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•`�� APPLICATION FOR :'ERTIFICATE OF OCCUPANCY
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CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
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_ (PRINT OR TYPE ONLY)
DATE
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1 soro5 C-'�CL.�' tvui
Address �
District`
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Business Name %F,N �l F-�1 WtZH ' ��
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Tel.,,..1�._..
Business Type tAA4 9— SC.t aN
Oca Group -- —
BUILDING OWNER BUSINESS OWNERIMANAGER {
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Name LName C.V_t5'Ra Agr
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Address (1%3) F YCAA Home MOSS GbL-QV-.0 wt.ST
Address
City V I rJ T•elq � City i�Va'C(tJG
Home Tel.8�^
4z. 370
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THISUSE WOULD BE DESCRIBED .45
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❑' NEWI Y CONSTRUCTED BLDG, ❑ CHANGE OF OWNERCHANGE
OF OCCUPANT
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EXISTING BUILDING ❑ CHANGE OF USE
❑ ADDITIONAL OCCUPANT �
Indicate former use if any --Occupancy Gr.
`Div;
y SQUAREFT. OF BUILDING TO BE OCCUPIED
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