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100ADDRESS OWNER 100 Country Club Ci rcle Gary Gordon LEGAL DESCRIPTION Lot 10, Blk. B Unit 1 Country Club Manor OCCUPANCY BUILDING CONTRACTOR Sub. Reg's. Apply: Yes No BUILDING: BUILD IN .RECORD 9/2/82 Permit #17815 Final Inspection � Reroof S/F Residence ��"� FEES: Owner ($1, 000.) N;qh G,-C SS , ' S ee Si, - t= G Development Fees Streets Paved Unpaved Street Paving Fee UTILITIES: Water Lines Meter Set Sewer Lines Sewer Tap Storm Sewer ENGINEERING/PUB. WORKS: Drainage Street Paving Street Name Signs Street Lights [OVER] Maintenance Bond Certific of O Date Approved: