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INDIAN RIVER COUNTY <br />By: <br />By.d;?y0..0 {� f) ✓i `� �� <br />istrator <br />lialSlAokc <br />Co STROC n o& r) C <br />BCC Approved: 04-08-14 <br />APPROVED AS TO FORM AND LE <br />By: <br />Dy1E`xrfReingold, County Attorney <br />t� <br />./PER C0� <br />FFICIENCY: <br />Jeffrey R. Smith, Clerk of Court and Comptrol er <br />Attest: <br />(SEAL) <br />!! <br />Deputy Clerk <br />Designated Representative: <br />Name: Roland M. DeBlois, AICP <br />Title: Chief, Environmental Planning and Code <br />Enforcement Section <br />1801 27th Street <br />Vero Beach, FL 32960 <br />(772) 226-1258 <br />Facsimile. (772) 978-1806 <br />Page 7of7 <br />(Contractor) <br />(CORPORATEWand <br />���SEAL) <br />Lina i <br />lib <br />Address for giving notices: <br />Ls ;Lk P1are. A r\vd <br />&tcOStrA, FL. 34-VaA\ <br />License No. C GC IS %91 LI -to <br />(Where applicable) <br />Agent for service of process: <br />Designated Representative: <br />Name: , 1 Cr-d LA46►e <br />Title: V <br />Address: <br />1Og3+-k 5ka <br />&.C-CLS3"TA, CL 3LAa4% <br />Phone: y1 c1d1- 3S -b, <br />Facsimile: 41X1 - 5'O an <br />(If CONTRACTOR is a corporation or a partnership, <br />attach evidence of authority to sign.) <br />