G:\Zoning 2009\Forms and Sample documents\Website Documents\BTR\Applications\ fortune_telling_app.pdf
Modified: 5.22.2019
City of Pompano Beach
Department of Development Services
Business Tax Receipt Division
100 W. Atlantic Blvd Pompano Beach, FL 33060 Permit Fortune-Telling
Phone: 954.786.4668 / 954.786.4633 Fax: 954.786.4666
In accordance with section 115.01 of the City of Pompano Beach Code
of Ordinance the herein named applicant after having successfully
cleared the required background check and paid the appropriate fees has
been issued this permit by the Development Service Director.
Name of applicant _____________________________________________________
(Print Name)
Name of business _____________________________________________________
(Print Name)
Business Location _____________________________________________________
(Street Address)
Pompano Beach, FL ___________________________
(Zip Code)
FOR STAFF USE ONLY (DO NOT WRITE BELOW THIS LINE)
Reviewed by:
Approved: Denied:
Date:
Comments:
CC: Applicant
Business Tax Receipt Office