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PERMIT APPLICATION
rlUl �u NSUN ISLAND PROPERTY �I y ST. LUCIE COC�N�TY PERMIT review of our submit!al wil,' be made for comnli,'),ne ,With ST. LI;C!L COUNTY il'ic10�Tg 'cN89. EC E7-03 (CODE # 31 a"3Q 1* APPLICATION i SEWAGE PERMIT NO✓`770 Z/- /Y-11 LICATION FOR PERMIT TO CONSTRUCT as 4l- e- �cc lei /�-� /.2 c/ fB LOCATION/ADDRESS: �41re LEGAL DESCRIPTION L.107-1 31 /3G o 'l, 11. ff RI�IIIA "IMPACT: DISTRICT' ZONE FEE ' �' Io / ID L.4-A- -9 4.e-)4,ai i MAP # FLOOD ZONE. � %� E V r L�IIIIi 3 BLOCK �= UNIT=� SE ( [ TWP 7---) RGf ZERTY TAX ID # O - a O 3 (� / �$- ODD , ZONE GMPP . L�1ISIZE/DIMENSIONS EST COST , r7 no, © e5 //SET'iI ACKS: FRONT IZ3 7 REAR SIDE �/0 d SIDE SQ FT BUILDING: LIVING AREA ✓ /7 9 ACCESSORY ' 3 a P � Radon: ARC"IITECT: NAME a •g jj e I IIIZEd AY PERMIT lu 1 V "ADDRESS CITY T _Zp ��i�-(,�,c,C Yes ---._----- ��— eON RACTOR: STATE REG/CERT @ "x'COUNTYMff I MIT,Ii II NAME ADDRE Se STATE being CITY STATE ZIP PHONE OF N E -��`� �► �� l-) At. I- RTY: ADDRESS PHONE 3 CITY _�� tOi��'hv e STATE FL /-4 Zip-35oL6etS FLORIDA, COUNTY OF ST. LUCIE ire me, the undersigned authority, personally appeared , who upon sworn, deposes and says that the information contained f the fo going appil 4s true and correct. Applicant n to and subscribed before me this V day of ry Public, State of Florida at Large SCHOOL IMPA T FEES Required Yes ❑ No>>11 Amt. Pd Gu Commission expires: Date Pd Posted