HomeMy WebLinkAbout17-18070 � �
CITY OF ZEPHYRHILLS ,
5335-8TH STREET
� - � �sis��so-oo20 18070
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit R➢umber: 18070 Address: 38541 8TH AVE HISTORIC
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Es�. Value: Parcel Number: 11-26-21-0010-10300-0080
Improv. Cost: 2,400.00 OWNER INFORMATION
Datetlssued: 1/12/2017 Name: SHARMA, DEVANAND -
Total Fees: 50.00 Address: 38541 8TH AVE -HISTORIC
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 ,
Date Paid: 1/12/2017 Phone:
Wo�k Desc: REROOF SHINGLE-approved by historical ��
I CONTRACTOR S APPLICATION FEES '
TRIPLE CROWN ROOFING INC REROOF RESIDENTIAL 50.00 �
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Ins ections Re uired
DRYI ROOFINSP
TAPE JOINTS ROOF INSP
FINAL !
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
f first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
� entities such as water management, state agencies or federal agencies.
"Wa�ning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
I before recording your notice of commencement."
- ComplIete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
f City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRACT R IGNATURE PERMIT OFFI R
� PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
� CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
f PROTECT CARD FROM WEATHER
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a�s-rsa-oa2o City af Zephyrhilis Permit Rppiication ��-s�s-7sa-oo2a
, �- Building Department
Date Received —f�,� � .phone Cantact fo�Permitting • f� �.3 — 7��
Owner's Name � �����'U� J� %� Owner Phane Flumber
Owner's Addr�ss �� �• C��� ��vY �`�"-� �7 OH+ner Phane Number � �
Fee 3imple Ti�teholder Name Owner Phone Number �� �
' � � „
Fee 89mpie Ti�tieholder Address
JOBADDRESS �� �f' �IJ� ldT# �.��
suBo�v�s�a�i PazcE�.�a# //'��v -�1-,�1('tG'� —/43t?t� - .f�!}�fl
(OBTAINED FRORA PROPERTY TAX NOTICE) �
WORK PROP�SED � _. NEW.CONSTR' AQDlAL.T � SIGN Q Q DEMOLtSH
e INS7ALL. 8 REPAIR
PROP.QSED�SE Q SFR Q C(�MM � OTHER
TYPE'.OF CONSTRUGTiON Q BLdCK •• Q. FRAME C� STEEI. Q
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DESCRIPTtON OF WORK � d'f"� ��<fTlf � ��'�`�G< _Lr.% ��r !Z'S �a �/2• /�`��!.
BUIG.DIN�(SlZE � �, SQ FOQTAGE�� FEEIGHT -��
OSU{LDlNG � �} ,c��r � VALLIATION'OF TOTAL CONSTRClCTION
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QELECTRICAL $ AMP SERVICE Q PFtOGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ' _ �(�� �}
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QME�HANICRL $ VALUATlON OF MECHANICAL�NSTALLAYEON
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Q,GAS � RdOFING Q SPECIAL.TY C� QTHER
FINISHED FL�QOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER CCiMPA1+1Y
SIGNATURE REGISTERED Y•/ N FEE CURRE� Y/N
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Address license# � �
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..ELECTitIG.IAN COMPA[�1Y
SIGNATURE REGISTERED Y/ N �FEE CURREA Y/N
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� Address license#
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FCUNlBEtt.,, COMPA�+IY� •
SIGNATURE � RECaISTERED Y•/'N FEE CURRE� - X/N"
Address Licerise# � �
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MECH74NICA1:' . CONIP.ANY
` SIGNATURE` REGISTERED , Y/ N - . FEE CURRE� Y/N '
Aiid�es�' ' ' � License.# �� �•
,�.,;;'s c-:�:, -�^� /
QTHE$;:. ;�•`� � � COMPANIY f/.j l� L1G�'� t.�`3- fit/G
rv`.SIGNATURE��r . - � � � ' REGIS7ERED - / N FEE CURREA Y/N �
Acidress;� ; 71�I����u/�:�llf�c: � ��'° Licerise# � ...��f'�13�(�
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,.:,.RESIO�NT(Al.;�;�:`;Attach`�2);RIot.Plaris;"(2}:setsof�Buit�ing°Plans;{9)'se#'of�Eneigy;Foriiis;R=OkW,Permltfornew.constcttct(on,�
�"; , �.a:�.�-,.�'����;.�_Minlmum;terr(�10);workingidays:afte�sutimittal:date.:Required`onsite;Canstruction`Plans;Storinu"vater Plans w/Silt Fence.installed,
'.r.'...'::.-,.: . .
