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REQUEST FOR NEW ADDRESS OR
LIC—) -4a,�1_1
d f
(NAME)
(ADDRESS)
(PHONE N0. )
LOCATION:
LEGAL DESCRIPTION: Os c o/� BAR <K
(SUB—DIVISION) (BLOCK NUMBER)
�7
(LOT PLUMBER)
(SIGNATURE & BATE)
-------------------------------------------------------------------------------
---------------------------------------
THE FOLLOWING ADDRESS HAS BEEN ASSIGNED TO THE ABOVE :
(NUMBER) (STREET NAME)
' APPROVED BY:
Copies To:
Utility Billing
Arlene Eubank, Public Utilities 1DELRAY BEACH FIRE DEPARTMENT
Donna Quinlan, Building Dept. (2)
L./City Clerk DATE
- Steve Ford, Engineering
Police Dept. Administrative Div.
Delray Beach Public Library
I �7 - - - -�•' - DISTRICT
CITY OF DELRAY BEACH, FLORIDA
SUBDIVISION BLCCN LOT Improved OWNER AALA I-
Vacant ADDRESS
Exempt OWNER Leo J. & Mable C. Small
DESCRIPTION: !'I. T! j. ADDRESS BOX 13 (1! City
OWNER
MI 0
ADDRESS
YEAR— 1949 1950
19 1952 1953 1954 1955 1956 7 1958 1959 1960
`•a
EXEMPTION ^'r
s-
LAND :1.� j Z �. Ad
r�-
I
BLDGS.
CA
4f,�
TO � l, .a
PER.
BUILDING P BUILDING DIMENSIONS
DESCRIPTION OF BUILDING — J — — — -- NtI
SIZE HEIGHT ST IES
TYPE BLDG. BASEMENT ROOF FINISH MISCELLANEOUS `
-Master `-
_ _.Siogle Dwlg. __None __.Gable ______Decorated ------Sprink. (Fire) _
`/"Hip .Pine ____Fire Escapes Jr �I Z X 2�
______Double Dwig. Part ----" -
----'-� Flat ____. -Refrigeratars.__ Hardwood _
_--__ -----_Duplex Dwlg• _ Full __-__ Metal ------- — — — —�— —
- — --- ` J, ✓
_-_. .Apartment --___._.Dirt Floor Mansard --____ Marhie&Tile Vac.C.Sys.
_.__Skylights ( — — — --- - — - — — X ' / '
- Store Cement Floor PanelsK_-�
------ PO RGH ES
________Store&Office _ Finish +7f FLOORS .__.___Fireplaces — _
X ! Front I O/q N CS
'•° -_V Wood Joists _--.---Incinerators -- — — -- --
___Store&Apt. HEATING X �.Side — ---L' — — — "(c-I e1.
-_Office Mill _. Solar W.Sys. — — -- -
�•' X Rear -_Steel Beams
__—__Hotel -------None X Sleep. Reinf.Concrete ------Air Con.Sys. — _ _ C D TION
----Theatre ------Stoves p• ____.Reinf.Tile _ _ — —
._-Garage(Apt.) --------Oil Burner EXT. WALLS Dirt ` FACTORS — -- — — 600D F IR BAD
Garage(ServJ ----Fireplace FLOORING _,L -_No.of Roams —�— -- — — — I —
_-_Wood Siding --
_.__.Garage(Prot.) CONSTRUCTION V_Pine __-Apartments — —
---- -- -- —
GasStation -----Brick Hardwood
Church --__Wood Frame .__.. Brick Cased _.. Concrete -------Rooms&Apt.
School -__-__Steel Frame __-__Stucco ______Tile .___._.Fin.Attie R. —Ii— _ -- —��I I�
-______Lumber Sheds Marble _� .Fin.Base.R. — — 14
'
Reinf.Concrete ___. Metal ------ --- — -
- ____Terrazzo -- _ _ _I _ —
ad T V. TO
.___ Block 7�_Date Camplt. _ ' F
ROO
Shingle
hi gle Gravel --Mill_Cno
Linoleum
one jr le EXT. TRIM -PLUMBING
Age — — —�— — — RECAPITULATION
('! � ConereteTiled PLUMBING
None
Shingle - Remodeled --_
VALUATION
------- FOUNDATIONS — — ---
.Metal ____.___Plain --_�___Fixtures K��' LIGHTING
- - -] _ ---
_______-Composition rs Stone __...Ornamental ;� _.__�_.Toilets --I — -- — — �---
.[___._Concrete k -_._-_Wood -j_____.Tile room: _✓-Electric -
-.-----.Slate --------Brick ----- — -----
_._____Stucco ___ Tile Floor Gas
_ Tile—Flat or _______Tile ___._.Terra Cotta ___�__Baths.Built-In
Ornamental Piers Metal Showers Lamps I — — —
_IIJ
I— � ADDITIONAL
LAND APPRAISAL — —IJI7 I 1 — I BUILDINGS
Unit Depth Corner Front Valuation
Front and Depth Price Factor Factor Foot Value LOTS ACREAGE ST. IMPROVEMENTS
__.__Paved
Level __.__.Level __Dirt TOTAL
• -----H�9h ------Hilly
__.Rocky ----Sidewalk BUILDINGS $
_.. Low� -___Curb,( X .Rocky .-_.-- Swampy _-__-Water TOTAL
Swampy ____--Farm LAND
Enhancing Factor � ACRES @
y _.__.Sewer
Detracting Factor
/n ___.__Wooded Electric Light TOTAL LAND
TOTAL LAND VALUATION V Gas AND CLOGS. $
25x34x14
P 6x12x10
P 6x12x10
2
OP 9x17x10
2
Cone. 13 x 24
9 x 9
4 x 7
8x38
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