HomeMy WebLinkAbout01-06-05Name
Unit_I
Block
Lot 'r
Date of Mark -out 3 2
Date of Burial �.� /�� Time %
Name of Funeral Home
Authorized by
04/24/2017 10:11
716708 P.001/001
MYOF
H
ME OF PELICAN
LAND
Sebastian Cerneter
Ph# 772-589-25254
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Fax# 772-228992
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Site
Ian for Marker Instc
I ation
Funeral Home:,STRU
1623 NORTH CENTRALAVENUE,
K FUNERAL HOME
SEBAS71AN,
&CREMATORY.°
FLORI
A.329S$
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Unit: 1
Unit:
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131 ck:
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L
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Size
T772 1' 2' ............................................
Foundationaterial
Dry mix, cox
s sting of a ba
of concrete
ntly) includes
f at:grass marker.
Larger than P x 2'..............................Formed
and
cured concret
eluding base.
Approved by:
Date
-! 2-X
Marked out by:
IK
Dat
i
Foundation Poured by: .r
o o,/DI7
Dat
y�l% 7•
Foundation Material
%
Date
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