HomeMy WebLinkAboutElevation AffidavitPLA'NN I (NO.& DEVELOPMENT
SOARD,-OF. W5�ff EM -M SERMIC. S DEPMMNT
d0u,14TY COUNTY
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COMMIS��NERS F L 0 R I D A
Divt3ko,
,EI Aifidavit.
Date
Property.. Addids*S' 3g -s.INMAXX= MM EL'PMRM FL p
Permit
Flood zoneX
The .indn-habitable i -:ripoop, O#W W (accessory, gtqetuto cannot. be
-d - s Is mo - fie uq,dlft'
a
telev**4evation toqoji*oa
to.comply W1, Abe
David. Koue wski'
Print Owner-'*'S. Natne
STXM: OF, FLOklb4
COUNNTY OF--aa-
Signature o.t�Owner
Sr
The foregoing-instrurneut was. acknowledged. before me this; day of OC-T 20
by Wd,741> oersonilly. known to m a. X orw*h oi,h'is prod'ace.d
as identWeafi'On.
Signature ofNotiaq Public
0,6070973
Commission Number
MONICACASAM. -
73'
Wabsfte, wwwAludeco.gov
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