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Support a DATE 12-8-86 TO: OFFICE OF CITY TAX ASSESSOR Your attention is called to a building change at 1300 Cormorant Rd. Jeffrey Bennington (No. ) (Street) (Owner) S/D Tropic Palms (Replat) Plat 2 Block Lot 14 REASON: 1. Structural fire damage in amount of approximately $10,000.00 2. Building or Buildings moved from property, leaving N.A. buildings on property. (Number) 3• N.A. Buildings moved onto property. (Number) Remarks : Fire Run # 86-0969 Date: 11-25-86 Signed Department Fire