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INDIAN RIVER COUNTY/CITY OF VERO BEACH <br />INTERNAL STRUCTURE MODIFICATIONS <br />(TO BE COMPLETED BY APPLICANT) <br />DATE: <br />Applicant's Name <br />Owner's Name <br />Site Address <br />Address Daytime Phone Number E -Mail address <br />Address <br />Daytime Phone Number <br />Project Name <br />Tax Identification Number or (Parcel Identification Number) <br />Existing Use/Name of Tenant and Type of Business (*): IF SPACE IS VACANT, A SIGN -OFF IS REQUIRED BY THE <br />PLANNING DEPARTMENT: <br />Proposed Use: <br />Description of Modification: <br />Check the appropriate space for the proposed construction: <br />1. WILL WILL NOT Add Occupancy Area to An Existing Building <br />If you checked "WILL", what is square foot increase in building area: sq ft <br />2. WILL WILL NOT Change the Use of the Existing Building <br />If you checked "WILL" for question number one or two above, then you must obtain a sign -off from the Planning Department, <br />Current Development Section. Please review your project with a Current Development Planner, and have the Planner sign -off the <br />following approval. <br />Date: Manner: <br />Comments: <br />Acknowledgement: <br />I hereby acknowledge that Indian River County staff is relying on the accuracy of the above information to determine site plan and <br />zoning compliance for the proposed project. <br />Applicant's Signature <br />Page 7 of 9 <br />