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ADJACE114T RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I COMY that I own pn aperty ad)aoent to _—T"i r' D 1 e
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bra �a � �. � rf � Ch ✓1 �
Addmos, U4, Block, Rood, rtc,)
an SO�tr�C , in �� ►�7�°-+'e -� N.C.
,Urb,c,d„► gown an4kw Cotmty)
He tfetaatW ID ms n I hoW initxt XIUW d npplk�atbn and p�*d drati►jV*), tht droelopm ent
twit at mat IoCidh ot, 9nd I lvRw no ot#vctfons to his proposal.
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ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to i (,�L 010
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(Name of Property Owner)
prlocated at �� / '' " %�)
operty
Address, Lot, Block, Road, etc.)
In �.4 V-4�=on
N.C.
'= (yyy) (Town and/or County)
the develo errt
�y He has dewribed to me as shown in the attached application and project drawir►g(s), pm
6
w �F' he is proposing at that location, and, I have no objections to his proposal.
(r~ir'pL_;CATION „Nj) DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
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Print or Type Name
33Z �71 66 `77
Telephone Number
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Date
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MUD BUCKET DREDGING, INC. 3812
PH.252-241-1504
507 HEDRICK BLVD. 66-112/531
MOREHEAD CITY, NC 28557
DATE $ ' O6
PAYTO THE / f D
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ORDER OF 2 'DO
DOLLARS
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BRANCH BANKING AND TRUST COMPANY
1-Boo-BANK BBT BBT.com
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