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St. Lur ie Ciourity Health Department
5150 NW Milner Dr Part taint Lucie, FL .34983
PAYING ON: #:5E-8F-2338227 61U-Dtlga&:-BIQ-5467878 CONSTRUCTION APPLICATION 4:AP1702247
RECEIVED FROM: Samson Griffith AMOUNT PAID: $ 35.00
PAYMENT FORM.: CFfF_.CK �2�3 ay PAYMENT MATE: i78104;2-02'i .
MAIL I O: Samson Griffith
FACILITY NAME:
PROPERTY LOCATION:
2007.N 42nd St
Fort Pierce, FIIL 349.47
10 3
Lot: Block:
Property iD: 2406--�0170036-0@0-1
EXPLANATION or DESCRIPTION.- QUANtITY FEE
139 - OSTD-S Application Approval Existing, No Insp 1 $ 35.00
RECEIVED BY: AclaMsG „A_M � AUDIT CONTROL NO. .56-P1 5117225 , -
STATE OF FLORIDA
DEPARTMFIQT OF HEALTH
CJNSTTE. SEWAGE TREATMENT A= DISPOSAL
S�'ST�M
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APPLICANT'S RESPONSIEX.LITY TO PROVIDE I)0CiJ&IEN'P.ATX03q 0^ THE DATE TR3 LoT WAS CRE'ATEA OR
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