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In re: Lot 4, Block 5, EMANCIPATION PARK, according to the
plat thereof recorded in Plat Book 1, page 38 of the
public records of St. Lucie County, Florida. .
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1>t. FAmiR'S NA1rt ~ K MtA1otl1 NAMR - _ .
li. wAS o[CEAS~ IN u. f.ARM~ ~oRCrot- (4 iOCUI sRCUa
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AoDRESs
a IL GLtft OF ORI?TH Mlo1CAL tiRTIFlCA770 rwrsa5rw~•estwcer
litla ewb w 1. DISEASE OR OONOITION ~ oNOSr wro OfAUf1
1•r >lao llor (o). l?). DIREC?Lr LEADING TO 0(fAnM .t~~/
ad Io) .
ANTICEDElIT CAYfB ~ ~ _ _ / "
r!W iow wot worw 1/•rifi wwtii,iw~, M. /hi/ 4t.CQ,~~r
al• wot. eJ 1~wl..r.. a W s6•+o e•tw ( or•~
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efJ<rt~•. !t w••w• tRe wOripiwE oowo luf. c a?~
tA~ ~i....sR iw}aR, w
o•w~ite•e(ew r • / • R 11. OTHER SIGNIFICANT CONDI110NS '
•wrot a..u?. C•w/lel•w• •owttri~reity M tJ1e ZetJ? w art
..+.bt a a. 1i.r•.. K aeditiew
Ho. DATE OF OKtRA- lf4. r1AJOR FINDINGS OF OFEIAnON 20. Al1TOKTt
r!e O MO
t>r++.?v? a.wn, >b~ FLAG of INJUIn t.r..s....+ >ua (cm oR TowN lcfluNrr) tn~~)
l1.. wcelwrn ...ta r..., wars. Me.t..~u wt. M..l N .~L .hw iIILLI
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'~j :Ia. TIwE 1>t.w., tDVI Rr<) , r>:.., :le. IwuRV oocuRROD -
OF ~~iui?T eer~~tu '
INJURY a soar ? n~orr ?
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la.rrbv Jv t~ 1 aeandd e1+e dcesoad hoer d 1~ , eo la ~ ttec 1 to.e .oro (1+. daceoid .
slivs oa 10 o! ~ nr tlb aswee and ow tAe dace noted above.
t7e. >sl T111lt (t~otew ac Wlo) >R< OATS tIGlI~
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R u A L cItE~A. iw, taAn >k, ttA11R of ce~ssEnr oR cREauTORr ~M. LoCA oN
! DATE REC'O RY LOCAL !'f lIGNATUIIti tE. FUN OIRiCTOR fl TURF ADDlESS
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~ Hereby oertrty thb to be ..true and correct copy of thtt Lout
R'gistrar's record on file in She St. facie County Health Depwt-
me~t at F«t P~erce, Florida.
~Wamtng: Not valid unless raised seal of the St. loth
County Health Department if affixed.)
N O. MIIIFR. M. O. r -
County h tth Off;cer 8~ Locaf Regitttrat t.'J~ ~CO~ 'rp
- .
~ page Deputy Local Reoi~tas
r51 t.
'l3 ,.r~ 16 PM IZ : 03
T
R o~~~ 2757 •
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