568 Timber Bridge Lane PERMIT RES18-0064 FORM BOARD EEVATION 4 g
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FC)RM BOARD ELEVATION; CERTIFICATE
Date Permit Number: . L <n- on ev
Address: 6 7�s, t
All American Surveyors Work Order
Re':equired Slab Elevation on City Approved Site'Plan:
Actual Elevation of Form Board,or Grade�Stake:
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Survey Company:
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BALL AMERICAN SURVEYORS OF FLORIDA INC.
3751 San Jose Place, Suite 15
Jacksonville FL 32257 Work Phone,:`-:904-279-0088
Signature of Surveyor:(PartyChief)
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