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GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS ee 6 eee DEPARTMENT OF PLANNING AND NATURAL RESOURCES Division of Coastal Zone Management No. 45 Estate Mars Hill, Frederiksted 8100 Lindberg Bay, Ste #61, C.E.K. Airport St. Croix, US Virgin Islands 00840-4477 St. Thomas, US Virgin Islands 00862 Tel: (340) 773-1082; Fax: (340) 773-3343 Tel: (340) 774-3320; Fax: (340) 714-9524 APPLICATION FOR MODIFICATION OF PERMIT Pursuant to Title 12 Chapter 21 of the Virgin Islands Code and the Coastal Zone Management Rules and Regulations. 12. V.LR.R. §910-14. the following request for Modification of (check one) 4 Minor (]Major Permit No. CZT-47-83W is hereby submitted. | Name. mailing address, emai! address and telephone number of Applicant/Permittee CROW BAY MARINA, é. vr $768 CROWN BAY VARNA, SUITE S2f ST THoHAS, V0 0c Pol , I€O 77K - 2255" 2. Name, mailing address, email address and telephone number of the Property Owner Kose; 0° nl oO SIEE CRewal BAY ASARINA Stt;fE S29 ST. THOVAS HI 00 902, €25- S0S-FF73 PARC BL- _ = 3. Location of activity. Plot No. …
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GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS ee 6 eee DEPARTMENT OF PLANNING AND NATURAL RESOURCES Division of Coastal Zone Management No. 45 Estate Mars Hill, Frederiksted 8100 Lindberg Bay, Ste #61, C.E.K. Airport St. Croix, US Virgin Islands 00840-4477 St. Thomas, US Virgin Islands 00862 Tel: (340) 773-1082; Fax: (340) 773-3343 Tel: (340) 774-3320; Fax: (340) 714-9524 APPLICATION FOR MODIFICATION OF PERMIT Pursuant to Title 12 Chapter 21 of the Virgin Islands Code and the Coastal Zone Management Rules and Regulations. 12. V.LR.R. §910-14. the following request for Modification of (check one) 4 Minor (]Major Permit No. CZT-47-83W is hereby submitted. | Name. mailing address, emai! address and telephone number of Applicant/Permittee CROW BAY MARINA, é. vr $768 CROWN BAY VARNA, SUITE S2f ST THoHAS, V0 0c Pol , I€O 77K - 2255" 2. Name, mailing address, email address and telephone number of the Property Owner Kose; 0° nl oO SIEE CRewal BAY ASARINA Stt;fE S29 ST. THOVAS HI 00 902, €25- S0S-FF73 PARC BL- _ = 3. Location of activity. Plot No. AF & 769 | Estate SUBBASE Island $4 THOMAS 4. Summary of proposed activity. Include all incidental improvements such as utilities, roads, etc. (Use additional sheets if necessary). ZWSTALL CoA CRETE BASE STmucTURes (2'x2') FOR sAik sHADE Pos7s DEE EXHIB)Ts PER LOCATIONS . OTAER ACTIVAFY errel FNCLUDE wvov- PER MANEVT TEN 71TH REMOVABLE p4uXK FACADE, Plreagle TASLES Z CHAIRS. 5. Please attach the Application Fee or Receipt: $50.00 for Minor Permit; $500.00 for Major Permit. In addition, please provide the following required documents: a) Tax Clearance Letter from the Bureau of Internal Revenue b) Property Tax Clearance Letter from the Office of the Lt. Governor c) Corporations and Associations: Certificate of Good Standing or equivalent Required or necessary drawings showing proposed activity jronmental Assessment Report (if applicable). , mas Marina Sek Sore a he x Co Qo 2 ¥// sor x on om Date J. SignatuPaof Owner Date Ay. : . ee KOR OWN Ft Pres; dent Print KesE OfN/o Inspector Date APPLICATION: APPROVED] DENIEDO Commissioner Date