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5209 Parkway Cir - Applications/Reroof - 07/22/2014 (2)
07/22/2014 14:07 9704612547 ATLAS PAGE 01/01 f. � � Rwne 97o-air>2x40 rt uadi,3a t-THEOOUNTER PERMITS OMLY Ttdm epPNcaaon is to ure a to apply foram kdowing permift only (atreck all that apply). anir condftM O (Uffiariar 0 Etecpfoal A ort (riot dtarrge) O eaa t,tpw a Gm Log 15 mobeq Fbmereplaomment VAN&V O Oftw une O "W"Oftla 17 Veniileffon © VMw ieaw 0 VMW Lure Cl VYbod43eW Sbotr (must be EPA oa(Wgd, prov* nU*e, modal -• , CernWeba ell aaDllceb iMbmiaaon on the appNaWon. IncoMpleft atopficadom wig not -be aceepg9d. fob Si to AdareamJkQDertV value of do om pabor, m 0erlals, p Address aty/Stabs ZIP Phm ZN4awe Axftnt Address Za PWW . Ooito-acbor Address uj for atY of Ft. a oft Tax # J410-51i Are You paying tatm hens or by neporf't ; a PAPsrarnvna�era ed erg Are you pelt vrith W trust account? o No 19this a residue or p 0jacp b#Asdwm O , Vremientiai, is N. . � %m®y oetedied 0 Condo b mhomm (singbflyattadrd) p 03 1f i9 it O G p quench pHoWfoumi e 0 urarrt 0 outer (wgft n)G t+tedicel oilioa [] orrma a Pidail Ie this buN ft 5D years am or more? 0 Yes 17 No, liry�ry lgti may tad �ri�df>3YphCRr arr�0ion ff this is fora P What Year ems the bukft oor>structedt rrfrto j9P14y yra w9 an adejws mwmbffnt90Atint MY; Lhis 4WAmtbL' eS *nr Narn poventer, must llst wed qumber. if f zb mm ArS must 12 licensed eiemtdari. SobaoatrReb" 4&0& 'ANeurpErafRC AZWAf ---___.MmMnbL. Raurwbarer j.henabr edmowledae�hme rend this pe4attort arse oft emt#w above Irftnumm b oampkee.and Z spree tb oanpy witlt a9 outemed heron arts � ordinances and sfebir bws r Ag 9'a�ratrn i grrrw that perratt ie nmt vend urt8 ham boon paid dad baurad. I�r