HomeMy WebLinkAbout12411 Groveview Way (2)C Tr Y OF SAN FO RD
APPLICATION FOR TEM PORARY USE PERM IT
PERM IT NO. (J DATE:
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T he undersigned hemby applies fDr a perm it fnr the fb bw ing de.sad:)ed w o :
Owner; :hG I"f 1,C\ C 2 I
Job Address: I 1 \ G r O E = U ti Loyd 3a 7.3
N at im of W ork : » no rt -V
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Pam --IN o:
A pplicant's N an e: . (.n ;) low— r nscm is
A pplicant's A ddmss: y i 0-,-)
Appliesit's Phone N o.: (Q7
I certify that the above mfoan atbn is true and corectand tot Iw alla= ply w ith a]lapplicabb codes and
ordinances of the C iy of Sanford, Florida.
A pplicant's S ignatum
State L kense N in ber of applicable)
Peon it Fee: $ "`'