HomeMy WebLinkAboutZoning Compliance/Use Permit ' OFFICE USE ONLY: DATE FILED: PERMtT#:
Cosi $55.00 --
PLANNING&DEVELOPMENT SERVICES
BUILDING&CODE REGULATIONS DIVISION
2300 Virginia Avenue
R.Pierce,Fl.34982-5652
772-462-1553 Fax 772-462-1578
APPLICATION FOR TEMPORARY USE PERMIT
BUSINESS NAME: (� l
NAME OF EVENT:
LOCATION AND ADDRESS OF TEMPORY USE EVENT:
7 s", d�fi� 4 ort-
PROPERTY TAX IDENTIFICATION#:
DESCRIPTION OF TEMPORARY USE: �y
DATES F THE EVENT: rr 11-2
APPLICANT'S NAM: l 1/1�'►APPLICANT'S STREET,ADDRESS: A /
CITY. c STATE: ZIP CODE: -3Y�SJ
WELL 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 permit)
WILL THE HAVE BANNERS/PENNANTSM AGS?YES1N0 (Only 1 per 300 linear feet;32 sq ft max size)
I HEREBY ACKNOWLEDGE THAT THE ABOVE INFORMATION IS CORRECT AND AGREE TO CONFORM TO
ST.LUCIE COUNTY LAND DEVELOPMENT CODE,SECTION 802.02J.
PRINT APPLICANT'S NAME S F APPLICANT'
STATE OF FLORIDA,COUNTY OF, O / C
ACKNOWLEDGED BEFORE ME-THIS DAY OF
BY WHO ISP OVALLY KNOWN TO ME
O O HAS PRODUCED AS IDENTIFICATION.
NATURE OF NOTAR - TYPE OR PRINT NAME OF NOTARY
TITLE: NOTARY PU13LIC COMMISSION NUMBER:
SLCFDS 101192915
CQIlMiSSiQ MING
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cF, a?•' tlru Pu6We 20,2022`
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j` PERNIISSION FROM OWNER OF PROPERTY
DATE:
AS OWNER OF THE FOLLOWING DESCRIBED PROPERTY,I AUTHORIZE
TO HOLD A TEMPORARY USE EVENT.
PROPERTY TAX IDENTIFICATION#: 7 3
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LEGAL DESCRIPTION OF PROPERTY:
PROPERTY ADDRESS: 17 7S� hldrfiA
OWNER INFORMATION:
AL
PROPERTY OWNER'S NAME•
PROPERTY OWNER'S ADDRESS: g I ��d ;o�r�
CITY; STATE: / / ZIP CODE:
PRINT OWNER'S NAME ATURE OF OWNER
STATE OF FLORIDA,COUNTY OF W
ACKNOWLEDGED BEFORE ME THIS DAY OF .201L
BY �•L [�, WHO IS PERSONALLY KNOWN TOME_,
ORY110 HAS PRODUCED AS IDENTIFICATION.
S GiIA7 OF NOTARY TYPE OR PRINT N OF NOTARY
TITLE: NOTARY PUBLIC COMMISSION NUMBER:
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SLCPDS 10912015
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EXPIRES:D-.w Under
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