, Sanitary�F,acili4es;&;1�,dumpster;Site��Wor,k Permit:for,sutidi'visions/large"p�oJects` " ' �'`
�.��r:GOMMERCIP�C. Attacii�{2)�ixiiriplete'sets of'Bu�Idlrig�Flans'pleis a Ufe Safe#y Page;(t}set of Energy Farms.ft-C}-W Pecmit#or new.canstrua�on.
- � Minimum ten(10)working days after subm(ttal date. Required ansite,Constructian Plans,Stormwater Plans w/Silt Fence installed,
�� Sanitary FaeiliUes$�1 dumpster.Site Work Permit:foi all-new projecis.All commercial requirements must meet compfiance
,�';-SIGFI.PERM17 "Attac"ti(2)sets:of;Engtneered`Ptans:e.:.., : � . . .
�'-�°:�= i "'""PROPERTY SURVEY reGuired foc aII.NEW constructlon.-
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~'::,Dliecti6ns: � �r;>:«�,,.:;.. ...: .
- �Flli:.outapplication completely.
: �Owner&�Contraetor sign back of applicatian,natarized
'If dver$�2800;a Natice:of,Commencement is required. (NC upgrades over$7500) .
�a..::,rti �,,u:,, , .
�°'•"' Agenf(for`th`e"contractor)Tor Power�of'Attoriiey"'(f6r'the'oinrne�)wauld tie someone with notarized letter from owner autharizing same
�`::';OVEIt'.TFlE GOUNTER:'PERMI ITIN�Ca','_ ,�' `.tcopy.of•contract�required) ` ' -
�:�Reroof§if.shingles Sewers , „ Service'Upgrades A/C ,Fences(PIoUSurvey/Foatage)
` ��.��:. �
` Driveways-Not over Counter if on public roaduGay§:.neects,ROW
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NOTlCE C3F DEED RESTRiCTIt3NS: The undersigned,understands..that this;permit may be;subject to".deed":,r:esfrictions".�::.;.,,,:i
,� rY.•� 4. . :. . _ . . ..r�2":�: . i .�;.`R �.- .�..,......�u�....vt�:.i.•,:
which;may,;be�mor.e:cestric#ive_than�Courntyregulations::='The�uriciersigried-'assume"s�responsibihtjr°for:corriplian'ce�rurfh�any „
� applicable cJeed restrictiorts. � �;=:f.="; :',,:`:°�•-,,
UNLICENSED CONTRAGTQRS AND CONTRACT�R RESPONSIBILlTIES:• lf�the=-ovirner-�has° ti'iretlya�Ycon#ractor or
contractors ta undertake work, they.;may;be�required to be=licensed in accordance with state and-local:�r:egulations:,--if�.thez�':�.,: �
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cont�actor is,not (icensed as required'by�taw, both the ovirner:and'contraetor•�may��be��ciCed=far�;:a��misdemeanor violatio.n' ;��;�
' under state'Eaw. If the owner or intendeci„contractar are uncertain.as to wha#.licensing requicements:ymay�appiy�foc<�fhe��;��::;;;
,..�.a. .,,,,.: _
intended work,-they-are-advised to confact`tlie`Rasi;o County Buitcling tiispecfioii�Division-Licensing S:ection af.Z27=847- � 1
80Q9. Fu�#hermore, if the. owrter has tiired`a cciritractor or contractors; he is advised ta��have ttie con#ractor{s,):�sign,�:4,.,,.a
� .. .h..;._;,.,: ,5:.�:.:,u....�,:.. ,i ,
portions af the "contractor Block"of this application for.which.they wi!!.be-respansible:-:�Ifyouu, as�,the=;owiie�sign�as".tPie �='�,,,�
contractor, that may be an indication�that he is not properly�ficensed�antl is not entitled to permitting privileges;,in.:Fasco:.s;..,�;�
,�..�,� ;s..
