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5 <br /> City of Zephyrhills <br /> Certificate of <br /> 5335 Eighth Street I Zephyrhills, FL 33542 <br /> Www.cI.zeph A r®nri ate n ess <br /> ` www.ci.zephyrhills.fl.us �� I'" <br /> STAFF USE ONLY <br /> -- • • • • S•r s " 'r r s • • • s s e' s'• <br /> Application No. ] too r • • r • • r • • • <br /> XIContributing ®' "• • • ' • - • <br /> ]❑.Non-Contributing <br /> ! Date submitted . s' ♦^ r s ^ • •^ s s -s <br /> ACTION TAKE:IU <br /> STAFF: } <br /> Name <br /> proved <br /> In`-L <br /> Address <br /> ❑ Denied ] • <br /> f Phone ®P <br /> Date I Initials ; <br /> Email <br /> HP <br /> t '- Name&Compa if different <br /> ❑Ap roved <br /> ElDenie-- { - Address ' <br /> ❑Conditi ins c ed Phonew <br /> Date I I itials _ Email <br /> Address I Location <br /> a . <br /> Type of Property: Residential ❑ Commercial ❑ Public I Other <br /> Proposed restoration I renovation I repairs I relocation I etc. <br /> ❑ Exterior Walls ❑,Signage ❑.New main building or addition <br /> ❑ Exterior Doors ❑.Lighting ❑'New accessory building <br /> U Windows- ❑ Porches ❑,New deck,ramp,patio,etc. <br /> •'" 10 Awnings I Canopies Fencing ❑ Building,demolition,relocation <br /> ❑ Exterior Paint 'Roofing - ❑General repairs,describe below <br /> ❑`Other,describe below <br /> vxe p(cLb u.� 't�t � - No H�� Weeded <br /> Signature: --__ <br /> Applicant Signature: <br />