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--)LUI TLC <br />MILMN AMER COUNTY <br />FL&NNED TINVE LOPAMNTAPPLICAnON I <br />-ep, <br />ploase Indivite V10 type ef'-kp <br />pileadeft b,,;Ivg Subwittcl: <br />conceptual PD Special <br />Co-acurs-cat Corsceplowl iND Special Exe-�ptjon Prellimbory Pf),. <br />Final manned Pewlqpm,"t: <br />Note: Fer zFDj rmothig pleAse usc the approprIfite rmenlv! Appliptler.. <br />PROJECT NAME:- Laguna Village at Grand Harbor, Plat 34 <br />Plan Number: PD- 15-12-04 projed 99020110 <br />PROPERTY OWNER. (PLEASE PRINT) APPLICANT (PLEASE PRINT) <br />GH Vero Beach Development, LLC <br />NAME <br />2231 Falls Cirde <br />ADDRESS <br />Vero Beach, Fl. 32967 <br />CITY, STATE, ZIP <br />772-7947811 <br />PHONE NUMBER <br />jco1asuqnnq@newseaburyxDrn <br />EMAIL ADDRESS <br />Joe Colasuonno - President <br />CONTACT PERSON <br />PROJECT ENGINEER. (PLEASE PRINT) <br />Masteller & Moler, Inc. <br />NAME <br />1655 27th Street, Suite 2 <br />ADDRESS <br />Vero Beach, FL 32960 <br />CITY, STATE, ZIP <br />772-567-5300 <br />PHONE NUMBER <br />mastmolrObellsouth.net <br />EMAIL ADDRESS <br />NAME <br />ADDRESS <br />CITY, STATE, ZIP <br />PHONE NUMBER <br />EMAIL ADDRESS <br />CONTACT PERSON <br />AGENT (PLEASE PRINT) <br />Masteller, Moler &Taylor, Inc. <br />NAME <br />1655 27th Street, Suite 2 <br />ADDRESS <br />Vero Beach, FL 32960 <br />CITY, STATE, ZIP <br />772-5648050 <br />]PHONE NUMBER <br />dt5243@bellsouth.net <br />ILAAIL ADDRESS <br />Yq <br />0 <br />Stephen E. Moler, PE - Vice President David M. TaAorPSM - PresIdent. <br />CONTACT PERSON CONTACT PERSON <br />SIGNATURE OF OWNER OR AGENT <br />177 <br />FACurnawnify DevelopmcmtXUsmNOwDev\ApplWons\PDAPP.doo ReOwd Januwy 2011 Page I of 3 <br />MUMMY <br />