WILL BE DISTRIBUTED TO THE FOLLOWING:
POLICE DEPT. ADMIN. ENGINEERING DEPT.
UTILITY BILLING PUBLIC LIBRARY
PUBLIC UTILITIES POSTMASTER
BUILDING DEPT. (2) 911 MGMT.
✓� CITY CLERK SO. BELL
le
DATE 1- i q-77
TO: OFFICE OF CITY TAX ASSESSOR
Your attention called to a building change at
No. Street wne
S/D Q-' Block _ H
Lot f q —/ r
REASON:
1. Fire doing damage in amount of approximately
2. Building or buildings moved from property, leaving
buildings on property_
3- buildings moved onto property.
Remarks : l G tn0 ll.���Pc� - �U 1'-
1 �
Signed
Department _- L
RISTRICT
CITY OF °ELRAY BEACH, FLORIDA
SDSDITISISR RUCK LIT
OWNER
Vault ADDRESS
EasRt
OWNER
DESCRIPTIIR:
ADDRESS
OWNER
ADDRESS
DATE
TO: OFFICE OF CITY TAX ASSESSOR
Your attention called to a building change at
&LL
No. Street wrie
S/D � +� Block
Lot
REASON:
1. Fire doing damage in amount of approximately
2. Building or buildings moved from property, leaving
buildings on property_
3. buildings moved onto property.
Remarks : lC�c� G {� l'E'� — IU 7- C'_ f Q
Signed
Department
DISTRICT
CITY OF DELRAY BEACH, FLORIDA
SDDDIYISIOt DUCK LOT
I�RNM OWNER
IF:� Yaptt
ADDRESS
Ess►t
DESCRIPTION: OWNER
ADDRESS
OWNER
ADDRESS
DATE ICI- 77
TO: OFFICE OF CITY TAX ASSESSOR
Your attention i� called to a building change at
No. Street pane
S/D L)A - ,�J O—' Block /
Lot
REASON:
1. Fire doing damage in amount of approximately
2. Building or buildings moved from property, leaving
buildings on property_
3• buildings moved onto property.
Remarks :
Signed - {
Department L
DISTRICT
CITY OF DELRAY BEACH, FLORIDA
SDIDIYISIIR (LICK LIT IwIVFW OWNER
Yaast ADDRESS
Esau
OWNER
DERCRI/TIIR: ADDRESS
OWNER
ADDRESS
DATE — / C-7 7
TO: OFFICE OF CITY TAX ASSESSOR
Your attention iV called to a building change at
27
[ f"l7s�sZ'
L
No. Street 44ne �
SID -_ L/'d �% 1 7�' I C Block
Lot
REASON:
1. Fire doing damage in amount of approximately
2. Building or buildings moved from property, leaving
n buildings on property.
3. buildings moved onto property.
Remarks : 1�31Ct' ��/YL U JI.�/t yj r — Jo7- C'_ (f Q r C71'
Signed {
Department Aj 10L
DISTRICT
CITY OF JELRAY BEACH, FLORIDA
soSolvlslOR DUCT( LOT h+TwN
OWNER
Y�q�t ADDRESS
Esa►t
DESCRI►TION: OWNER
ADDRESS
OWNER
ADDRESS
DATE JC-77
TO: OFFICE OF CITY TAX ASSESSOR
Your attention i,� called to a building change at
No. Street , C,
wne
S/D �� p Block
Lot
REASON:
1. Fire doing damage in amount of approximately
2. Building or buildings moved from property, leaving
buildings on property.
3. buildings moved onto property.
Remarks :
Signed
r
Department / IL�g �� ,
DISTRICT
CITY OF DF XY BEACH, FLORIDA
SDRDIVISIRR SUCK LIT i■��
OWNER
Yaaat ADDRESS
En■Rt
DESCRIFTIIN: OWNER
ADDRESS
OWNER
ADDRESS
DATE J— C-77
TO: OFFICE OF CITY TAX ASSESSOR
Your attention i,� called to a building change at
No. C
Street
wne
LJC
S/D 1 3 �► � Block f
Lot i
REASON:
1. Fire doing damage in amount of approximately
2. Building or buildings moved from property, leaving
&0 buildings on property_
3• buildings moved onto property.
Remarks : � — IU k' / d
Signed
Department -a