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. TOWNOF MASfiPEE <br /> BUILDING 09PARTM$NT <br /> E OMEOWNER LIC&tgSE£XElrfPTIOrt <br /> PIease print. <br /> I <br /> DATE <br /> JOB LOCATION _ ty 7;ftratl Wa <br /> Y ..—�_��._ Dnnnnwn�c eco oofE7nnn <br /> • Number Sarset Addraa Section oaa <br /> HOMEOWNER Keq'tthL;tv3tk <br /> Name, <br /> Home phont Work pbatfe <br /> PRESENT MAILINGAPDRBSS 6564 NW 31st Nay <br /> Boca Raton. <br /> CigRo.m S Ott 33O% <br /> Zip Cade <br /> The eurreot exemption otae <br /> forhowoers was extended to include 2w0er•oF:n�lyd <br /> w ! c of itx pairs or Jess`and to allow such botnco.v <br /> for hire who does not possess t license,pros-feed th:t the AWooer ag nen IadWidua! <br /> (S(at*$vildla$Code Sccdon 708.3,S) <br /> DEFINITION OF HCMx6wNEp'; <br /> Persoc(s)wbv owns_ a pare' Of land oa wh(cb be/tbe resides or It tends to ras(da, or. <br /> wbicb there is, oris iateaded to be, a oo*to sit family dwtjUng, attacbEd or <br /> c4tachtd strutanros accessory to such Use Ruel/or farm structures. A person who <br /> cQortracla more thea one bome 10 a MO-y*arperiod shall cot be considert:d a <br /> homeowner, $uc( wnerShall sabmft to the Bul(dtay Official on a farm <br /> acceptable to the An(ldiag0111c1a1, that he1 shallbtreseoasibla(or,.tt-u _-QLh <br /> >?rlfpt mr4 under the b 't +` ($tt1100 I'MIS) <br /> The undersigned <br /> coded�11`eowne sasumes r*spops(billty forcomplianct with the State <br /> Buiid;og Code and other apgtieable codes, bylaws, ru1*t'aad regulsHoes. <br /> 'Chit u0d9tsipaed Mmulyau eertilles ebathe/she understands the Towa of tifasbpoe <br /> Bellding Dapartrneot mloltnuM inspection procedure Od requirements and that <br /> hdshe wi((comply with said procedures tad r*quir (x. <br /> HO�£O WNER'S SIGNATURE <br /> APPROVAL OF J31JILDIN'G'()FplCfA3 <br /> Nate,: Thre*tarnlly dt+tilingx 35,000 cable feet of larger, will be required eo comply <br /> wlibStateBuildfrSCodeSec(iea 116,1 COnstructlop Control. <br />