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W/D 6/15/66 See Lot 2, Block 2, Osceola Park
U
e"
" EITY OF DELRAY BEAEH =_
1,10 1, " BOf LHAYUILDINGADEPARTMElIT3444 � 305/278-2841
(305) 278-5770
PROPERTY CHANGE
A F F I D A V I T
Before me, the undersigned authori
ty, personally appeared the OWNER of
the described property: 6-., � . e,ir
(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:
W1 (a A g.E
Number Street Subdivision
LOT lQ BLOCK a
2. That he intends to: Lls14 J FR ; .�-
(Describe Change)
leaving building(s) on this property;
(Number)
(Number)
3. That he has appointed ?D)n(I\Nr X1Cs to act as AGENT
(Name)
his behalf to accomplish the above.
SIGN: W
OWNER OF RECORD
BU DI OFF IA SWORN TO & SUBSCRIBED BEFORE ME THIS
ure DAY OF 19
n Date `
COPIES: P.B. County �—
City Clerk Notary Public, State of Florida At Large.
Utility Billing il,,Lty Slate of Flcrida
My Comnrssica Lzpiies 1aril 27, 1990
dond.d Thru Troy Fain-Inauranc.Inc.
D,Ite July 26, -1976
CITY TYN,_.3.
Your attnjZti6n is called
alZea to a bu i?din cr„-- � .� :
408 S S.E.E. 4th St. Nath RgamndrRffF `•i-
(LCO. ) , ' (Street)
SID Osceola Park 2
'hot 1
doing d acss in amour of app--03.,ir,:a to 11r
' ?' _ Bit;IdL g or Build i ngs moved from eo' r
_ no P pe_�Y, 2ezVJ
_ buildings on property.
(nu-tuber) _
3. : -
Buildr_gs notTe Onto
Rercta?'�,s: Building demolished lot''c.I�ared o a11. debi .:
Signed
D:Partme�zt -BUILDING &- .INSPECTION'
e
( REGUEST FOR NEW ADDRESS OR CHANGE OF ADDRESS
L
(NAME) (ADDRESS)
7
(PHONE N0. )
LOCATION: _ �_ 7 �-
LEGAL DESCRIPTION:
(SUB—DIVISION) (BLOCK (NUMBER)
-17
(LOT NUMBER)
(SIGNATURE A
THE FOLLOWING ADDRESS HAS BEEN ASSIGNED TO THE ABOVE:
i RC-
(NUMBER) (STREET NAME)
APPROVED BY:
Copies To:
Utility Billing
Arlene Eubank, Public Utilities DELRAY BEAC FIRE EPARTMENT
Donna Quinlan. Building Dept. (2)
,//City Clerk Dww
Cathy Dearden, Engineering
Police Dept. Administrative Div.
Delray Beach Public Library
1
E�TY' DF ,
DELRAY r
F I_( HMA ..3444 305;22812841
BUILDING DEPARTMENT
(305) 278-5770
PROPERTY CHANGE
A F F I D A V I T PERMIT No. 9031=88M
Before me, the undersigned authority, personally appeared the OWNER of
the described property: Rom., yb , W 4r
(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:
40 a s Vie 5.F— . 4."= %tr Q5cp0 kCL rk)QgY�
Number Street Subdivision
LOTS q Qwj 10 BLOCK a ` PROPERTY'CONTROL'No. 12-43-46-21-01-002-0090
2. That he intends to: g w I ; be.
(Describe Change)
_�rnp7N( Rui d�••�rG) , leaving _ 0 building(s) on this property; .0tl-wil,1-41M
(Number)
_ ty.
(Number)
3. That he has appointed v to act as AGENT
(Name)
his behalf to accomplish the above.
SIGN:
OWNER OF RECORD
BUIL F CI SWORN TO & SUBSCRIBED BEFORE ME THIS
pia ur Da
n� DAY OF e 19 .
COPIES: P.B. County
City Clerk Notary Public, hate of Florida At Large.
Utility Billing y
NOTARY PUBLIC SIAIE OF FLORIDA
MY C01'AISSION EXP. AUG 18.1989
BONDED THRU GENERAL INS. UND.