HomeMy WebLinkAboutMr. Whelan - 43588SlF 0 U 8CUE COUNTY
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PERMIT APPLICATION
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APPLICATION FOR PERMIT TOCONSTRUCT
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LEGAL DESCRIPTION
/ A.1 ej::�bRIVEWAY PERMIT
ROAD IMPACT: DISTRICT
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PROPERTY TAX |D
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ARCHITECT: NAME ---
ADDRESS ___
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CONTRACTOR: STATE REG/CERT COUNTY CERT
NAME
CITY STATEJ�A!L_ ZIP�� PHONE
OWNER OF
NAME
ADDRESS E
35
CITY STATE 0#4014 19 ZIP
STATE OF FLORIDA, COUNTY OF ST. LUCIE
Refnna me, the undersigned authority, personally appeared
being duly sworn, deposes and says that the information containnz
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e and correct.
___ who upon
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S*'`rn to and subscribed before me this ay of
\ \� �QT�\C'� C -1 - 46' 1 L�LSCHOOL IMPACT FEES PrnI11RUVIENT.
Required [:] Yes D No
'``''ry Public, State of Florida at Large Amt. p6
/Ny Commission cxpi,o». _ Date P6'_e/j"V,st!d —
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