Laserfiche WebLink
CITY,OF VERO BEACH <br />EXHIBIT C <br />REQUEST FOR REMOVAL AND/OR <br />ADDITION OF FACILITIES <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 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 />Approved as of the following Date <br />, 19 , by: <br />CITY OF VERO BEACH <br />gnature <br />City Manage <br />(Signature <br />F-- <br />TT i'7te <br />Customers Namej— <br />