HomeMy WebLinkAboutPERMIT APPLICATION,PUIU11r1n Z'UN I')UUVU PHOVIL"lY of7l*i -491
w of lour submittal ST. LUCIE OU TY PERMIT APPLICATION`
'Will mad -,or 'compliance A C ll&h T�- 1f 19I _
w Ih ST. LUCIE COUNTY 8,CANNEo /
P pcN89. EC 8i •W t _ ' ( CODE #_—__,) SEWAGE PERMIT -NO. lSX! ST/MGM /
Sit, LLM�� ��W1i
�PP ICATION FOR PERMIT TO CONSTRUCT ��
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• J B g1DO LOCATION/ADDRESS: t� i-� I7� S
l 1,L DESCRIPTION 52 AT GNen ✓ HAf� - ROAN' `t
I
/50 F
STATE
being
IMPACT:
STRICT G�L��C�-x�G� �14E _ vF�' 3 _
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BUILDING: LIVING AREA N1A ACCESSORY /��j L7.4 -4 Radon:
TECT: NAME J• A • A L ioNE PHONE ( 1 :391I r 5o;' O
ADDRESS ZOL JCAIJA/OLD CITY ��M�A ST ZIP 603
1ACTOR: E-RW/CERT # G Ca G 6710 � G� l - CO NTY RT
:AME I GHA t2 D k• f �AV1� �O
ADDRESS
CITY f%T I P--- e STATE ZIP --3495 PHONE'&J-e �5
2 OF��AME - A0 - _cHweh1 INN"
'ERTY:
ADDRESS -4l GO PC- 5 PHONE ' 93r-W'
CITY STATE C L . ZIP 9
DF FLORIDA, COUNTY OF ST. LUCIE
Before me, the undersigned authority, personally appeared �'v/'-L�-/_) A- ✓/ _ , who upon
July sworn, deposes and says that the Information contained I the oreg ing appllutlon is trw end correct.
Applicant
;worn to and subscribed before me this _ day of _- 7-0
N
04�
sry Public, State of Florida at Large
Commission expires: 1-
SCHOOL IMPACT FEES
Required ❑ Yes 0440
Amt. Pd
Date Pd
Posted .--- .-