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32- 787
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DATE: -
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TO: City Clerk
Your attention is called to a building change at:
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(NO. ) (Street) ( ner)
Subdivision: Block:
-Lot: D
REASON:
1. Building or Buildings moved from property, leaving
0 buildings on property.
(Number)
2. CO. buildings moved onto property.
(Number)
Remarks :
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Signed_
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REQUEST FOR NEW ADDRESS
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(NAME) (ADDRESS)
(PHONE N0. )
LOCATION: Itlw
LEGAL DESCRIPTION:
(SUB-DIVISION) (BLOCK NUMBER)
G[� VV
(LOT PLUMBER)
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(SIGNATURE & DATE)
THE FOLLOWING ADDRESS HAS BEEN ASSIGNED TO THE ABOVE:
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(NUMBER) (STREET NAME)
APPROVED BY:
Copies To: i
Utility Billing
Arlene Eubank, Public Utilities f DELRAY BEACH FIRE DEPARTMENT
Donna p Quinlan, Building Dept. (2) '?
City Clerk DATE
Steve Ford, Engineering
Police Dept. Administrative Div.
Delray Beach Public Library