264 Ocean Blvd - Form Board Elevation Cert FORM BOARD ELEVATION CERTIFICATE
DATE : - -
PERMIT NUMBER : Q\L S o
ADDRESS :
REQUIRED SLAB ELEVATION ON q
CITY APPROVED SITE PLAN : �• L
ACTUAL ELEVATION OF FORM
BOARDS OR GRADE STAKE : -
SURVEY COMPANY NAME : PERRET and ASSOCIATES, INC.
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SIGNATURE OF SURVEYORQ L---
NATHAN P.PERRET#6900