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Planning and Developmen¢ sa—Mcceg
SUH99insl abad C'op'e Regulation aluW ara
2.90OViroW Avenue, FuvtXerce F&3,6-982
Phone-
(772) 4(52-1553 Fam X772) 462-1578 QammercW ReWent!M
PERMIT APPUCATi ON FOR- TO S -I -d fro- d.pbax, cUc k a fow at the (and of fine
PROPOSED WROVEMENT LOW �°WN:
Address: 3 '3 c
Lesai Description:
Property Tax ID 0: Lot No.
Site Plan Name: Block No.
Project Name-
Setbaft Front_ Back: —Right Side: Leta Side:
�DEETA�L:E:5 DESCMPTION OF WORK:
X" Lc A- L' -rt -lc -
C f4c'
4
CONST- RUC=H INFORMATION:
ataona wor raga under this perms — Eect all appy:
HVAC Gas Tank has Piping ®
_ Shutters Windows/boors
®
6lertric Plumbing 1171Spri lMars Generator
Roof
T®tai Sq. Ft of Construction: Sol. Ft. of First Floor:
Cost of Construction: S Utilities. USewerE] Septic Building Height-
OWNS A SEE:
CONTRACTOR:
iVarne C.- J`�l Name:
Address: U I Company: C
City: • ec (- State: Address: %
Zip Code. Fax: City: • e Cce rtate:��
Picone No Zip Code: 3 '4 5 a,2 Fax:
E-Mail:Phonal No, t— (0
F111 In fQ siRVW Tittle H@Odeg' On nogut pmSe (( N difftrent E -Mall. r� `• r {= sr, c
fivm 2h@ (Dwsnw listed aboWQ Stage or County Uceese: CaC
'1laiU8 Of Ga6f�nVUEVOR p9 $2990 Ott' ta71i OV5, 2 RECOMORD Pftjee ()V(��ii&fiu Si C�GQC�G�IC��DL# is MgUlMd.