HomeMy WebLinkAbout3150 S Orlando DrCITY OF SA.NF ORO
APPLICATION FOR TEMPORARY USE, PERMIT
PERMIT NO. 2 DANE:
The undersigned hereby applies for a permit for the following
described work:
Owner: _AW , V,
Job Address:
c ]'-T2�)r�.-_.
Nature of Work:
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Parcel No: AI -a(' -- 30 — X00 ouL- o 60(D __
Applicant's Name: : � lc c , r S
-_�
Applicant's Address: '](A!q - _I.5A-
Applicant's
, !Applicant's Phone No.: (-(U-)
I certify that the above information is true and correct and that I will
comply with all applicable codes and ordinances of the City of
Sanford, Flog a,
Appl'eaz 's,$ignature
State License Number (If applicable) _
Permit Fee: $���
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