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HomeMy WebLinkAboutNOC�1'O�l�; � 1� {� o:�i�1�nT�,("��jC��,'����ZT�7y'O� '�k��� CI�:lC-Ua_�7' CpOTJjR�'I' — �].�i,1��7��-(�-7�' 7��)7CT`��nCi��i_jT'+',' �,¢. � � �� � .�% ��� O � S �lJ ®.5�. � � � � ��.f �:_�� k"A � �.i � CJ , &!� C L� .� l�l-� U. .1. � / G.. � / f \.' �_ � J_ U .� �- �-1 e �.) 1 i �� � ` ���0 �'�� � Off+ ��i���I���,l'dfC�i��1'�;-�; 1'Fx�t'hl.t �ln, ���,, �� �01 00�.®owc�° �'��� i.J1J��L��StCri�t�� h�ehy g9��cs t�otic,,� �t�at irnti��vet�aexat ��ill bu r,�ia�1,� to �:��-�Ita real. �r�E�-ty, axed in �ord��rrv� �,vitr� C�i�9ptc:t `� t3 l�ta, ida Stat�at�.�p t_bc faltnta,�ng in9'aea��aatian is pxovi�l�cl is9 �,hi� ���`���;� �r �C�i�/i7�1;�i�aCF.i�1,t�'k'. �, ��scripa � c�r}�rbl-�erty (t���t d�sc�;Ft;�t nr�������7-t�). TI f�C��I�Lp�{ti� �_T�m'��� LC>T 35 - - �} � �°t (jnb) �1.ddr�ss:, F � �T�� � �. -' ' " K �_ :�. ���al t�C��r'9ia$ior� of irbpvoitac;�at(s)� � .� - xa � �• � �, �tnrn� or �.c;Ss�� irtl'dr9i9stior9 L,esse� as ovar9er o9�t if cor9tr��ted �nr irt-i r bYcr9ae9�ts �, i�ta9-ne�andaddress �H6�`�L I--i�f�D� ��50 F'{�?� %�f-2T11�1 (��l FCaj�`T h. lut�rc: l 9r1 property; C)1�J N F_�.»_s, �. I�darr9e�axt�1 aci��ss of fey: si�,�,l� titl�oldcr (if a�th� than a��rf,�ex); �, �'n�tr"�ctn9` Infornlaticc� Tlml I�®'�E DF��T , 5500 f Val' 1 [ v� � Narra� d �ddret�s; `I�t® Mom flperi 6504 ham/ 9:t� Avg, Sl`®9 90 �trt l�td�r��f^n; {'L 33'{YJ ;�. Fh 349�-1 � . � r � L _. � • - _ - .__ . _ _ �. Suety in {�err9atin�. a. Na9z�e �-nd addros�; --- - _ b..7�ou}-�t vl' b�tad � _ c, Phone t�.b�r: ,� Fax i�Jo, {Opa) 6, 1.�ndex ' �. f�ara►e �x�d addl`ess; b. Phooc r►uzr►bnr: '�.:Porsoz►s.�v thi�9 the State of Florida d�sigx9,ated by Q�vr��r upnr9 �x�hn unties og 9�the� SeeEion 713. �(!}(a)7., Florida Statutes; a. Name nd address, ►may bo served as provided by h. Phone o9amber: R, In �ddi9.i to hir�9sclf, Q�re►cr designates the 1'otlo��ring pexso�i(s) to receive a copy of the Lic�yi �s's TJc�tice � �s ovzded �n Ss�tiozi 713. 3(1)(b), Florida Statutes; a. Nar[90 d address: b. Phone nurnt�r: -- ��;�z r� r - t� �-� .. ` c n ;r 1 :i: .� 1 � 1.: a _ c r � `r � � . t r :r sf x. � . • n. � � 1 �, ;c * r a t , �� � a i i � t �' �} � s1L- � � '; f� a� t' 'F 1�) f ,, �, , E � 4 i i� YI,, [ ( (,F .. ��l;. J 1� �• �I 1 1 ' � r ��° j 1 �! � t i�: �, ��, ��, ''� � �� it .It ;� „,� it '� 1 �.•. ,� ��� �� t =�. i♦� 1 ? � F.7,1 � '.I 1 �'.� s `1 I. F "; '.-�Lk 1'A 1,'.:1' •, i �i `, 1. � 1." ';� � I b s T����Officee: State Qf 1�1 Coumty of or � M s + ,�� 't;. � � 1..�,. 1_ -� �. _ /� I • �--. pis �i� � • ��r- 1 Y �S. �'.17gt,'T�IG, Or5t8t11p. Commissioned Name ofNotary P'ub[ic 1•