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INDIAN RIVER COUNTY <br />Y5/9_,€„t. <br />Bv: <br />Peter D. O'Bryan, Chairman <br />4gM1SS '"' <br />t <br />• <br />t;-'LSf-CRE %1J4T-2uTjt aJ :Tn�b <br />r7 <br />t f <br />seph A. Baird, County Administrator t <br />O 1y <br />�'y.`�'NEfi Cfl �•r <br />tSi1FFICIENCY: '••••••.•• <br />Approved: 04-08-14 <br />APPROVED AS TO FORM AND L <br />By: <br />Dylan Reingold, County Attorney <br />Jeffrey R. Smith, Clerk of Co <br />Atte <br />and Comptroller <br />(SEAL) <br />Deputy Clerk <br />Designated Representative: <br />Name: Roland M. DeBlois, AICP <br />Title: Chief, Environmental Planning <br />Enforcement Section <br />1801 27th Street <br />Vero Beach, FL 32960 <br />(772) 226-1258 <br />Facsimile: (772) 978-1806 <br />(Contractor) <br />(CORPORATE SEAL <br />Address for iving notices: <br />L ' I -A E ( Pk 61 id <br />'TA EL 3( -la �l l <br />License No. C gc lc\ 1 4 t, <br />(Where applicable) <br />Agent for service of process: <br />DesignaW Representative: <br />and Code Name: LQ v p% <br />Page 7 of 7 <br />Title: v . P <br />Address: <br />623 (-RecA -61A <br />SenA. FL 3y41 <br />Phone: '{ clr1- SSbS <br />Facsimile: `I\ '1D-1 • YOa�l <br />(If CONTRACTOR is a corporation or a partnership, <br />attach evidence of authority to sign.) <br />213 <br />