1420 Mayport Road UBEX 09.08.1993 (Venus) Please Type or Print in Ink Application Fee S O
APPLICATION FOR "USE BY EXCEPTION" 1 .07" Yria
Date Filed:_L i l SC 8 1993
Building and Zoning
Name and Address of Owner or Tenant in Possession of Premises:
Bo. �1r4 m Ve nU,S Phone
3c)(01 Denner Or. LL)peC Work: a1/6�63�//
So,c.ksonv i 11E4. L, 3ZZ SO Home: o?a
Street address and legal description of the premises as to which the "Use
by Exception" is requested:
_JL/ao /�'�(�Y o;-�t Rd B1oc,k sz
Q�l'la,� � ►c. !" 13c-e,. 3za 33 Sec. #i
A description of the "Use by Exception" desired, which shall specifically
and particularly describe the type, character and extent of the proposed
"Use by Exception" :
u ecQ �(kr 5a.le5 �'�e�l�e,r lac V l 1-753o1)
1)
Specific reasons why the applicant feels the request should be granted:
ih \i-ke SQ.me Z.onin ?S c‘reCk. use
Zoning Classification: C14;
Signature of applicant/applicant's Signature of owner of the property.
authorized agent or attorney. If Application cannot be processed
agent or attorney, include letter without owners signature.
from applicant to that effect.
•
T
Applicant: Do not -fill-in beyond this point. However, e prepared to
respond to the following items:
CITY OF
ATLANTIC BEACH N2 9753
FLORIDA
X 21
�Z4tLLJ 19 '�
NAME �P
ADDRESS , 4/ 4JØ4 'L2// /(f, e-41--t
CITY • ...r 2 _`2
VALIDATION DATE: 09/08/93
TIME: 04:11 PM
TOTAL $100.00
TENDERED $100.00
CHANGE $.00
RECEIPT NUMBER: 104634
When Signed, Dated and Numbered, This Becomes an Official Receipt
MAKE CHECKS PAYABLE TO Received Payment
CITY OF ATLANTIC BEACH, FLORIDA TREASURER