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1511-0055
PERMIT# RECEIPT# T �— Planning&Development Services Department Building& Code Regulations 2300 Virginia Ave Fort Pierce,F134982 772-462-1553 APPLICATION FOR ZONING COMPLIANCE—HOME OCCUPATION ,+ / Date: Business Name: 1J©G fd r Business Address: S/01 )rl-, 6d—OL-an y i' It� ��/c- Description of Type of Business. PHONEAND OFFICE USE ONLYfor �� /� -1 Property Tag ID#: 3 ,D 6 ©6 ® R Q 0. o f Applicant's Name: u 1 d /c-!/`Gh n T Phone: Applicant's Address: A ��� City: / State: Zip: I HEREBY ACKNOWLEDGE THAT THE ABOVE IS CORRECT AND AGREE TO CONFORM TO THE ST.LUCIE COUNTY ZONING AND BUILDING CODE. ANY VIOLATION OF SECTION 8.01.00 "HOME OCCUPATION"WILL BE PURSUED THROUGH ST.LUCIE CODE ENFORCEMENT. Applicant's Signature OFFICE USE ONLY Date: Initials: 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