Counry. i . . , ..: . . ., � �. ��...�;. �:..t<. .�;..;,�i
TRANSPC?RTATtON-tMPACTNTiLlTIES.tMPACT AND RESOURCE RECQVERY FEES:�`The undersigned understands.-�;,�:�
that Trans ortatian fm ac#Fees and Recourse.Recave Fe,es.`ma .a t �to,the construc#ion af:new:builciin s;�ciian`�'e�af���:rt'�;;
P p tY Y PP Y_ 9 9. ,
use in existing build�ngs, or�expansion�of.-:exlstir�ig buildings, as spec�ed 'm Pasco County��rdinance number 89-07�and :.a�:�a'
90-07, as amended. The�undersigned also'�,understands, that such.,fees,�as`may,,-.b,e��due, will:tie:.ide�tifled�at��ttie�:time;':of���•.���
permitting. �It is further understood that Transportatiori Impact.Fees��a�d ResourceFRecavery Fees must be paid prior_to �-;
receiving a °certif+cate of occupancy°or.finaG,power re(ease. If the project does not�invqlve a certificate of occupancy;:o�_'•:�`��`'�� �
fnal pawer release, the fees mwst�be_paid prior to permit issuance.,;FurtFier.more,.if-Pasco rCaunty Watec/Sewer,.�impact:�,!r- ;c
fees are due,they_musf:be.paid prior#a:permit'rssuance in accordance with�applica6le_Pasca_County oriiinances. � ,�
CQNSTRUGTION�LIEN�l:A1Af(Chapter 713, Flarida 5tatutes,as amended): If valuat�on of work is$2,500.O,O.or..mor.e;:�in.�,;� :
,w�., i
certify that I, the applicant,. have .been..prov�ded with-a�copy::of the "Florida� Constru�tion::L9en-.Lavi�Homeowner's �
Protection Guide" prepared by the Florida Department of Agriculture and Consumer.Affairs. !f the applicant<is.sameone.� . °
,. „.�R.,...,,�#.,,
other than the"owner",,t,certify_.that L have ob#ained a copy of-the above d'escribed'document�and promiseein_goo.d faith'to ,�
deiiver.it.to.the`;owne�:priorato`commencement: " , . . - '
CON3RACTCtR'S7QWNER`S AF�IDAUIT::;i��.eertify�that alt�the information in this appiication is accurate and'thaf all�work
w�lf be done in compliance with a8 applicable�laws regulat�ng construc#ion, zoning�and fand development. Application.is `:
hereby.made to obtain a,_permit_to�do,,wor,k--and installation_.as:indicated. I�certify that no work or-inst�llation=>has ;x
commenced prior to issuance of a permit and�that all work will be performed to.meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land developmenY�regulations"in:�the jurisdiction: �I�also
certify that i understand that the reguiations of other government agencies may apply to the intended work, and that it is '
my respansibility#o identify wha#ac#ions 1 must take to be in comptianae. Such,agencies include.but are not:timited.,to: ��
- „Department of Environmerttaf:'Rrotection-Cypress Baytieads, Wetland Areas and Enviranmeritally Sensitive ; �
Lands,WatedWastewater 7reatment. ` �
- Southwest Flarida Water Management District-Wells, Cypress .Bayheads, Wetland Areas, Altering L
Watercourses. � � �
- Army Corps of Engineers-Seawails, Docks, Navigable Wa#erways.
- Department of Heal#h �& Rehabiiita#ive Services/Environmental .Heai#h Unit Wetls, Wastewater.Treatment; � ,
Septic Tanks. �, ;
. - US Environmental Protectian Agency-Asbestas abatement. ��>�
- Federal Aviation Authority-Runways.
� I understand that�.the following restrictions apply to the use of fill:
' - Use af fill is not aliowed in Ftood Zone"V"uniess expressly permifted.
- tf the fiff material is to be used{,in Flood Zane "A", it �is understood that a drainage plan addressing a
�� "corrtpensa#ing volume" will be submitted at tirrie o# permitting whict► is prepared by a professionai engineer . "
' licensed by the State of Florida. i '
'� - If the fill material is to be used in Fload Zone "A° in connection with a permitted building using stem wal!
� construction, t certify that fill will be used only#o fill the area wlthin the stem wall.
� - If fitl materiai is #o be used in any area, 1 cerkify that use of such fi11 will not adversely affect adjacent
properties. If use of fili is found tq advsrsely affect adjacenf properties, the owner may be cited for violating _
the conditians of#he building permit issued und'er the attached permit.applica#ion, far lots less than one (1) '
acre wtiich are elevated by fill, an engineered drainage plan is requi'red.
