57370D - Fitts

American Fish Company
RO Box 1104b
� Southport, North Carolina 28461
Email: AFC036000aol com
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INVOICE NO -0
[phone]
(M) 457-6551 Fa.

", BOA V �1, 1 0 •5 %67S i
NEMe of Individual Applying For pest;
Address of Proptrty,
;Let ar Street, treet or Rand}
`. hereby cerrify that I own property adjacent to the above. referercro Proper*y. The indivi
applying for this permit has described to me as Shown
are prOpOsing. A description or drawing, with d ensio s, souls✓ hched dra ov d .c�e with
this
Wit
ec with tltiis {et4e
�= haVe no objections to tnis proP osEli
tt' )'oij have objections to Whflt is being proposod, please write tt1e Ui.isictt of Cos
�Isnagem@nt, 117 Cardinal Drivo Extension, Wiiminporl, .0 -8405 or `'ill yt `496'7
witbio 10 days of receipt of this notice, �
No response is considered rlie same as no objeab
}'ou huvo been notified by Certified Mail,
WAIVER SrCT10Y
i understand that a Pier, dock, mooring pilings, breakwater, goat Izousc or boa; lift musQ be
ticks minimum distarsee of 15, front my area of riparian access . unless �� a�. ed
�4isb to ��'aive !!'t setback, you must initial tho appropriate bki� k bclo%►
do wish to waive the i 5' svback reauire,,.e-:
j �� � isn to waive t;`�c 1�' setback ":G�irern:r.:
4z-em
Jatc
tine tifeme

Name of Individual Applying For PenT it. J C �:s
Address of
t or Street 0, Sheer or 12066)
.;Ciry and
unty)
CiJ
herrby cerciiy drat I owns property adjacent to the above. refcrer.,ea grope,
tts
appl}'ing for this permit has described to me Shown on the aThe in�iivi
tt!�hcci druwin�
are pronasing. A description or drawing, with dimensions, should :�� „ ,i� - with
this
_ � rot de;l w;th this ktte
have no objections to this propestt;
It' you have objections to ► hat is being proposed, please write the Di�iyi:fn Of Coe
"45 or1Nlanagement, 127 C-ardlnnl Drive Extension, i
within 10 days of recoiptofthis notice. No responsv is considered ritusomeLa li 43�•7Ab 1
you have beer norified by Certined Mail. -''L abjtctb
WAIVER SECTION
l uaderstand that a pier, dock, mooring pilings, broalova ter, boat ;»usc or boa: lift must be
5t:k a minimum distance of is, rrom my area of ripAriAn access - unless �Y air ed bt rne. (If
Wisb to waive !he setbacit, you must initial the appropriate blank below
X— do uisti to waive thq 1 ss,bnck recur'ren,c-:
1 i9-zZ wish to wajyc tht i$' Utbaci;
54r Name
Alta
Al
rlrlr dame