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<br />PF 1 -PR I-NT,FORM8,. PF')I'~.'lNSPS~=-- ~..........--, .....~ <br /> <br />\. <br /> <br />, j'. <br />j>'j ,- <br /> <br />"~, [ F i": [ T T <br /> <br />.r b.t Ci <br /> <br />~ .. <br />CONTRACTOR #: 001690 <br />"',II~ME: ~:::EV I N <br />ADDR: 37325 S.R. 54 <br />C/ST: ZEPHYRHILLS <br /> <br />F',:'4:::;! .c! <br /> <br />CCiUI'JTV, FLOR I DA <br /> <br />:)(.HE: 0.1.1 _ _~"- <br />I'AGE: 1 OF 1"" <br />I :=;:~;UE OF F '[ CE: [I <br />HECEIPT NUl"1BR: 00161885 <br />OFFICE: DADE CITY <br /> <br />RyMI N <br /> <br />f L 3i2il::;.(;(JOO <br /> <br />FOR~ <br /> <br />C:HECK # ::;::(> 13 <br />RESOUPCE FEE ON PERMIT 2730B ZHILLS <br /> <br />CONTRACTOR: 001690 <br />TOTAL AMOUNT: 47.13 I <br />I~CCI\IT (:CIl"IPNY AC:C:UlII'JT C:ENTEF~ AMOUNT [lE:=;CRIPTION/F'E~f~MT DATA DRIeR I <br />--11"4 .- '--'B-':P':;O -'::-:-::;:6::;::OCI(') -= --- :::. -. ----- --- 47 .-:f::::-- --- -~ll,*-***~,.._. ---- - -- "60- - <br /> <br />I <br />I <br />I <br />I <br />i <br />I <br />I <br />I <br />I <br />I <br />[ <br />I <br />I <br />I <br />I <br />I <br />I <br />! <br />! <br />I <br />I <br />I <br />I <br />I <br />! <br />r <br />r <br />I <br />l <br />I <br />! <br />! <br />( <br />[ <br />! <br />[ <br />[ <br />1 <br />[ <br />I <br />[ <br />[ <br />- _____1\ <br /> <br />REC:E I \lED <br /> <br />, <br />" <br />.- <br />Iy-<(" . " <br />\; \ "-". <br />,.".. , ',., '''\ <br /> <br />BY _____~~~~ <br /> <br />