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HomeMy WebLinkAbout0102 ~ ~ . ~ . r.. . ~ ~l.• .~~w ~f. ~r~ .~'~r.L.A.~~ . 7F, ~ ~ ~t ~ ; s • - . . . v.-. a.'aa'1rti~. . . • ~ ~ ' ' ~ ~ ~ ~ ' ~r~ ww +~+~w? rw.~.r.~.r.,~ n.~ ~w,.~. ww ~r.r.~r ~ . ~ _ . 134p1~ • - ~ ment . ~ . ~ ~ ~o~ oE ~omn~enr~ ~ , ~ ~ : ~ ~ . Pro~srry to b~ ~apr+~rsd: ~ e~ a~ Ia~ 8.~a a..~ 1rs~ a~ Io~ 9 ; • ~ ~ . (dexripeiae ~;e~t f o. id 'e~Rt~iar~on} • ° ~ ~ ~e~uro~ ds.tcri~e~e of tlss iweprovernsnt: ~'1~0°~'~...~ ~ { ~ ~ # ~ ~ _ ~L E~ ~ ~ ~ ~ ~ ~m a. 8~ a~a ~a sa~s ; 101ame a~ed oddrs,u of 4ttn~ar: . ~ ~t Pia~ce~ ~~aarl~aa RO ~~~z3 ~ ~ C~Cf~~~~AS~-~ . ~ . r F CQnNTr. ~t~ ~ ' ,Extar~t of O~er': i~te~est i~ properrty: (fet aimple) athes: ~A ; ; ~ ; Na~ne a~sd addrus of f ss simpls titler holdcr i f athcr tlurx Qrontr: . ~ _ (If om~eership u athar ~I~mt fea ~inepla, tlu reams aad addtass of tl~e fa~s sim~l~ titk holder inwt OlSO ~E gWE1l~ ~ r''`. gw . . ..i1~ a . Namt a~td addrsu of eo~etractof': ......8~! .~.e3a........._. ~ : ~ : ~ ' ~ ~,i ` . , ~s : , : f 4~-:yy'~ `l:r+~.` . ~ F . ~~...~...r.~~..~..........+..... ....w,',• ~ i i . q~~y~" y ? Vi Neme ~d addr~u of surety oie paymcrct 6o»d, if a~ey;, and amouaet of tle~ bmid: s , ~'~:,i,,;~n ~ 1 ~ ......................a....,r.~:.....~. i,...,._... - Amaunt Na:?u ~d addrtss, mitleiae tJu St~ta rrf FGnida, of a ptrsou othcr tha~e tha Owner sigaing tlpa • noti~c~, desigaat~td 6y tlu ta~d~rrsigreed to seceive servic~ o~ notices ot atlecr docurne~ts: Pira~ Natioaai ~aa~.~~.~P.is.rr.~t........___~.~__..........~........._ . Nama aud addrus o f• person to tECaiv~ copy o f Lienot's Natict as psor~idad an S~c. 84.061(2) (b) ' Flo:ida Statutu (Op~io~ad): . , Datcd this,.~t2..r..day of..,~~ , 19~~ . ~ ~ " J, ig~s of O (or aathoria~sd agrRt~ . , y i - Subscri6sd oud ra,orh to before a~u ~h ,19~ , ~ My Com~ s~e,}ir ' • ~ (Notary Publie~ ('Add etkAa~e+isd~tnsxt of j~'or ~ a8t~t of Um~es) ~ 1 i~.. M?.l~t ~lwM. ~Yr.~.. i.~lr.s Mnr ~1. .~w w .M r e~ d ri. a~eM eiiri+ « ew~ir .~1«. pqr~r w ~ b Y/~wr w11 ~1 /w/wM. ~r fdMs w~wwrM ~M w 1~/w~~wt ~Mr iA~dl ~r ri~/ww~e. AMs MrM • ~ M MMM s~ tIM ~Me ~f w M~wwrnA M~~ w M 1wM ~f M rOr p/ MIr1 Nr IMr~M ~M/ M w~MMqwMM. + '~1 a A ; ' ~rtr; . p~ p~! Ii~.1~ ~ , : a0ac ~s ~ . , • ' :J ~'LOi~,6~? . ~ ' ~ ,••~~~'~ss.s~~