Epstein Secrets

ch information provided herein, is true, complete and accurate. I further cenify that I possess the authority to undertake the proposed activities. Signature of Applicant or Agent Signature of Owner (Where Applicant or AgriRis not er) Date FOR DEPARTMENT USE ONLY Inspector Record Date Inspected: ( )Permit App

ment of Existing Structure O Description of Activity R.2.41kek2.(1* iCt rerliCVS "Ann it, v epu--\ \AN -‘,45 JJ x`11 2. Base Flood Elevation at the Development Site is N R. above mean sea level (mu) . 3. Elevation of the First Floor Basement or Flood proof level for proposed structure is U. A. 4. Describe

h information provided herein, is true, complete and accurate. I further certify that I possess the authority to undertake the proposed activities. Signature of Applicant or Agent Signature of Owner (Where Applicant or AgSttf is not er) FOR DEPARTMENT USE ONLY Inspector Record Date Inspected: ( )Permit Approve

of Existing Structure O Description of Activity ree-Dicerk.--4/ - fn 1/4 i calicAcs. /.4‘viviivo'iy5 'it 64.0<-0,1 2. Base Flood Elevation at the Development Site is 93 A. above can sea level (oui) • 3. Elevation of the First Floor, Basement or Flood proof level for proposed structure is 1 2_ 4. Descr

h information provided herein, is true, complete and accurate. I further certify that I possess the authority to undertake the proposed activities. Signature of Applicant or Agent (if not owner) Date Sign Print Sign Owner(s) (Rquiredr--- Date ) Criltk I fin J1) 4-4 n olgo-to f I to k tr./ Print S St I,- t

ovement of Existing Structure K Description of Activity cosuomoncianA0anOxt a TeWerf an. Lard.gGroan Mon 0cckleroP Wong 2. Base Flood Elevation at the Development Site is n1a ft. above mean sea level (msl). 3. Elevation of the First Floor, Basement or Flood proof level for proposed structure is WEI 4. Describe