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19-22113
Zephyrhills
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2019
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19-22113
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Last modified
2/17/2021 9:58:07 AM
Creation date
2/17/2021 9:58:06 AM
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Building Department
Company Name
GRAND HORIZONS
Building Department - Doc Type
Permit
Permit #
19-22113
Building Department - Name
BAKER,MARCIE
Address
37611 GILL AVE LOT 286
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GRAND HORIZONS HOMEOWNERS ASSOCIATION <br /> APPLICATION FOR APPROVAL <br /> EXTERNAL ARCHITECTURAL OR LANDSCAPING <br /> IMPROVEMENT,ALTERATION,ADDITION, DELETION OR REPAIR <br /> Date: b <br /> Please Print Below Information: <br /> From: OWNER:. Ol(�C.r�`� LOT# oC <br /> ADDRESS 6-cc <br /> REQUEST FOR: t/ Preliminary Approval? Final Approval? <br /> 1,the undersigned owner, hereby request approval of the following described external architectural or <br /> landscape improvement, alteration,addition, deletion or repair as required by the governing documents: <br /> a <br /> 'a <br /> Plans are attached: Yes No Estimate Date of Completion: % <br /> Note:'Plans are REQUIRED for all requests detailing any and all changes proposed. Plans need to provide <br /> sufficient detail that,we can determi e what and where the changes are to be made AND must be signed by <br /> the homeowner-.-See back of this form for additional instructions. <br /> Owners Signature: <br /> 'a <br /> ALC Approval 1: Date: <br /> ALC Approval 2: ,�- �, s.,. Date: �/ S�-/ 11 <br /> ALC Approval 3: Date:_ S. — l� <br /> Approval valid until this date: <br /> April 4,2019 ; (� W i C7 ,� <br /> � J <br />
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