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PERMIT# ((d. ° C1 RECEIPT# (131 qpR Z f
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- gp -_ : Planning&Development Services DepartmentCount-cent.
COUNTY Building&Code Regulations
F I. OR I D R — 2300 Virginia Ave
111111111111111111111111111118.81 Fort Pierce,Fl 34982
772-462-1553
APPLICATION FOR ZONING COMPLIANCE—HOME OCCUPATION
Date:
Business Name: n
- e
Business Address: ( ) E S ' 4-CA' •
Description ofe o Business: PHONE AND OFFICE USE ONLY \
PT3'P Yor V C )f f
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Property Tax ID#: / b 0( 4 i C033-ocZ.y
Applicant's Name: Phone: *--(4751--_-2:
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Applicant's Address: 2 p _ _ t0_�'Gk (
City, e_ State: �I. Zip: 3t ( (g
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I HEREBY ACKNOWLEDGE THAT THE ABOVE IS CORRECT AND AGREE TO CONFORM TO THE
ST.LUCIE COUNTY ZONING AND BUILDING CODE. ANY VIOLATION OF SE ION 8.01.00
"HOME OCCUPATION"WILL BE PURSUED THROUGHCOD ENF t RCEMENT.
4iieM
• ppli is Signature
************************************************** *. ***************** *******************
OFFICE USE ONLY
Date: Initials:
Subdivision: Block: Lot:
Section: Township: Range: Map#:
Zoning: Land Use:
Certificate of Competency Required: No Yes Number
Type of Certification:
SLCPDSD Revised 5/1/2014
R.