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<br />-., -~--;-'..--' OCT -13- '94 THU 10: 12 I D:
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<br />TEL NO:
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<br />1:t318 1"02
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<br />
<br />CONDITIONS OF PIRMIT AFFIDAVIT
<br />A. .sICS 0. D.DD 'trTRICTIOI!I '
<br />11II .... ~ ~t, . penit ., bi IVbjlCt to ..l1Iuletl.w lbJu .., .. .. rlltr1ct1" tIIIII Cltr
<br />r~lt_. .............. rttpOIIl1biUt, for CGlpUuc:e 11th D, .ppl1C1bJ. .... tIItdcUaIe. .
<br />a. UJfLI~Q, ~COH'1'RAC'1'OU ,~ND COl.~MCTOR RB8PQN81BILI'J.'IU .
<br />If .. .... . Ill.. atrtctoc or CClItrlCtor. to undIrtMi .., theJ. III lie noull'lll to .. U.... II ....... litA
<br />.tate ~,1KI1 .,u.. If till coatrktor Ja lOt UctrlIlIlu ntUir. by 1., JIoUl tile.. .. atrIctor., ..
<br />cited for, lilli_IDOl' ,lollUoa under 'uti 1... If tilt 0IIIIf or IDbDded CIIItrlCtor an UACUtIJa u to .t llaa1l...
<br />npt,..ta.., .,,1, for tJae illtaded IOrk, tJJer are 14'i_ to CCIIStact tII8 cnr of IIpbrrW1t ..U........, (eU)
<br />188-6611.
<br />
<br />'.
<br />
<br />rurtlllnort,.U u. .. ... ..in4 . COIltractor or contractor., lie I' IlIviHCI to .... tM ClOItrlCtor(.) lip ,..u.. of *
<br />'c.ulCtGr "I..~ of t111IIppUQUOD for ldIi~ _ all be r..,.Sble. If rou, . tJIe --lip u tilt...,
<br />JOU III WtcaUag tlat JIll, ratller tJaaa till caatrlCtor, 11'1 r...lble for tile IOd. If tile ClIItnctar .... JGI to 11..
<br />II CIIItnctar tMt ., lie III Ia4lcatlOll tblt lie it DOt properl, llceutd ID4 11 IlDt aUtlIIt to JIlIIttllg lid...... Sa .
<br />CUr of ......111. ' , -,
<br />C. TRANSPORTATION IMPACT FBK8 AND, UTJLITY COMNBCTION ,...
<br />D. COtf8'1'NION LIBN LAW (CHAPTBR 713, FLORIDA STA'l'U'l'U, AS AIIIIIDBD)
<br />1 caUl, talt, appl1C1Dt, Ute heu pmldtd ,itb a copy of ',lorida', CGutncUOII Lt. .... . ~'. ProtIeu.
<br />GuJc1tl pnpIrlll br tM llorld1 DIpIrtIlent of Agriculture and COaMu Alflin, If till IlIP1Jcut It __ otIIIr tMD tile
<br />...., I c:ert1tr tllat I JIlt. Dbtllled . COPJ of tbe abotI ducdW t10QIIeat ., pr... iI ... fd~ to GeI1- Jt to tJII
<br />'OlRIIC' prior to ~Dt.
<br />
<br />B. ~R'8/OWHBR'S AFFIDAVIT
<br />I CltUfr tut dl tM Iafonitloo Iq till, application i. accurate ad tIlIt alllOrk will be ... II __ .l~ all
<br />eppllClbl, 1. ..tIDg _trKtioa, acmDg, . land da'll_t.
<br />1pp11caUa1 H .., .... to obtain. pera1t to do IOrk IDd lntull.ttoI u IDcUcatlll. I cert1fr tat 10 .1,.
<br />iDltlUIUcII. .cc__ prior to IIh1DCe of I pea1t lid tbit 8UIOlk .w III JIl'fOtlllJ to.. ..... 011111_
<br />regullttag COIItractlOll, eitr cocIu, lonlng regullUOlII, aDd J. de'w.-t ngalaUou III till jarhact1.. llllo
<br />tertii, tMt I ...... tJlat tbe reguJaUont of otJItr goy_bl 1IIDCl.. III appJr to till JatIIW ..a, ... tMt It II
<br />II r..,..sbllltr to tdlatlfr .ut leU. I _t ttb to be ID CCIIpUuce, 811d11lJ_III Incl_ lilt In .. lllltlt to:
<br />· ~t of 1Dri.........1 _IIUon - Cyprlll BarJludl, lieU_area lIIIlIlomoa.atl11, -au" ~,
<br />Mlter,......ter __t
<br />· IoatMIt flodOt IIItIr IfIataII!!t DJatrlet . 18U" CJpr... ..,...., IfIUIIId 1rUI, llterlqg ..-.-
<br />· . of . '-111, Docb, lI'lgabll IItma,.
