330 Sargo RES23-0018 Elevation Cert FORM BOARD ELEVATION CERTIFICATE
DATE: 3 - 2-9 - -2-2,
PERMIT
NUMBER: CSa3- 0o1<�
ADDRESS: c�aj
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` REQUIRED FINISH FLOOR ELEVATION ON CITY
APPROVED SITE PLAN: g , (ou
ACTUAL ELEVATION OF FORM BOARD OR
GRADE STAKE:
SURVEY COMPANY
NAME: MELROSE SURVEYING AND MAPPING, INC.
11437 CENTRAL PARKWAY #107, JACKSONVILLE, FL 32224
SIGNATURE OF SURVEYOR: 1A LnLa�--
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