Support 1 H RIEKSE
3-46-16-B9-000-0010 1 R 1 321 5E 11H AVE LT I
DELRAY BEACH FL
33483
3-46-16-89-000-00?0 ? R 1 1 325 1TH AV 5E KOLLEDA DAMES XSE
A NATALIE C LT 11
4669 EDGEWATER DR LT II
SHEFFIELD LAKE OH
440541306
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CITY OF DELRAY BEACH. FLORIDA
REQUEST FOR
-��NEW ADDRESS OR CHANGE OF ADDRESS
NAME C�hG�� IDS C,- ICE � ADDRESS /(�Q( ---�------7--------
PHONE NO. 3- y g S 6 0
LOCATION ei.y cL-cN-4 -1�n A,,e - 5 I oc, 0 n c
63L k la8-
LEGAL DESCRIPTION
SUB_ /'Gn r`E k Se— P�- A�" BLOCK LOT
DATE SIGNATURE
--------------------------------------------------------------------------
THE FOLLOWING ADDRESS HAS BEEN ASSIGNED TO THE ABOVE:
APPROVED BY
COMM LAITY IMPROVEMENT DEPT. DATE
---------------------------------------------------------------------------
COPIES TO:
POLICE DEPT ADMIN PUBLIC LIBRARY
UTILITY BILLING POSTMASTER
ENVIRONRENTAL SERVICES 911 NGMT
FIRE DEPT SO BELL
CITY CLERK WASTE MANAGEMENT
PLANNING Community Development
CODE ENF'0RCII4ENr
/a L/ yb /� �I coo co;gyp
CITY OF DELRAY BEACH, FLORIDA
REQUEST FOR
—4NEW ADDRESS OR CHANGE OF ADDRESS
----------------11-----------------------------------------------------------
NAME j�Cz�;c� ,\ e ( S e� ADDRESS 3 a 7 bhp
PHONE NO. 0 13 33�j�3
LOCATION w CEa`�' 4 k Oc c- �i 0
LEGAL DESCRIPTION
SUB ; e /c SL i��- /4T BLOCK LOT
DATE C�"J SIGNATURE
--------------------------------------------------------------------------
THE FOLLOWING ADDRESS HAS BEEN ASSIGNED TO THE ABOVE:
APPROVED BY
COMMUNITY IMPROVEMENT DEPT. DATE
---------------------------------------------------------------------------
COPIES TO:
POLICE DEPT ADMIN PUBLIC LIBRARY
UTILITY BILLING POSTMASTER
ENVIRONMENTAL SERVICES 911 NGMT
FIRE DEPT SO BELL
CITY CLERK WASTE MANAGEMENT
PLANNING Community Development
CODE EdF'OFC-EMENr