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HomeMy WebLinkAboutZoning Compliance/Use Permit 2016-06-09 15:15 4176 9544860344 >> 19544166090 P 1/1 OFFICE ME ONL%`: IWIT Mr..n; -. r91lw Mi Cof t�iMl :,p,w,,,•.,; ,�, ,:. PLANNING&DEVELOPMENT SERVICES BUILDING&CODE REGULATIONS DIVISION 2300 Virginie Avenue Ft.Pierce,FL 34992»5652 772-462-1553 Fox 172.462.1578 APPLICATION FOR TEMPORARY USE PERM, BUSINESS NAME- 0204 l ! NAME OF EVENT., e'r�� t"i`- �' - 1A)CATION AND ADDRESS FTEMPORY U EVFN'I; PROPERTY TAX IDENTIFICATION DESCRIPTION OP TEMPORARY USE-, , DATE$OF THE EVENT: t„a, AtPPL1CA.NT`S NAMI:Il; 4#' ` � it1CC APPLICAN'r$ST)tECT ADDP.ElSS: 1 • ' CITY: % Rii►m Lb& ST-A& , ZIP CODE. WILL THE EVENT HAVE A TEMPORARY LIQUOR LICENSE,YES_NO�. WILL TUE EVENT HAVE A TENT(s):VE$_NO_(up to 9Q6 xqusre feet exert frM flirt permit) WILL THE HAVE SANN#rRE/PENNAt TSAPLAGSf YES„ JNO�„(Only I per amr feet,32 sq ft max eixe) I HEREBY ACKNOWLEDGE THAT THE ABOVE INFORMATION 18 CORRECT AND AGIREE TO CONFORM TO ST.LUC'IE COUNTY LAND DEVELOPMENT CODE,SECTIO Q.tl2.02J, n PRINT APPLICANT'S NAnk SIGNATURE Of APPLICA STATE OF FLORIDA,COUN'T'Y OF 1 AC"C�WLE I)BEFORE MIF THIS �o ,� s ' a�1!:0 ,+.f1 �.. .w 1�`HtJ�IS tt V1' 0 HAS PRODUC D _y,�AS IDENTIFICATION. IASan M. j� swNATIIR.E O1"No TYPE OR PRINT NAME OF NOTARY TITLE, NOTARY PUBLIC COMIMI$SiON NI.IINBEa,- FT�374lc,,l sizPDR iBJ19fIf0iS SUSAN M.TOWS My COMMISSION#FF937W EXPIRM:N--ba 27.2019 PERMISSION FROM OWNER OF PROPERTY DATE: AS OWNER OFhTHE FOLLOWING DESCRIBED PROPERTY,I AUTHORIZE GIC S(AfS QA6ACm ,;F-( U TO HOLD A TEMPORARY USE,EVENT. PROPERTY TAX IDENTIFICATION#: LEGAL DESCRIPTION OF PROPERTY: PROPERTY ADDRESS: s OWNER INFORMATION: PROPERTY OWNER'S NAME: PROPERTY OWNER'S ADDRESS: I L)o 01 CITY: ' w�, A(! CJ5Zr7 5STATE: � �sd __ ZIPCODE: • -�' �1eAnI tfbWN E ,, SIGNATURE OF OWNER STATE OF FLORIDA,COUNTY OF J%AALK 1rd ACKNOWLEDGED BEFORE ME THIS DAY OF BY �� ��- X40 r WHO IS PERSONALLY KNOWN TO ME/�, OR WHO HAS PRODUCED AS IDENTIFICATION. Z.�LiicI ICJ 2vJI�Ca SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY TITLE: NOTARY PUBLIC ION NUMBER: rf 953 4�q LAURIE KURNICK MY COMMISSION#FF 953424 y': '� EXPIRES:January 29,2020 &w}�' Bonded Toru Notary Public Underwriters seal SLCPDS 10/19/2015 i ate• •ii .• � •iii 1, � `♦ a••� r 1 : ,' t=• �. 'Sri to• W. SIM to •o• xP xr xo' •v T. P r �4 x Z _ rim► r te• xa• •o� Cr a C !. ao to ` 1 ' A ia.11ii.r.. © ti .. xoo.oY M.l•INx I/w ,.� g En.e. S R. STINSON MATE land planner FOUNTAIN PLAZA engines O ercial street Vincent piraneo 295 Borkliorlda 3051267,et: 2 3345? 4 II I