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JOB LOCATION/ADDRM: SPANISH LAKES COUNTRY CLUB VILLAGE LEGAL DESCRIPTION El of Sec. 1, T.34, R 39 Less N. 1069.54 lying N & W of Turnpike feed road `IEWA'1 PERMIT ROAD IMPACT: DISTRICT---_ __ S/D ZONE FEE YES NO MAP0 FLOOD Z0919 IniLLEV-�..f— LOT BLOCK UNIT SEC TWP KGJr TAX IDO # 1301-113-0001-000/1 LUNtr _- PDD GMPY LOT SIZE/VIMENSIUNS EST COST ��?O SET BACKS: FRONT REAR SIDE � � � / f-�---- SIDE / �f SQ FT BUILDING: LIVING AREA ACCESSORY ARCHITECT- APiE PHONE ADDRESS CITY ST ZIP CONTRACTOR: STATE REG/CERT 642605 COUNTY CERT 1850 NAME DAVID LOPER � �� `'�� ADDRESS 33021 Enterprise Road CITY — FT' PIERCE � STATE FL ZIP33482 PHONE 456-7210 j^® OWNER: NAME .� `� V 1 ADDRESS S C A-)• �G� p CITY PHONE STATE----------- ZIP "STATE OF I LORIDA, COUNTY OF ST. LUCIE BOOM me, the undersigned authority, Dersonally appeared bolno duly sworn, deposEte and says -trot the Information contained in the foregoing application oin a lication is true and correct. . why • upon 6 e Sworn to and subscribed before me this Applcant .--________ day of 19 i Notary Pub11c, State of Florldo at Urg---ge---_ SEPAPATICN l;ITT! ', EEC, PRO?C^ p SCH�0L_IMPACT FEESPJ�CE�=I I iF�JCTURES NifET5 AND7�'ri txCtEGS 15 Required `c�UJ?U"';EIVT. Yes ea.. -- _- Amt. Pd Fi i `__ S"" / 2 >: