HomeMy WebLinkAboutCERTIFICATE OF COMPLIANCE.00
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Port St. :Lucie :Building Department
FT—hN fdan.ls to be filled out
--ntrol..ComRpny
Celtifutate of Compliance
(This Is a partial treatment only and not a guarantee or warranty)
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Permit Nurnber, (SOS - 0
S' 10cie Cou..
Location of Property: P/, EL . - P za2z- --usl, &� .— W
Legal. description: Section Bldck. Lot
Pest Control Company
Company Owner mo Plea 6 Print
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,Date -Tltle�
SWI Treatme t pa,y C M n Information
a nforma
ell,
Company lVanne, V
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Address
Soil Treafffient/DACS License
Treatment InfdWatidti
Second Tte5trfiefitInfo ftfiptib n
'Date of Treatment
cNeffileal U!kd:
Concentration
'Gallofis .Used
Method of Application(soil-mixed,-
Unear Footage of --Area Treated'
'This formAUST BIERIMIRNED to.ihe:0qQdIiqg Dep
artment.
before Y94-r-Arfal In'skC.0"An iS StlIft'ledi.