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278 Seminole Rd RES18-0301 form board elevation certificate
FORM BOARD ELEVATION CERTIFICATE DATE: /0 —/S-- /g PERMIT NUMBER: ADDRESS: 27 8 REQUIRED FR ISH FLOOR ELEVATION ON CITY APPROVED SITE PLAN: //. 00 ACTUAL ELEVATION OF FORM BOARD OR GRADE STAKE: SURVEY- COMPANY NAME: �uRoa� SuR�EV�Na^NDMaoe�nt� , WC. 9d{ 853-6822 1b25 8 3RD S [Rlc�CIJOKIF3 �na h,u t2�nrai u 3Z25D SIGNATURE OF SURVEYOR: VW § | broM ƒ \ ( / \ 7 � 0 , xi k � � ?a: � 0 2 � E § \qo » __ ^ |\ w _ § ri $ ` wQmRge , © - - � J / \ _aoo ;a\ / //O \ , - A !y\ 0 6 , . • ISL $ ? | � \ Ma \ ) § ; _ 1 \ / § \ ;, { 3 \ ff �\