<br />.. of ItUbUltaUYI Blnl_ IDYlr_tal lleilth UIlit . WeUt, IllateRtIt r__t, ",c lab
<br />· DI ~ ~ a.cJ - "'tOl.Iba~t I
<br />I a1Io cert1ff tIIIt, rill ..W11 to be _ ill flood loGe .1' or 'l,.te.', It i. undIntooll tJaat . __ ,lea
<br />IdGnM1Ig · ......UIg wol.' will be IlIIlIittef Jhicllla ptepared bJ a profudllll1lDgiM1r ngutlna II tIIIltItI of
<br />Plod" prior to _t 1aIuuct.
<br />I peq!t ..... 11III1 lie CDIIItrued to be . UC1D18 to proceed .l~ tIMlllOrk lAd DOt U IUtIIor:ltf to ,"te. .... liter, or
<br />lit aide ..., ,,"Wou of till tlldmical c:adee, nor _II ihUlllCle of . p8rIlt Pth'IDt tJlllulldllt OffloJal fa. tlllnlftlr
<br />repJrilg I eornotlGI of error. 11 pl., CGDIUuCtJOII, or YlollUCIIII of IIIr co4I. I9trt puIIlt ... aWl __ Jm114
<br />uaJ... tM .. akIHll br .. ptl'Iit 1a ~ tltbin ,II _u. of b!lUMCt, or If _k 1UtIlor.... " till penlt 11
<br />IUIpIIdId or .... for . perloel of ail -till after tJae ti.. tJIe ..111....s. OBI to .., .... of u.., III III
<br />aU_ for * patt tltJa f. dIaqe of t15.00. !be fltllllloa ...11 be nQUIIt8l111l UIUDg to tIaIldWlg Offlc1a1. II
<br />lppfM1lupact1oD _t .. Joggl4 4urlng Neb 811 atll period, or till projlCt ,Ill be c:ou.ItInI .hn....
<br />.- 10": .. 01_ !O IICORD A JOIICl or ~ III IlSULr II 'fOUl ,une; !IICI .. ____ to ..
<br />PIOPIm. l' 11II II!III) 10 CIWI nlllCllG, aJl8ULf ifill fOUl LDDIII 0111 &mIIIr ... .... ..IIICI or
<br />CDIIaCIm. .. ilia 12,500 II VII.UIIXJ lOr _ to .. UD P08f I 'IOrlCl or aIIIDIIII..
<br />
<br />.~~ ~~
<br />
<br />mft or ~
<br />aIII'f or - s (!()
<br />'be fongolag 1utI'uMDt .... acmowledged
<br />befon _ tbia (Jet. 3/ , 19..2.l.. by ,
<br />~I2.J!I-<RP/V
<br />~o 1. 1 J ao. to _ or wbo baa
<br />PI'
<br />u i_UlicaUoa 8D4 _110 did/did Dot
<br />~tl~ ,
<br />II i :--. JAMES A. STONE
<br />(I fJped ~lariaB
<br />IIO\'~ lVlIric . ~x ay 6, 1995
<br />CC1102l4
<br />
<br />BUfI or ~
<br />CCIIIIIY or '-.t~
<br />Tbe foretoiQ, 1Datru.at ... aa__ledged
<br />before _ thil 41'::1; 3/ , 11971' J)y
<br />
<br />~~A';?,<1l"'"
<br />itbO JaaOWll to .. 01' . ....
<br />produced
<br />.. idllfttiflcatioD aa4 vIIo did/did DOt
<br />
<br />~;d~
<br />(S.>)lture) .. ~TONE
<br />__ '. PUQlic _FloridA
<br />(N_ Typed, Pr. rR.'9xJt 6,1995
<br />HOT.! PU8Ll~ . CC110274
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