HomeMy WebLinkAboutJeffiner Keith - 43558fk-mw
�^ ST,,76iIj
�~�1 �l[ UU���K� o����X��l["� PER��Ul[ ��PPKU��ATI����
.~ . . �_- __ _
°PERMIT NO. (CODE SEWAGE PE MIT NO.
' wROAD IMPACT: DOSTRICT ZONE FEE
LOT SIZE/DIMENSIONS
SETBACKS: FRDNT_�i��__�1
'
SQ FT BUILDING: LIVING AREA
t
ARCHITECT: NAME
CONTRACTOR:
OWNER OF
ADDRESS
am
CRCOI88O
ZONE GMPP
Ls
EST I COST
SIDE SIDE
ACCESSORY
PHONE
ST___-___ZIP
__-______-
COUNTY CERT #____8681
ADDRESS
3JATE___J�~____ZIP _����]�__PHONE
CITY
NAME ~' � .//^,
PHONE_
ADDRESS
CITY STATE ZIP
STATE OF FLORIDA, COUNTY Of ST. LUOE
Before me the undersigned authority, personally appeared , who upon
being 6o|y sworn, deposes
6epnses and says that the information c happlicationis true and correct.
Sworn to and �b�i�d before me this6ay � l9- --
SCHOOL IMPACT FEES
Required FlYes No
Notary Public, Stahe or F16r(da at Large Amt. Pd
My Commission erpirw,. " J Date P6
...
�%
x�,, 9`. � t��� _ .
•,
�, <<:
� � �
JON
T*, L
PUMA A .
■
A --
IF
^
I
r - '
': 1 y kfrP4 9°9
n cvls
_ 7 6
.0
I
g
�ba F _ _ 61_,b'6 S i�-��.►I@t�►..$i!-LP.�.O. ��� � ya•i �T � �Y
It.
QL
1 I I I r�1 ��1),:I�'!i ���. e: Kl '� JC I =1 �'1' I i 9 'i N • • dt
> € 6 i i � � � � `Y R' ii � 3 c � � � s _� PPP a '! "i 1 rt � 1� ;Z a'•'
'I i ill •j 'f - s a y Y ��'
tt 4
r 4/1 -IL /-F
N
13
7/
c