377 7th Street UBEX 08.02.1993 (Barrett) Please Type or Print in Ink Application Fee �g7e.=00
APPLICATION FOR "USE BY r'XCE O 1;4183111
P'II
/ n� AUG 21993
Date Filed: _ e_ ( / 9�J
Building and Zoning
Name and Address of Owner or Tenant in Possession of Premises:
K -- Phone
3-77 'I "' 5-1Work: (1-1"-81 ,;t1
am. �`><� ' (-\ {T I- Z_?- Home:__ c[ '1 _ �C7dlS
Street address and legal description of the premises as to which the "Us
by Exception" is requested:
J 7 - - 11, 454- /
7., 3 3 --- s -e ry jP✓icc
A description of the "Use by Exception" desired, which shall specifically
and particularly describe the type, character and extent of the proposec
"Use by Exception" :
Ea.l eca
(? w G.% ' SN. -' 4ak C444.4-1 . ga, 47co /o,
7 ,,ca aur ( 6,214 . _a42
Specific reasons why the applicant feeler the request should be granted:
We f G- -.- �w u C-:e/-W•
7,17,44 pe- b.L‹ _5', &,4'
clo h�,i -u ;; •
Zoning Classification: A25 - Z
it,r4) /1407e_191--- 7-41/ a—ce
Signature o:;_ applicant/applicant 's Signature of owner �if the property.
authorized agent or attorney. If Application cannot , be processed
agent or attorney, include letter without owners aigniture.
from applicaxki to that effect.
Applicant : 1)o not •fill-in beyond this point. However, be prepared to
respond to the following items:
CITY OF 9366
ATLANTIC BEACH
FLORIDA
NAME thAkett
ADDRESS 37 Q,A_' _ \ t
CITY Q ¢_te rL L 32z33
(17 c c re 6.- gz 2Z 4 460/zi-t.e-y7e/oe:7 ).
VALIDATICHE : di02/t9Y3
TIME: 04:00 PM
TOTAL $100.00
',"iDEPE" $100.00
$.00
When Signed, Dated and Numbered, This Becomes an Official Receipt `"`''`' 099
MAKE CHECKS PAYABLE TO Received Payment
CITY OF ATLANTIC BEACH, FLORIDA TREASURER