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Disabilities Act and. will
make. . reasonable
modification$ fot. access
STATE OF FLORIDA y~ lf.P&~
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COUNTY OF OKALOOSA a.
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Subscribed and sworn to ( or affirmed) before me this - S 1f ~ ~ ,~
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request.~' For Hearing
Date) ImeQ.i~. d dial CitY. Hall
n.' . ( TDIJ<r',85&'83B. 9925" "'br<'
by' Jf\M1VJ A.. ~ ~/ tls- , who is/ are personally known to me or 1. 80~ 955. 8771 / TDD)
v . or.); 1 ~800-955, 8770
rvOI<$);Requests: ..... -
must
be receivedqt least 48'
have
h.../ produced ~ CJYJ.c,{ (( ~ ~ nQiA N1 ... ideutificatiou. hour.s.,: in advance oK!fhe
Type of identification) meetk1s . in or~er to allOW
the"''+ lty. tinie'i:\toprc)yide.
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ELEANOR H PES . ~
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N 0 t ary P.UbI'IC, C ommlsslon
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requerd
Hel~i1i5p'encert.. " l'
q... ~ 4:18: City Clerk ....~ \'.),'
j, muulJ..."...!)
2001
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Name of Notary t)' printed or stamped)
833.9509 '
leg. Q694,
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Jll Bondedthr~.(
I.., F' orida Notary Assn . Inc ~
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