I am surprised but I cannot seem to find much on this on the internet.
I did see something about needing to do it through a Web Role but I don't think that Azure does Web Roles anymore, I do not see the ability to add a Web Role in Azure Management Studio.
For clarity, this an Azure Website, not a VM. I need to Enable 32 Bit Applications in the Azure Website but I do not think I can after reading this: What is the difference between an Azure Web Site and an Azure Web Role
Do I have to create an Azure VM to Enable 32 bit applications in IIS?