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' Broom/0 -2 067166
T Date 121/1179
O ominium Assoc. , Inc. a'7(~~~
835 18th St. N100 .
Vero Beach, F1. 32960
In order to facilitate consideration of my application ~'or purchase, lease
or rental of an apartment .in the VILLAMAR CONDOMINIUM, I represent that the foi1~-
owing information concerning me and my familyas true. I consent that you may
make further inquiry concerning me and my family through the references given;
NAME OF APPLICANT Jo1si $roa~s APT.
NAME OF SPOUST~at~yy T~B~r, NAME (s) OF OTAER3
MAILING ADDRESS Bay~he~ ~ - hat.301 CITY,~,`,~„t,rc~~ STATE ~~i,Kt~
RRSIDENCB PHOAS ~05__~_-~61•1i9~ - BUSINESS PHONE ,a
In purchasing in thti VILLAMAR CONDOMINIQrt complex, I plan to occupy:
Year Aotndc~ a _Sesaonal Investment - -
_ -
RESTRICTIONS: NO CRILDRBN UNDBR 15 YEARS OP AQE. NO PETS ALLO>~fED. ~?CH~.-:;. -
/?PARTl+HQi~ _Y$ RESTRICTED TO SINGLE FAKILY, PRIVATE RBSIDENTxAL pSB--bed ~ V111aaiaP
Rules ~ Regulations and Regulations and Declaration oP Condbminiup. -
!rION'PRLY - KAINTNNANCE. FRS I3 DUE THS 13T OF I~ACA MONTH, DELINOUSNR THB 14TR . , -ALL
KATE )~Il~TB'$AI~ICB PAYMENTS ARS SUBJECT TO A 10~ L-ATE CNARGS. ~ -
R~RIStC$9 - a. _ -
t . :mss- C~as12~r ~3~ 18th. Street _ Pero Hs*oA
~..~i~.~~..~.d ...r-~•r rrrrr r~ r . .
2 . Rlaan 205 Q2nd. Ary. 9ero eeaeb 564-178 ~ ,
C OI~pC!Y3 ac. REMARKS - . - -
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I h$ve. r4~id~ the Rules ,k~ Regulations established by VILLAMAR CONDOl+t2'dlt~i A38OC~,-
I furt~e~' - undere?Land that izon••compliancA xith the$e rules are grounds lor. ~ '
disciplinary action by the Board of Directors in accordance with Item 27 and 22
the Declaration of Condositni~n. ~ .
Board. •:ot Di . ctora -A royal -
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- ~ i~4~, Applicatipn A a, roved @?~t3
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Rev: ftectivs /11 / 8 -
E - 7 ~ P~AF i I 3- 2 Date ! ~ _ ' «
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