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• <br /> 813-780-0020 City of ZephYrhins. V2, Fax - 813-780.0021 <br /> Pamtit Application • <br /> Phone Contact for Pemuk • Date Remind � <br /> Owner's Name • .. - r� j 4 A , 40 lMII.x owners Phone Number <br /> owners mamas rTX�%illir G1" 7. :�'!O :G:V'a <br /> Fee Slmple Titleholder Name Titleholder Phone Number f 1 1 1 I <br /> Fee Simploilleholder AddmU <br /> Job Address <br /> Sub Division Parcel <br /> 0 No-- lazard Waste Storage - ANNUAL J Fumigation Tent • <br /> 0 Conan Exhaust letchen Hood/Duct a Hazardous Motorist (Tier 11 or RO Feebly) ANNUAL. <br /> El Controlled Bum o Hood Instillation <br /> Emergency Genera eor < 30 kw LP/Nitta/al Gas-installation ' / j <br /> ME EEI Ell iLLAII Emergency Generator 30 kw LP/Natural /1 Q <br /> Fie Protection IA:Mis >ance - ANNUAL. Plaoss of / <br /> Salvador i 0 o 0 - Recreational Bum <br /> Fire Alma 0 0 0 Sparklers <br /> Hoed Cimino o o o _ Sprinkler *stern Instil— —e . <br /> Hood Suppression 0 0 Standpipes (Spdr Ss) , <br /> F i Alan loan Tooth Rooting/Tar K.W. <br /> Re Rave . — - - Waste Tie Storage ANNUAL <br /> Fire Works < • <br /> Remmebie Appticatlon- ANNUAL. ) 1 Valuation of Project <br /> • - Fail Tanks <br /> AWN ,WOHNIV .01•11 /11•1111111111110MA <br /> Conbadlor area °*� compan Plrizi: ? �`�e1 n VdJ �,�'a4 <br /> Si gnehare ( . / t � r l T •# ( ., <br /> Addles: wyi:1< �s I / ® ®/� =�nk �A� allill • . _ Umbrne•0 : 011w '. ,era '. .r s "; ; <br /> ELE buy <br /> Signab a Registered Y / N Fee Current <br /> 1 License a# <br /> S i f Reg iamb Y/ N Fee Current Y/ N J I <br /> Address I 1 Lkense e I I <br /> sM.EcnCuoiri"lele - .. <br /> Carnality I <br /> Registered I Y/ N I F.s Cratelut J Y/ N I <br /> Address 1 i accuse e I I <br /> OTHER <br /> sSignature ( Registered I Y/ N • I Foe Corerrt . _ J Y / N J <br /> I <br /> AddrOlva ( I Wens. #a . J 1 <br /> Di. wove: <br /> FI cot : pp'oeticn ta< signed .contact wNh owner) <br /> aovsr 1121100. a Nodes Car *ark 85000) <br /> sure* two (2) ots of ;. <br /> Aim 10.14 days far aft. sub al.d t. 6 0 • obtained from Property Tax Notice r(fitipl/aPP er vim) <br />