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Basis of Design Book 2 - City of St. Petersburg

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PART 5: Project Location (use additional sheets, if needed)<br />

County(ies) ________________________________________________________________________<br />

Section(s) ________________________ Township _______________ Range _________________<br />

Section(s) ________________________ Township _______________ Range _________________<br />

Land Grant name, if applicable ______________________________________________________<br />

Tax Parcel Identification Number ____________________________________________________<br />

<strong>St</strong>reet address, road, or other location ___________________________________________________<br />

<strong>City</strong>, ZIP Code, if applicable ___________________________________________________________<br />

PART 6: Identity <strong>of</strong> Applicants<br />

Is the permit applicant one <strong>of</strong> the following (please check if applicable):<br />

_____ Florida corporation<br />

_____ Florida limited liability company<br />

_____ Florida limited partnership<br />

_____ Florida general partnership<br />

_____ Foreign corporation/partnership<br />

_____ Trust<br />

If so, please include with application documentation <strong>of</strong> status <strong>of</strong> applicant to legally operate in the<br />

<strong>St</strong>ate <strong>of</strong> Florida (e.g., copy <strong>of</strong> last corporate annual report submitted to the Florida Department <strong>of</strong><br />

<strong>St</strong>ate).<br />

PART 7: Describe in General Terms the Proposed Project, System or Activity:<br />

FORM 547.27/ERP (08/11) Section A - Page 3 <strong>of</strong> 5 RULE 40D-4.101(1)(b), F.A.C.

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