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INDIAN RIVER COUN77' <br />APPLICATION FOR IMPACT FEES REFUND <br />ASSIGNED I.R.C. <br />PROJECT NUMBER. <br />Applicant Infomation <br />UNAVAILABLE CONFIDENTIAL <br />Status of Applicant <br />Applicant is the: <br />Original Fee Payer <br />— Successor of the Original Fee Payer <br />Assignee of the Original Fee Payer <br />_X_ Current Owner / Agent of Current Ower <br />Reason for Refund Request: 6 year period for spending expired. No growth. Not spent on new capacity need. <br />Subject Property Information <br />4687 ASHLEY LAKE CIR <br />32-39-20-00007-0000-00002 0 <br />Permit # <br />Project # _ <br />Under penalties of Perjury, I declare that I have read the foregoing application and the facts stated in it are true. <br />‘207— <br />For Impact ee .nsultants <br />Charles R. Wilson Date. <br />:1 <br />Attachment 2 <br />Attachment 2b <br />132 <br />