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CITY OF SOUTH MIAM REVISION APPLICATION
6130 SUNSET DRIVE,SOUTH MIAMI;FLORIDA 33143 (305)663=6355
PROJECT AD 5: ' S .Sc� . �7 D So C`
PROPERTY OWNER: J)`i''►10/1 PO, C/44 PHONE 30S U3
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CONTRACTOR/OWNER BUILDER S.S�� arvi e-e, So OfLMS PHONE 3d L
ADDRESS: f0, f3o 77 ^:c i S r�►� L, 33o
THIS APPLICATION IS FOR A REVISION(S) TO PERMIT NO. �Og 7
4FSCRIB`E REVISIONS):(°LEASE BE SPECIFIC)— �- /` C of1
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SIG ATURE OF CONTRACTO UALIFIER SI NAT R
NOTARY: A41 N TAR .µY's EDUAR DELFINO
.� ISSION#CC 825266 MY COM SION#CC 825266
��Otf�ol� X ES:W/1212003 Oi E C ES:04/12/2003
1.8 MMOTARY Fla Notary Service 8 Bonding Oo. 1-0043NOTARY Sery ce&Bonding Co.
OFFICIAL U-SE ONLY
APPROVED DATE DISAPPR. DATE COMMENTS FEES
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CODE ENF
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PLUMB.
ELECT.
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CONDITIONS:
APPLICATION RECEIVED BY: REVISION NO.
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