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A review o,f your submittal ST. LUCIE COUNTY PERMIT APPLICATION ��t
1
will =e made for compliance
with ST. LCIE COUNTY XANWED �nr
P, � C 89. EC8103 nM ( CODE ) SE AGE PER JT
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/APPLICA, ON FOR PERMIT TO CONS'T IJCTJOB LOCTION ADDRESS: �2
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NAME ek!2; `.. PHONE
ADDRESS 2�� lG XCL CITY l ST V-EL,, ZIP 3 �3
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TATE RfP/CERT:/�C C44-3ZN Cq NTY CERT #✓ 34s
AME L�C11 1cXA �L\ VCO V��L�g /ADESSI CITY K . QaAvv' � STATE ZIP -3CS PHONE Aft-033k
OWNER OF I NAME AP.GVty
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STATE r \cL
ZIP 3313`1
STATE OF FLORI�A, COUNTY OF ST. LUCIE
Before mile, the undersigned authority, personally appeared
who upon
being duly swor'nl, deposes and says that the information c
ined in
the' foregoing )'cation
is true nd co /
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Applicant
Il woFqtp • a(ble�ci
nd su�st�afDreTm this 1y
day of
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PAU b.. 80-DAHL
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Expires
SCHOOL
IMPACT FEES
Required
❑ Yes o
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Notary. Pubic, State of Florida at Large
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