778 VECUNA RD ELEVATION CERTIFICATE Q
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FORM BOARD ELEVATION CERTIFICATE
DATE: O/ , /< - Zvl-,9
PERMIT
NUMBER: 9&-5
ADDRESS: 77Y
,3 Z 2 33
REQUIRED FINISH FLOOR ELEVATION ON CITY
APPROVED SITE PLAN: `l v v
ACTUAL ELEVATION OF FORM BOARD OR
GRADE S TAKE: o6)
SURVEY COMPANY
NAME: Durden Surveying & Mapping, Inc.
1825-B 3rd Street North, Jacksonville Beach, FL 32250
(904) 853-6822 1 (904) 853-6825 FAX
SIGNATURE OF SURVEYOR: