HomeMy WebLinkAbout15077 GOLDEN WEST - CofOi
Applic!)(10(i For
Cc rtlficaty Of Occttpall.cV
C it:y of f1unL i n};t 011i B011i.`11, C1111 1 f rmt,
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; In,'i`CrAlIbn ,'� s Ji';eon mt�dt: for a t:cart� i � f� ,it �� ��f �t���`t►1r�►11ry tr�r
To be ku lt�in {#tp'A17
tr'r:n;r �,t 11t1 � 1 itt.�
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t.c5c a t ed AL % - G� 1 `/� (_, o i� t ►� -.,. ft`' .t,t t�'t' �t /-� ��,. j �',} �,te
Bus the, iz Address
Name: BUTIODTNC OWN[•.K : Address.
use would be ticscr lbed _ its
ewe BolldinjoExist:itig Au )'J1 t} hang(! <:,!' f1;cc :hnn hc� ofCttanc.}i1111(1 of "C3ccuprtrct
It dicate former. List! if any ....r...,.�.___..�...�.w._.. .�_ .._....__�._.� ...�_..�.�._...
NAmt, : t fffllq SS t W IER Residence A � toss • � Y zi
Phone No. M Business: � � � � �_ ttrf4� 1(101 C :
NOTTCE: 1. Occupancy of tiny bt+ildfi.ng is prohlbiLed by Inw and a buc.inc.ss license
�. E:i },} not be i suc�i} jtnti l the building has �betm ins�ecte.d :end a
Certificate nf occupancy is issued.
x. No electrical service will be released for any existing, b041-difig until
the service has been inspected, and certified safe. A1`1 Pp: ticnnt:s for
occupancy in are existing butlding are required to schedule an electrical
+'fuse. uj)" josp ittion in the Department of Building and corms nfEy
'Developinet t sit the tithe this applicAtion is filed.
bppttg US1•`. 'ONLY (below this litre)
DF:P1iRTMP.NTAT, APPROVALS C1t
H
1 Bu ,t ing Denny tent 4. 110 l'1(': Works 1)i~pairttne' nC. z
ame Ua to Name f3a l c
►� 10ning 1lcpnrtrncht Ueptirt:metlt
f me inn to Name Date �"�,