HomeMy WebLinkAboutZoning Compliance/Use Permit (2) I'i 1 q
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Full Name of Appli t Orga iz tion v
The named applicant for a license/permit has c mpliewi the Florida Statutes concerning registration for Sales and
Use Tax and has agreed to pay any applicable taxes due.
Signed Date
--4o
Title
RECEIVED
Department of Revenue Stamp: FLORIDA DEPT OF REVENUE FLORIDA DEPT. OF REVENUE
JAN 2 2 2019 GTA e COMPLIANCE ENFORCEMEN
337 NORTH US HWY 1, SUITE 207E
FORT PIERCE SERVICE CENTER FT PIERCE, FL 34950
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Location of Event(Street and Number)
City �� County .�
The location complies with zoning requirements for the temporary sale of alcoholic beverages pursuant to this
application for a One/Two/Three Day Permit.
Signed IL s Date f• a• 1�,
Title - C)'Ke IL
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Note: College fraternities and sororities must meet certain additional conditions
which can be found in the application instructions and requirements.
Auth: 61A-5.0013,FAC 2