HomeMy WebLinkAboutZoning Compliance/Use Permit OPFiCE USE ONLY
DATE FIRMED PERMIT M
PLANNING & DEVELOPMENT SERVICES
BUILDING& CODE REGULATIONS DIVISION
APPLICATION
FOR
TEMPORARY USE PERMIT
BUSINESS NAME: t TTZ C.- �,�44z SJ !'3 11 V(a re (
NAME OF EVE NT: 7
LOCATION AND ADDRESS OF TEMPORY USE EVENT:
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PROPERTY TAX IDENTIFICATION#: 4.5-42, C-bl C>,6G Q God f o
DESCRIPTION OF TEMPORARY USE: --5, 1K MI 6 ��OIL
DATES OF THE EVENT: M Idle N i 9 19; 225- 2 1 16,
APPLICANT'S NAME:
APPLICANT'S STREET ADDRESS: �La
CITY: �4 STATE; ZIP CODE: LE
WILL THE EVENT HAVE A TEMPORARY LIQUOR LICENSE:YES-X-NO
WILL THE EVENT HAVE A TENT(s):YES-g-HOW MANY TENTS? NO (requires permit from Fire Dept.)
WILL THE HAVE BANNERS/PENNANTS/FLAGS?YES /NO_X _(REQUIRES SEPARATE APPLICATION)
I HEREBY ACKNOWLEDGE THAT THE ABOVE INFORMATION IS CORRE AGREE TO CONFORM TO
ST.LUCIE COUNTY LAND
LAND DEVELOPMENT CODE SECTION S:
W A-L Lq
PRINT APPLICANT'S NAME OF APPLICANT
STATE OF FLORIDA,COUNTY OF�ST- f iti-. c rc
ACKNOWLEDGED BEFORE ME THIS _ ' DAY OF C �` t�r — 24 X40
BY I-OALLI GOAL-LWHO IS PERSONALLY KNOWN TOA ---
AS
AS IDENTIFICATION.
-'�aD,
GN OF NOTARY TYPE OR T NAME OF NOTARY
TITLE: NOTARY PUBLIC COMMIS ISN
ORES C DIBENEDICTiS;
: . ;. FtE37339
EXPIRES January 5,2019
SLCPDS OS/15J20i4 (.o��sse orss
FloridallotaryService.com
PERMISSION FROM OWNER OF PROPERTY
'3 '52p JODI(
DATE:
AS OWNER OF THE FOLLOWING DESCRIBED PROPERTY,I AUTHORIZE
TO HOLD A TEMPORARY USE EVENT
PROPERTY TAX]IDENTIFICATION#: 4'e-6
LEGAL DESCRIPTION OF PROPERTY: 6C-o/ 9A c/p J ExX59V
PROPERTY ADDRESS:
OWNER INFORMATION:
PROPERTY OWNER'S NAME:
PROPERTY OWNER'S ADDRESS:
CITY: iCA-�Ic-ily 8E6--9zfd STATE: 21P CODE:
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PRINT OWNER'S NAME -SIGNATURE OF OWNER
STATE OF FLORIDA,COUNTY OF. I UA C
ACKNOWLEDGED BEFORE AM THIS DAY OF
By /)I A-As14A 1 G i exi/ c7-- WHO IS PERSONALLY KNOWN TO WJ�,
OR WHO MPRO
MCED AS IDENTIFICATION.
-7
'M-NATORE OF NOTARY TYPE OR PRINT NAME OF NOTARY
TITLE: NOTARY PUBLIC COMMISSION NUMBER: 1 -56
DOLORES 0 DISENEDICTIS seal
MYCOMMISSION#FF187339-
EXPIRES January 5,2019.
(407)3%-0153 Floridallotary.Service,com
SLCPDS 06/16/2014