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ST. LUCIE COUNTY PERM IT APPLICATION qW
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PERMIT NO. A ( CODE $r.� } SEWAGE PERMIT NO. ---
APPLICATION FOR PERMIT TO CONSTRUCT
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JOB LOCATION/ADDRESS: e ®-�
LEGAL DESCRIPTION _- UHIVEWAY
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ROAD IMPACT: DISTRICT - - ZONE FEE -��-�. 'n
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LOT SIZE/DIMENSIONS ` ---
SET BACKS: FRONT // A--- REAR _�`'--t--- SIDE _ f SIDE �® -
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SQ FT BUILDING: LIVING AREA - ACCESSORY--
ARCHITECT: NAME _ PHONE -
ADDRESS CITY _ _ _ ST ZIP
CONTR CTOR: STATE REG/CERT #-_�L - COUNTY CERT #
ADDRESS _/.�6
NAME _.-_ - 11 -- `/ ,�/
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OWNER OF NAME �i�-Ybo� --=--�C�' ��• - _`_
PROPERTY:
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ADDRESS
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STATE OF FLORIDA, COUNTY OF ST. LUCIE ®w S /41�
g y ersonall appeared ___. Ov � ,who upon
Before me, the undersigned authority, p Y PP lication is true and correct.
being duly sworn, deposes and says that the information contained in the fgo go' /
Applican
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Sworn to and subscribed before me this day of
SCHOOL IMPACT FEES
Required ❑ Yes [] No
Notar Public, State of Florida at Large Amt. Pd
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