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SECTION 4 — APPLICATION APPROVALS <br />Full Name of Licensee <br />BOARD OF COUNTY COMMISSION OF INDIAN RIVER COUNTY, FLORIDA <br />Business Name (D/B/A) <br />Street Address <br />1801 27TH STREET <br />City <br />VERO BEACH <br />County <br />INDIAN RIVER COUNTY <br />State <br />FL <br />Zip Code <br />32960 <br />A. The location complies with zoning requirements for the sale f <br />tobacco products pursuant to this application for a Series lco lic beverages or wholesale <br />COv license <br />B This approval includes outside areas which are contiguous to the premises which are to be part of the <br />premises sought to be licensed and are identified on the sketch?" ❑ Yes No <br />Date Zg% <br />Signed <br />Stan Boling, AICP <br />Title Community Development Director <br />SALES TAX <br />TO BE COMPLETED BY THE DEPARTMENT OF REVENUE <br />The named applicant for a license/permit has complied with the Florida Statutes concerning registration for <br />Sales and Use Tax. <br />1 This is to verify that the current owner as named in this application has filed all returns and that all <br />outstanding billings and returns appear to have been paid through the period ending <br />or the liability has been acknowledged and agreed to be paid by the applicant. This verification does not <br />constitute a certificate as contained in Section 212 10 (1), F S (Not applicable if no transfer involved) <br />2. Furthermore, the named applicant for an Alcoholic Beverage License has complied with Florida Statutes <br />concerning registration for Sales and Use Tax, and has paid any applicable taxes due <br />Signed Date <br />Title <br />Department of Revenue Stamp <br />HEALTH <br />TO BE COMPLETED BY THE DIVISION OF HOTELS AND RESTAURANTS <br />OR COUNTY HEALTH AUTHORITY <br />OR DEPARTMENT OF HEALTH <br />OR DEPA TMENT OF AGRICULTURE & CONSUMER SERVICES <br />e requirements of the Florida Sanitary Code <br />Date <br />Agency <br />Auth. 61A-3.020 & 61A-5.0017, FAC <br />3 <br />Eff. 7/30/12 <br />