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140 NE 93 St (8)TYPE: ROOF: s SURVEY FOR: WA ADDRESS: CITY: /Zf4 RV Y --- SPECIAL INSTRUCTIONS -- grid - 1 - 711 774 o 4 &/1 EXISTING TANK IS LOCATED IN: GARAGEILITY ROOMED WILL TANK BE RE- LOCATED? YES® NOD IF YES, HOW FAR FROM EXISTING TANK? FEET RE- LOCATED TO WHAT AREA? WHAT ELECTRICAL IS AVAILABLE AT EXISTING OR 220 VOLT OUTLET: YES N0® 110 VOLT OUTLET: YES tom( N0® IF TANK IS TO BE RE- LOCATED las4► INFORM FOR OFFICE USE ONLY LEGAL DESCRIPTION NEW LOCATION? HOW MANY FEET HOW MANY FEET DD COUNTY: STATEN /7/ ZIP: 7.�y PHONE NE 1l HOME U S E D E S C R I P T I O N ONE (1) STORY 'i TWO (2) STORY ED OTHER® TILE ® ASPHALT SHINGLE 0 TAR & GRAVELEg BARREL TILED OTHER' r'ORPORATE OFFICES: 1755 West Olive Street, Lakeland, Florida 33501 CLOSETED ()THERM PROPANE OIL ® ' NATURAL GAS FROM TANK? 2' FEET FROM TANK? -13 FEET CUSTOMER OF $ RE- LOCATION CHARGE. Inspector WORK (NOTE: BE SURE TO INDICATE SOUTHERLY DIRECTION) LOT: �---- BLOCK: SUB- DIVISION: //44A71 riu.Ar, t' - 11,VIIIISEEME.Esigt T E LEADER IN TI-Cd MOD OF ALTERNATIVE ENEV Y WI U WEJ �© ,MTION TM j NPC -1060