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:r 46-16-02-051-0010 G GV 100 1ST AV NW DELRAY BEACH 'CITY OF TOWN OF DELRAY
i 100 NW IST AVE LTS 1 TO 16 INC BLK 51, TH FT
DELRAY BEACH FL OF ABND NW 1ST ST LYG S OF
334442699 ADJ THERETO AS IN OR475P285 t;
ABND ALLEY LYG WITHIN AS IN
OR606OP1455
I
Ely%, UF EWHY PERK- N ( ��
100 N.W. 1st AVE14UE DL1MAY UE^01. 1 L0111U#1% 33444 • 407/243-7000
/
PERMIT NUMBER (D (4 -7 R
PROPERTY CHANGE
A F F I D A V I T
Before me, the undersigned authority, personally appeared the OWNER of the
described property: C1 7� O -q 'IE UZAq 87E-A C—�
(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 decribed property:
100 NV\I ISM' A\JE Towt� 0-� DC C-2l4/
Number Street Subdivision
.. Lot Block Type of Structure SZ'OR-A `�E:
JJu I LDt
Property Control Number I c 1 4 3
2. That he intends to
or is MOVING the building(s) , leaving building(s) on this
(Number)
property; or will MOVE building(s) OHIO this property.
(Number)
3. That he has appointed f to act
(Name)
as AGENT on his behalf to accomplish the above.
SIGNED: .—� -
OWNER OF RECORD
BUILDING OFFICIAL: / SWOR14 TO b SUBSCRIBED BEFORE ME THIS
, � DAY OF
-,
y 19
SIGNATURE & DATE
cc: City Clerk _
P.B. County NOTARY PUBLIC
Utility Billing STATE OF FLORIDA AT LARGE
Disk:Forms/App
U.D---rt... A 99
DATE: 1-3-83
TO: City Clerk
Water Dept.
Your attention is called to a building change at:
100 N.W. First Avenue City of Delray Beach
(NO. ) (Street) (Owner)
Subdivision: Block: 51
Lot: 1-24
REASON:
1. Building or Buildings moved from property, leaving
2 buildings on property.
(Number)
2. buildings moved onto property.
(Number)
Remarks : Aportion of City Hall was demolished in reference to the new city hall
expansion
Signed:
10