HomeMy WebLinkAbout1312 SummerlinCITY OF SANFORD
CERTIFICATION OF ZONING AND SAFETY REVIEW
INSTRUCTIONS: This"form-must be completed and signed by both a Zoning
Inspector and Fire Inspector prior to the issuance of any new occupa-
tional license or a change of usage or location for an existing licensed
business located within the city limits of Sanford, Florida.
SECTION I: (To be completed by Applicant)
A.) Applicant's Name:
B. Business Locatio • (Street Address)y/:�
a
C.
D.
E.
F.
G. Number of tenants in Building:
H . PROPERTY OWNER, NAME: `
Telephone No. Mailing Address:
ZL4,11i
Zip -:�? �9/
n r.+nmT nwT TT _
(To be completed by Sanford Building, Codes & Zortnng
Department)
A. Present zoning of subject property:
Compatible and approved for requested use. YES_
B. Structure in compliance with Building Codes for
requested use
DATE:
SECTION III:
NO
YES NO
Signature and Title
(To be completed by Sanford Fire Department)
LOCATED AT 1303 French Avenue, Sanford, FL
A. Structure in compliance with Fire and Life Safety Codes for
requested use YES NO
DATE:
Signature and Title
RETURN TO LICENSING OFFICIAL to be attached to.license application
j�
l
LICENSE NO.
DATE OF LICENSE
CLASSIFICATION
SUB OR DUAL
CLASSIFICATION
ZONE
BOND
COMP. CARD NO.
STATE CERT. NO.
NAME OF
CARD HOLDER
office use onl
C I T Y O F S A N F 0 R D
APPLICATION FOR CITY LICENSE
date
To: Finance Department, Occupational License Section, City of Sanford,
P. 0. Box 1778, Sanford, Florida 32771.
I. Applicant:
2. Business N
3. Business S
Geographic-L-ocation:
4. Business Mailing Addr
Phone Number:
S. Applicant Home Address: -z/
Phone Number: r
6. Business Activity: State clearly character of business you will
engage in, designating types and/or character of goods, wares,
merchandise, edibles, beverages, etc. to be sold, offered for sale,
exhibited for sale, manufactured and/or services to be rendered.
7. Contractors - name of person certified if different from applicant.
8. Special Ordinance Classification:
i
Name Incorporated Under:
List 2 officers below:
Name
II
Position I
Address
1
Name
Position
Address /0"a
Company Name:
By:
Signature of licant
Approved:
License Official Date
Referred: To Planning and Zoning Commission
for Conditional Use Authorization.
Date
........................................................................
(to be completed for Conditional Use Only)
Action taken by Planning and Zoning Commission
Remarks:
Accepted:
Applicant
Date:
(Approved) (Disapproved)
Date:
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