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PLANNING AND DEVELOPMENT SERVICES
S = 2300 Virginia Ave
® Fort Pierce,FL 34982
vie Phone: 772-462-2822-Fax: 772-462-1581
APPLICATION FOR ZONING COMPLIANCE (Not Home Office Use)
Permit#: Date of Application: tX
I
BUSINESS IN O 1AXRMATION.
Name of Business: U
Name of Shopping Center, if applicable: LOOD -- afic�
Address of Business: 01[b ��,Q_��(7 VO State: f:7 1 Zip: •
Property Tax ID #for Busin ss Location:
Descriptio of Busi ess: liaLC
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Are you relocating your business?
Number of Employees: I a Number of Parking Spaces:
Name &Type of Previous Business at this Location:
APPLICANT AG ENT,IN FORMATION
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Name of A pli ant: l CO ,
Address: r V- State: Zip: 1
Phone Number: -�?j� a� mail Address: 10 `' )v
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If beer, wine or alcohol is being served at this location a copy of your liquor license issued by the Division of
Alcoholic Beverages and Tobacco will be required prior to approving this zoning compliance.
I understand it is my responsibility to contact the Fire Department prior to the issuance of the Zoning
iCompliance. I further understand that a site inspection may be required to ensure compliance with applicable
an development, building safety, and property maintenance regulations.
Signature: Date: GJ
i OFFICE USE ONLY:
POD Initials ( Required _ Yes No _ Comments
Zoning i Parking
Land Use Landscaping
SIC Code Building Permit for Change of Occupancy
Targeted Industry Conditional Use Permit
Adult Care Services Provided (Home) El L1
New Business ❑ Expanding Business ❑ - Please Check One
New Building ❑ or Improvements to an Existing Building ❑ - Please Check One
Revised: 5/11/2016 11:59:24 AM