Laserfiche WebLink
E <br />SECTION 42: <br />ATTACHMENT A <br />INDIAN RIVER COUNTY, FLORIDA <br />TEMPORARY USE PERMIT APPLICATION (LDR Chapter 972) <br />FEE $75.00 <br />I. Owner/Applicant Information (To be completed by applicant) <br />PROPERTY OWNER: ErNnSyce- L/'',ai n (,gc. , �Pj . <br />ADDRESS: '} 9.5- V)" A V (Z <br />Fl. 3)zq� <br />PHONE #( <br />FAX #( ) <br />E-MAIL <br />CONTACT: <br />APPLICANT: Chs I)1Prniti n a J, <br />ADDRESS:_ `LWk S: 'vlci ojA <br />PHONE4( <br />FAX #(8S C.) <br />CONTACT: <br />I1. Subject Site Information (To be completed by applicant) <br />SITE LOCATION ADDRESS: 5 i LLQ S 0, Lc)' <br />TAX PARCEL CONTROL NUMBER: <br />PROJECT NAME/# ASSOCIATED TO: d n -e <br />ZONING:ZONING: LAND USE DESIGNATION: <br />ADJACENT EXISTING USES: NORTH: SOUTH:11 <br />EAST: WEST: <br />111. Temnorary Use Information (To be comnleted by apalieant) <br />Check Appropriate <br />PERMIT TYPE <br />PERMITTED DISTRICTS <br />Box(s) <br />Christmas Tree, Pumpkin, or Sparkler Sales <br />Agriculture, Commercial <br />Start Date: End Date: <br />❑ <br />Model Homes <br />Agriculture, Residential <br />0 <br />Temporary Construction: Office or Trailer <br />All (Special restrictions: RS -1, RS -3, RS -6) <br />Dimensions: <br />0 <br />Temporary Meeting, Recreation, or Amusement <br />Agriculture, Commercial, Industrial <br />Facility <br />0 <br />Temporary Real Estate Office <br />All <br />Temporary Sale of Fruits and Vegetables <br />Agriculture, Commercial <br />Special Events: <br />Commercial, Industrial (or other properties <br />Start Date: End Date: <br />approved for public events, e.g. fairgrounds, etc.) <br />Other (Attach letter to explain use, if necessary) <br />Determined by staff depending upon use <br />Specify Use and Duration of Use: Lo <br />*RENEWAL: <br />(TO BE COMPLETED BY COUNTY STAFF) <br />C:\Documents and Settings\WLocal Settings\Temporary Internet Filcs\OLK3\0rdinance for TUP.doc REVISED: 2-27-09 <br />