HomeMy WebLinkAboutZoning Compliance/Use Permit (2) /9V/ -
`5EtfiiON 5 ,SALESTAX ,
TO B COMPLETED BY FHE DEP/t2TMENT,QF.
Full Name of Appil a t orga iz tion
e f -y Wol
The named appificant for a license/permit has c mplied wiih the Florida Statutes concerning registration for Sales and
Use Tax and has agreed to pay any applicable taxes due.
Signed Date p
Title J:` S-
RECEIVED
Department of Revenue Stamp: FLORIDA DEPT OF REVENUE FLORIDA DEPT. OF REVENUE
JAU 2 2 2019 GTA-COMPLIANCE ENFORCEMENT f
337 NORTH US HWY 1, SUITE 207E
FORT PIERCE SERVICE CENTER FT. PIERCE, FL 34950
_' ;_ ,T0�13ECQMPLETEC3�Y�THE�4NIN;G=�►�1'H(3iRITY,GOVING_i'HE�EIIENTL�iCAT[ON ,.,._`. .
Location of Event(Street and Number)
?212) 0'1 'Blvd
city County
The location complies with zoning requirements for the temporary sale of alcoholic beverages pursuant to this
application for a One/TwolThree Day Permit.
s
Signed Date 1o't•
Title
Note: College fraternities and sororities must meet certain additional conditions
which can be found in the application instructions and requirements.
Auth: 61A-6-0013,-FAC 2