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CITY OF VERO BEACH <br />EXHIBIT B <br />REQUEST FOR MODIFICATION AND/OR <br />REPLACEMENT OF STREET LIGHTING SYSTEM <br />City of Vero Beach <br />Gentlemen: <br />19 <br />In accordance with the terms and conditions of the Street Lighting Agreement <br />dated , 19 , this request is made for a modification <br />and/or replacement of the facilities in the Street Lighting System within the <br />limits of this body's jurisdiction. <br />The modification and/or replacement requested is/are as follows (describe <br />fully): <br />(Signature) <br />Title <br />Customer's Name <br />Request granted , 19 , subject to your approval of <br />the following charges which are -payable by yo-u--Fe—fore any modification and/or <br />replacement can be undertaken: <br />Request denied , 19 , for the following reason: <br />CITY OF'VERO BEACH <br />Signature <br />City Manager <br />DEC 11982 im 52 PAIJE 288 <br />