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Permit # 19101177
Issue Date :		CO Date:		Cert OccCert ComplAdmin

Description	Input	Date	Who
FEMA FORM REQUIRED
HOLD C/O: ORIGINAL FINISHED CONST FEMA
COMM SIGN OFF SHEET	1IMP	12/12/1991 12:00:00 AM	VL
IMPACT FEE PD			RF

Energized

Permit #	Issue Dte	Contractor	EnergDate	Who	TempPoleDate	Who
29101882	9/23/1991 12:00:00 AM	OWEN, MICKY G

Temp c/o Date :	Days :	Who :
Extend Date :	Days :	Who :
Extend Info :
Septic No :	Sewer Co :	Water Type :

St John’s County Building Services - Protecting Life, Health and Property

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