If I am the AGENT FOR THE OWNER,=! promise in good faith to inform the owner of.the permit#ing conditions set forkh in ;
this affidavit prior"to commencing const�uction: .I understand that a s�parate permit may be requiced for electrical work,
p(umbing, signs, welts, poals, air conditioning, gas, .or�other installatians nat specificalty included in the application. A � .
permit issued shalt°be canstrued#v=be a ficense#o proceed with the wark and not as authority.#o violate, canc�i, a(ter, ar "
set aside any pravisions of the�technicat cades; nar shalt 9ssuance of a permtt prevent#he Buifding{3fficial from theceafter
requiring a correction of errors in plans;+construction or violations of any codes. Every permit issued stial! became invalid
unless the work authorized by such permit is commenced.within six months of permik issuance, or if work authorized by
the permit is suspended.or abandoned for a pe�iod:.af six(6)months after the time the work is`commenced. An extension
may be requested, in writing, from fiie Buildirig C)fficial for a period not to exceed-ninety(90) days and will demanstrate ,
justifiable cause for the e�ctensian. .If wark ceases for ninety{90)cansecutive days,the jab is considered abandoned.
WARNING TO OWNER:� YOUR FAILURE,TO REGQRD A.N4TlCE OF CQMMENCEMENT�MAY RESULT IN YC?UR
PAYING TWICE FOR IMP120VEMENTS:;TO YOUR�PROPERTY, IF YOU.;INTEND TO.OBTAIN�FINANCING,CONSULT _
WiTH YtJUR t;ENDER OR AN A7TORNEY BEFfJRE RECORDING YOUR'NOTICE'OF�CO MENCEMENT.
FlORtDA JURAT(F.S.'1'I?.d3) _ � _
OWNEI2 OR AGENT � � CCINTRACTOR � G�-�_..
Subscribed and swam to{or af�rmed)before me thts �ub�cxn'bed an orr�to(ar affirmed)b re-me this �
by �
( Who is/are personally known ta me or has/have produced ` Who' /ar rsonally kn . ta me or has/have produced
Ias tden�fication. ___ as identificatlan.
Notary Public � ���C.Jz.� Notary Public
Commisslon iUo. C m sian ,�,,�+`�$'> JACQU �6f5��042"L �
:.q ��" n g 1�scembQs �
i �a�x �xPtr� uronce8�85�059
ein Ina
Name of Notary typed,prtntect or stamped IVame of IVatary typ ct;�9�,� ar
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TRIPLE CROWN ROOFING, INC.
7140 ANDRE DR. � ZEPHYRHILLS, FL 33541
813-833-7720
i STATE LICENSE CCC049370
WWW.TRIPLE-CROWN-ROOEING.COM � LNAULT1963@AOL.COM
� SPECIALIZING IIV ALL TYPES OF METAL ROOF SYSTEMS
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NAME,v � PHONE �f '` i'""�"t "�� � DATE
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STREET CITY STATE ZIP
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SALESMAN d' !
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We hereby submit specification and work description: , �,-' r r
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1� 1 !' ;�! c`E%� r I J /r�t'/�' �!1 t-"'d .��r:'.f��l�r,`�"��", �'e:)... � t^'./t`•/t..=1 �,� �'�.,.��' ��
f •t'l/� : �, r., ,. �r� / .Zs'� ; ",�
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,�?' �1�t'� /' ,� .r�� _ G� � < < ��r ;�, , , , �,, �;`"_
/ /�� I ! +'J f�( t( ��t'tf i�-,1 `lA f��. `!��Fi'I ,�s J: � :�„�.f F.�'✓'�'1 r.�"Gr/���
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� T�ABQV�ESCRIBED WORK WILL BE COMPLETED ACCORDING TO SPECIFICATIONS, FOR THE SUM OF
($ � ). PAYMENTTO BE MADEAS FOLLOWS:$ �.,:�? �r%� AS DOWN PAYMENT
i BALANCE OF$ i ��.,�� DUE UPON COMPLETION. -
� ���,
I**ANY ROTTED WOOD DISCOVERED WILL BE AN EXTRA CHARGE ATA COST OF$ �.� PER 1/2" SHEET OF
PLYWOOD$ �'� �=� Lin. Ft. Lumber.
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NO ORAL AGREEMENTS HAVE BEEN GIVEN OR ACCEPTED. THIS WRITTEN CONTRACT IS THE
ENTII�E AGREEMENT COVERING ALL THE WORK TO BE PERFORMED AND/OR MATERIALS TO BE
FURN,ISHED. THE WRITTEN PORTION ABOVE IS THE ENTIRE CONSIDERATION FOR THE AMOUNT
OF TFIE CONTRACT. PURCHASER MAY CANCEL THIS CONTRACT ANY TIME PRIOR TO MIDNIGHT
OF TF�IE THIRD BUSINESS DAY AFTER THE DATE PURCHASER SIGNED THIS CONTRACT.
IT IS AGREED:
Contractor will do all said work in a good and workmanlike manner and in strict accordance with the ordinances, rules and requirements
of the city, Town or Village, wherein the above mentionetl property is located. If purchaser should cancel this contact after time stated
above, the Purchaser agrees to forfeit down payment paid. In the event it becomes necessary for Contractor to employ an attorney to
collect any sums due the Contractor pursuant to this contract, then the Purchaser shall pay all reasonable attorney's fees incurred by
the contractor. This contract shall not be binding upon Contractor until accepted by them. Upon such acceptance by said company, this
contract shall be binding on melus without any further notification to me/us. The undersigned property owner agrees that this contract
may be�assigned for the performance of the work and labor required by the description of the work to be performed. Upon assigned the
parties hereto consent to the performance of the work by and payment to such assignee of the amount of this contract.Any Alteration or
deviation from above specifications involving extra costs will be executetl only upon written orders and will become�an extra charge over
and above the stated contract amount.
NOTICE TO THE BUYER : (1) Do not sign this contract before you read it or if it contains any blank spaces. (2)You�,���:-�� '
are entitfed to an exact copy ot fhe confract you sign. (3) llnder the law you have the right to pay off in advance � ��'�"��
the full amount due and under certain circumstances to obtain a partial refund of the time charge. Owner acknowl-
edges'receipt of a true copy of this CONTRACT.
�
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` � � PURCHASER DATE
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`�`�BY: Triple Crown Roofing, Inc. - - DATE PURCHASER DATE
This contract is enforceable only when accepted by management of Triple Crown.
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° A►F�PLICATI011� FOR �a B-B��TORIC DISTRIC�
�
�.:_,� ; "CER7'IFIC/�TE O� APf�ROPRi/�TENESS"
ay sta�•Application# Contribufing: Yes/IVo Date Submifted:
(Applicant,Please provide informa6on beiween the double lines)
Property Address or Location: ��5�(� ��h � V�-
Owner's Name: ��1f C[�'1 �t /� aC .Sh u✓'n�OL. Phone:
Applicant's Name&Company(if different):
ApplicanYs Mailing Address: "7�� �- ��°`��r � �J�X ,L wr�o
App.Contact Info: Phone: Fax: Email:
. Type'of Property: Residential v Commerciai Public or Other
PFtOPOSED RESTORATION/RENOVATIONS/REPAIRS/RELOCATION/ETC:
Exterior Walis Signage
Exterior poors Lighting
Windows New Main Building or Addition to Existing Building
po�� New Accessory Bldg.(garage,carport,shed)
� Awnings or Canopies New deck,ramp,p�tio,etc.
Fencing Buiiding,Demolition or Reloqtion •
'" 'r:. Exterior Painting&Color Changes General Repairs(describe below)
�_i V Roofing Other'(describe below)
Detailed descri�tion of proposed work: (attach other sheets ff necessary)
%Pai o�:� 5���'IGIYG i/!<�+al� qsw s'ti,•,G (rS
The Historic Preservation Board requires that the following information MUST be included with an application prior to the
application being accepted by staff:
• Detailed Plans,including a site�lan and elevation(s);
. Color and material samales;
• Manufacturer's sales literature;
. Photoarauhs:and
• Any other suaaortin4 documentation to show that the proposed work is consiste t with the adopted Department
of Interi�r Standards. i�� Gu-��1
SIGNATURE OF THE OWNER and/or PLICANT �'13 .-g33—770�
(Applicanf do NOT wrife BELOW this line)
ACTION TAKEN: Date: L�/.�I� v�� f �
� �y Staff: Approved vf Denied Reason for Denial: •
C�(i !l,i��'1��CL�'2�i. f' c, :�'t.f t' J'1�G�.-v�C__tiJ
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❑By HPB: Approved Approved with modifications noted below"and/or on attached sheets
Denied
� ¢HPB Condition(s)of Approvai:
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Signed: ��_y� �r Z(,U .�.� ,1 � .�v� J"Zi , ' Date: � l.� �� I