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13OO PELICAN CilRCL {ZLE, TTXAS t 76020

FAX# (Bl7) 4+4-2725 OFFICE(Br7) 444-r23'L

PERMilTAPPLIGATION

NAME: P H ON E ;

ADDR-855:

CITYI STATE: ZIP CODEI

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COST O F PER. M I T DATE PAID CFIfi,AT€FT RECEIFT

TYPE O F P E R MIT B L DG LOT FENCE M OVE- IN M ]SC

DESCFIIPTION:

his permit may be revokecl at any time for any reason by any official of the
City of Pelican Bay when that official dletermines thaf activity at the site i.s
not in the best infere s t o f t h e c o mmu n it y . T h e c it y o f p e lic an B a y o r
ifs officials are nof responsihlo for acciclents of any nature associated wifh t6e
c o n s f r u cti o n ,
NOTE:This permlf ls lssuedto fhe subjectwho will.beresponslbleto controlthe actlvltyIn a safc tnanller.

THlSPEHM|Tl5lNEFFECTFHoM||..ANDEXPlFlEsoN
- OR AT SUCI.I TIME AS,IT IS NEVOKED BY AN OFFICIAL OF PELICAN BAY -

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