THE UNITED STATES VIRGIN ISLANDS

THE UNITED STATES VIRGIN ISLANDS OFFICE OF THE LIEUTENANT GOVERNOR OFFICE OF THE TAX ASSESSOR GREGORY R FRANCIS UEUTENANT GOVERNOR MAPS REQUESTED FOR EARTH CHANGE (PACKAGE) PARCEL No. (PIN): 1-09801-0101-00, 1-09801-0102-00, 1-09801-0103-00 Great St. James Island Red Hook Qtr. B-183-2 Great St. James Island Red Hook Ott C-1&C-2 Great St. James Island No.6A Red Hook Otr CADASTRAL SECTION COMMISSIONER OF INSURANCE ESTATE No.: I. OWNER/APPLICATION INFORMATION OWNER NAME: Great St. Jim, LLC DATE: June 28, 2017 TELEPHONE: 2. REQUESTED MAPS (CIRCLE OR CHECK THE FOLLOWING) OFFICIAL ZONING MAP $15.00 FEMA FLOOD INSURANCE MAP $15.00 SURVEY MAP $10.00 $ $15.00 WATER RESOURCE MAP $15.00 SEDEMENT REDUCTION MAP $15.00 SOIL SURVEY MAPS $15.00 DEPARTMENT USE ONLY: AUTHORIZED SIGNATURE: Public Surveyor (Not Valid Without Signature) ALTERNATE SIGNATURE: TAX ASSESSOR TOTAL FEE: DATE: DELIVERED TO CASHIER No. Received by: (Signature of Cashier) Receipt No. Date: EFTA00798205