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N/A <br />N/A <br />II. COMPANY DETAILS <br />1. NAME OF AGENCY: Indian River Shores Public Safety Department <br />MAILING ADDRESS: 6001 N Highway Al A <br />CITYlndian River Shores COUNTYlndlan River <br />ZIP CODE: 32963 BUSINESS PHONE: 772-231-2451 <br />2. TYPE OF OWNERSHIP (i.e. Private, Government, Volunteer, Partnership, <br />etc.): <br />Government <br />3. MANAGER'S NAME:Chief Tad Stone <br />ADDRESS: 6001 N Highway A1A Indian River Shores, FL 32963 <br />PHONE #: 772-231-2451 <br />4. PROVIDE NAME OF OWNER(s) OR LIST ALL OFFICERS, PARTNERS, <br />DIRECTORS, AND SHAREHOLDERS, IF A CORPORATION (attach a <br />separate sheet if necessary): <br />NAME ADDRESS POSITION <br />5. PROVIDE NAMES AND ADDRESSES OF AT LEAST THREE (3) LOCAL <br />REFERENCES <br />NAME ADDRESS PHONE # <br />UAFIRE ADMIN ASSISTANTSIBetMBeth Casano EWCOPCMRENEWAL PACKETSICOPCN Apptication.doc 2 <br />91 <br />