HomeMy WebLinkAboutApplication for Zoning Compliancea l0'1.00qq
_ PLANNING AND. DEVELOPMENT SERVICES
2300 wirgh a Ave
Fort Pleree, FL 34982
Phone: 772, 4b2-2822 — Fad: 772-462-1581
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Dame of Applicant; MICHAEL UAM15LIE2 _
Address: 67'381WALLIS RD. WEST BALM BEACH State: FL Zip: 3341a
Phone: Numbet-561-.319-5245 , Entail. Address: ANYTIMSR��E3WES' O-LIVE;COM,
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If beer,, wine or alcohol W being served at this joc ation a copy of your ,liquor license issued by the 'v'' ` n _ f
Alcoholic Beverages and Tobacco wid tie required: prior to°approving this:zonrng compliance.
I understand It is` my responsibility to contact the Fire. Department prior to the. Issuance of the Zoning
Compliance,: I farther understand that a site inspection maybe required to ensure. compliance with applicable
land deve:opment, buildin sa . g fety, and propertp maintenance regulations.
Signature: Date:
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�Required- Yes
; No
, Comments
Zoning /L
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Land Use `Cam
;Landscaping
I SIC Code �_
[ Balidi . Permit for Chan a of Occu ncy f
r ed Industry
y Conditional Use Permit _.
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Adult Care Services Provided (Home)
i New Business. 0 Expanding Business o - Please Check One
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i New Building ❑ or Improvements to an Existing Building O - Please Check One
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Revised: 5/11/201611:59:24 AM
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