39 Dudley St RES20-0015 Form Board Elev Cert FORM BOARD ELEVATION CERTIFICATE
DATE : 7'
PERMIT NUMBER : sem -
ADDRESS : 3l t(die sr
REQUIRED SLAB ELEVATION ON
CITY APPROVED SITE PLAN :
ACTUAL ELEVATION OF FORM
BOARDS OR GRADE STAKE :
SURVEY COMPANY NAME : PERRET and ASSOCIATES, INC.
SIGNATURE OF SURVEYOR : --a
NATHAN P.PERRET#6900
LO7,
77on TSS, ,
?o- 20 -3
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