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Indian River County Department of Utility Services <br />Official Survey Form <br />Proposed Water Main Assessment Aerodrome <br />Subdivision <br />33382300002000000012.0 <br />DEE LEE ALAN LOLA BETH <br />2S5NIEUPORTDR /� legai . 012.0 '� 1 13 <br />�t/!'� Signature Date <br />MCV- OLY*- • Let 4- 4. ThEQ Ai 5113 <br />11 W NJ, ,, A :test ' Signature Date <br />` r�r�tpp� I��� �3 f�Ome Ph anilea-mtbti.24Ch,flij--mr7JBase up ttie inform tionprovidedon 2013 : <br />14444 .DQL o 179- <br />Check <br />flCheck one: <br />YES -In favor of The Indian River Aerodrome Water <br />Assessment Project. <br />NO -Not in favor of The Indian River Aerodrome Water <br />Assessment Project. <br />Please make three (3) copies. One for yourself %one for the HOA & send <br />one the Utility Department ® the address below. <br />Please mark your choice and return in the envelope provided no later <br />than Monday December 16, 2013. <br />Return Survey to: <br />Indian River County Utilities Department <br />ATTN: Assessment Coordinator -Aerodrome <br />1801 27th Street <br />Vero Beach, FL 32960 <br />Please call (772) 226-1821 if you have any questions. <br />107 <br />