HomeMy WebLinkAboutApplication for Zoning Compliance - Use Permit nf1 zmm. 1��� cost S55.�
PLANNING&DMLOPMENT SERVICE
i� BUILDING&CODE REGULATIONS DIVISION
2300 Virginia Avenue
Ft.Pierce,FL34982-5652
772-462-1553 Fax 7'72-462-2578
APPLICATION FOR TEMPORARY USE PERMIT
BUSINESS N'4'Nm.
NAME OF EVICT: in
LOCATION AND ADDRESS OF TEMPORY USE EVENT:
PROPERTY TAX IDENTWICATION€.
DESCRIPTION OF TEMPORARY USE:
DATES OF THE EV ENT: �
APPLICANTS NAME:
APPL,ICA.NT'S STRYEET ADDRESS• 701
CITY: 7th �••�!C S'L'ATE: W CODE.- - 2
WILL THE EVENT HAVE A TEMPORARY LIQUOR LICENSE:YES NO
WILL THE EVENT HAVE A TENT(s):YES !/ NO_,_,_(up to 900 square feet exempt from fire ptrsu}t)
WILL THE HAV E BANNS S/PENNANTWLAGS?YES /NO (+Onix I per 300 linear feet;32 sq ft=I size)
I HEREBY ACKNOWLEDGE THAT THE A:BOV E IN FORMATION IS CORRECT AND AGREE TO CONFORM TO
ST_LUCIE COUN FY LAND DEVELOPMENT CODE,SE7N 8,�023
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PRINT ADPL[ 'S NAME " SIGNATU OR APPLICAtZrT
t
► STATE OF FLORIDAL,COUNTY OF
A WLED SEF ME DAY OF ,20 r u'
BY y— WHO IS PERS N LY KNOWN TO MF
OR WHO EL4.S PRODUCED AS]IDENTIFICATION.
SIGN ATU OF NOTARY TYPE OR PRINT NAME OF NOTARY
'I`I'IZE: NOTARY PUBLIC
COMMIS91ON NUMBER* , S `-�
SLQ'DS 10/19/2015
, •,,ANDREW.DIXON
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PFRM'ISSION FROM OWi�R OF PROPERTY
DATE;
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AS OWNER OF T8E FOLLOWING DESCRIBED PROPERTY,I AUTEIORIZE - Be((S T_L'Aj e_ca j Se Cvtt_&
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TO HOLD A TE MORARY USE EVENT.
PROPERTY TAX IDENTIFICATION M Oo�
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LEGAL DESCRIPTION OF PROPERTY;
PROPERTY ADDRESS: 76 l�}/ S t)_n llo i/ , l(A _-sl . 406-14 FZ305i_ �
OWNER MFORMATION: i
PROPERTY OWNER'S NAME:_��9� S. Us 17�aV f 1�7 J`��t'iP �1 3t�9Sa
PROPERTY OWNER'S ADDRESS:_
CITY: a jGL- STATE: SGL ZZP CODE.20L P
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PRINT OWNER'S?qAA4E
SiG_IIAT)Ull OF OWNER
STATE OF FLORIDA,COUNTY OFa.
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ACKNOWLEDGED BEFORE ME THIS i{ DAY OF ( 7,0
BY WHO LS PERS7..Z.W.TO ME V
OR WHO HAV S PROD
ASIDENTIFICATION.
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SIGNATU OF NOTAI2Y TYPE OR PRINTNAME OF NOTARY
TITLE: NOTARY PURL
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