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PERMIT APPLICATION <br /> tiTUMES LOCATE CONFUNATION NUMBERS <br /> PROVIDE SKETCH IN THIS AREA,IF ADDITIONAL SPACE IS REQUIRED,ATTACH TO THIS <br /> APPLICATION. - <br /> AFHpAV1T: ApplliaCon Is hereby made to cWhi a pemtx w do wok and(n4maftw aw("cam. I o y that ao fo egft <br /> tatotinetio+t�abciiiat+a and that ad work wIt oomp(Y with an"appttrabte codes. I ur>dets�td these codes shae tatc4 Fie over ail <br /> apD!aved mnsirt son doaiment t..and"tssuanoe of this permSt is vaitkaeotn that I wpi notlry►the pntp I*owner.of Hodda Limn taw <br /> mq.y Fa 713. <br /> The issuance of this permit does not ensure c ompltance with•deed resbi#Wa and i wmdet0nd tfsat allft al deed_ <br /> reocum may apply to arts property. <br /> All work shall oo nplo'with the eun *FkW"Building Coder PubUt Works Destgn Manual and FDOT Design <br /> Standards(w appy ble). (Pubic Work;oe9gn ftwd oaUw time www d aephychttts it uStD�+btic iraks asA) <br /> APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDt=NWIC.ATION,AND WITNESSED BY A PERM.. <br /> TEdif+iIaAN oR HoTARY pg3.4TC.- <br /> mom:The City of zaphY loo to not nanporrdbla"tor nratritbsrranoa air,reads of ddvawaya.Driveways chill not;after I <br /> iaberfo -- aodatlig"abmrrrwala'treib and/or cWrrajaeoq. <br /> PROPERTY Bye this appikationi I I:hay+a read and utrdetstand the orvtterlbuttder dbdosure 4411 m pp-I <br /> "(please tnhteQ <br /> � <br /> Am ApWA Delp <br /> PtiYtriitTeftWn S nahm, . !or)Mary Stpiietpre pate <br /> AWUCkW 1s! )WWaa k Wivn to me or produces as idenWketkvr. <br /> woo of i9wicat(cn) <br /> Page 2 of 3 <br />