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PO1 & IJGHT COMPANY <br />E7CHIBIT C . <br />REQUEST FOR M43VAL AND/OR <br />ADDITION OF FACILITIES <br />I <br />WK 04 844$311. . 9.114 <br />19_ <br />Florida Power 6 Light Cot -many <br />Gentlemen: <br />In accordance with the terms and conditions of the Street Lighting <br />Agreement dated , 19 , this request is made for a removal <br />and/or addition of facilities in the existing Street Lighting System within the <br />limits of this body's jurisdiction. <br />The removal and/or addition requested is/are as follows (describe fully): <br />As per Agreement <br />Approved as of the following <br />date , 19 by: <br />FLORIDA POWER € LIGHT COMPANY <br />(Signature) <br />(Title) <br />l-ssued by: J. J. Hudiburg, ident <br />Effective: July 27, 1979 <br />a <br />isslon <br />Indian River County on behalf of <br />(Customer's Name) <br />itself and the effected municipal <br />Service Street Light Districts <br />