I, the undersigned, agree to construct the driveway apron according to the standards attached. I also understand that it is my responsibility to grade, shape, and sod from the edge of the road to the right-of-way line. If any other areas are disturbed, I assume full responsibility and will rectify the damaged areas.
| __________________________________ NAME (Please Print) |
__________________________________ COMPANY |
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SIGNATURE
I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State of Florida, County of Citrus to take acknowledgements, personally appeared __________________________________ who is personally known to me, or who has produced _______________________________ as identification, and who did/did not take an oath.
WITNESS my hand and official seal this _____________ day of ___________________________, ___________.
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NOTARY PUBLIC