340 8th St form board elevation certificate � ka k/ \
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FORM BOARD ELEVATION CERTIFICATE
Date —4L7(1(' Permit Number: 165r--9 -a776
Address: 3�'o 6-F7
All American Surveyors Work Order # /5-3311
Required Slab Elevation on City Approved Site Plan:
Actual Elevation of Form Board or Grade Stake:
Survey Company:
ALL AMERICAN SURVEYORS OF FLORIDA INC.
3751 San Jose Place, Suite 15
Jacksonville FL 32257 Work Phone: 904-279-0088
Signature of Surrvey�or: (PartyChief)
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