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INDIAN RIVER COUNTY <br />B <br />6'�� Y <br />Peter D. O'Bryan, Chairman G <br />By: ;U! <br />seph A. Baird, County Administrator <br />C Approved: 04-08-14 <br />(Contractor) <br />*t i (CORPORATE SEAL <br />APPROVED AS TO FORM AND t -SUFFICIENCY: <br />By: <br />Dylan Reingold, County Attorney <br />Jeffrey R. Smith, Clerk of Co and Comptroll F <br />Atte .� <br />Deputy Clerk <br />(SEAL) <br />Designated Representative: <br />Address forgiving notices: <br />jr� . nTA,t_�11 4 l <br />License No. C h C I< 1cj 7 41_ <br />(Where applicable) <br />Agent for service of process: <br />Name: Roland M. DeBlois, AICP Designa4gd Representative: <br />Title: Chief. Environmental Planning and Code Name: K. 16 ' CA LAV 0 i 6 <br />Enforcement Section Title: V . p <br />180127` Street Address: <br />Vero Beach, FL 32960 io$,34 A-Rec �) J� <br />(772) 226-1258 !�(x e —,A- FL 34_�LAl <br />Facsimile: (772) 978-1806 Phone: �1 �? r1- S?S6S <br />Facsimile: 1 r`7 - $-0 a-1 <br />(If CONTRACTOR is a corporation or a partnership, <br />attach evidence of authority to sign.) <br />Page 7 of 7 <br />213 <br />