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City of Williston

Temporary Commercial Permit


Please remit to: Planning and Zoning Department

City of Williston
50NW Main St
Williston, FL 32696

Or Email to
adam.hall@ci.williston.fl.us


For more information please call 352-528-3060.


PART A. APPLICANT INFORMATION (please complete legibly)

Today’s Date


Applicant Name


Business Name


Location (address)


Description of Business


Business Owner


Contact Information (Phone No./ Email)


Property Owner


Contact Information (Phone No./ Email)


Dates Requested (Start Date/ End Date)


By signing below both the applicant and/or property owner acknowledge the following: the temporary
use permit, if granted, shall be granted for a specific time period, at the end of which, if the use
permitted has not been discontinued, it shall be deemed a violation of these land development
regulations and shall be punished as set out in article VII of this City’s Land Development Regulations.
Appropriate conditions and safeguards may include, but are not limited to, reasonable time limits
within which the action for which temporary use permit is requested shall be begun or completed, or
both. Violation of such conditions and safeguards, when made a part of the terms under which the
temporary use permit is granted, shall be deemed a violation of these land development regulations
and punishable as provided in these land development regulations.

Signature of Applicant


Signature of Property Owner



FORM PZ1008 \\DC02\Shared\PLANNING AND ZONING\Form PZ1008 -temporary commercial
permit.docx

PART B. SITE PLAN (Please provide a proposed site plan showing the location of use, existing
structures,parking areas, restrooms, ingress/ egress to roadways, sidewalks, flow of traffic, and adjacent
streets.)


FORM PZ1008 \\DC02\Shared\PLANNING AND ZONING\Form PZ1008 -temporary commercial
permit.docx


Staff Use Only (46-97 (c) and 46-97 (c) (7))

  1. Suitably separated from adjacent uses?

  2. No excessive traffic will be generated on minor residential streets?

  3. No vehicular parking problem created?

  4. If appropriate, restroom facilities provided?

NA

(seal)

This Permit Expires on

.


Permit Issuance Date:
Permit Expiration Date:


FORM PZ1008 \\DC02\Shared\PLANNING AND ZONING\Form PZ1008 -temporary commercial
permit.docx