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PERMIT# . C Ul 1� RECEIPT# ' C1
Planning &Development Services Department
Building & Code Regulations REC IVED
� 2300 Virginia Ave
_ Fort Pierce, F134982 FEB 3 2022
772-462-1553 St.Luc a County
Permitting
APPLICATION FOR ZONING COMPLIANCE—HOME OCCUPATION
Date:
Business Name: I
() �f�Business Address: V U
Description of Type of Business:
Property Tax ID#:
Applicant's Name: C6 V&Kr b4 Phone:
Applicant's Address: 3lo v �
City: F Qr{ — Pit{'(,, 6 State: 17--L Zip: 7
I HEREBY ACKNOWLEDGE THAT THE ABOVE IS CORRECT AND AGREE TO CONFORM O THE
ST.LUCIE COUNTY ZONING AND BUILDING CODE. ANY VIOLATION OF THE "HOME
OCCUPATION" WILL BE PURSUED THROUGH STVLYIC NFORC LENT.
Applic is Signature
OFFICE USE ONLY
Date: Initia s:
Subdivision: Block: Lot:
Section: Township: Range: Map#:
Zoning: Land Use:
Certificate of Competency Required: No Yes Number
Type of Certification:
SLCPDSD Revised 5/1/2014