335 Country Club Ln RES20-0317 Form Board Elev V
FORM BOARD ELEVATION CERTIFICATE
DATE: TA- 14. 2S,-
PERMIT SPERMIT
NUMBER: ES 2.17 -03l1
ADDRESS: 335 Cot, -f7 CL- L e_
L�f 2, Flock s (j,#. (A.„; No, 2
REQUIRED SLAB ELEVATION ON CITY
APPROVED SITE PLAN: /D- 7
ACTUAL ELEVATION OF FORM BOARD OR
GRADE STAKE: e �� Sf-e u).4r1( a,,, �r�.� z 8
SURVEY COMPANY
NAME:
z 8 Z D-1,0,-(7` / / / C o Ear u,,;" *z_
J6c c.ro,,L-1ll-ej FL. ,7zz r-7 944 -727- k- 7.77-9D88
SIGNATURE OF SURVEYOR:
Tr-,-",i) L.,0- PA-p-7