HomeMy WebLinkAbout15331 Pipeline Ln - CofO (4)OF
ci 1 . Vw liU � S.. 1-1 ,'L}I'1 BEACH �73::1 _... ..L a=,_..�.1T .�i IL-�' .�'-' -
(3"d F100r' - ?�l t(S lvfl` IF1-�?1'SC'r?j
Dc:_
�2�5� iC7 �'✓�`��� t
rBusi -s5 Lic=1' -
�ac s 1`�33t t'iPr t E L PL _ `L �G��iQ3--69i�
}'3LT,.?n8 T ,-- t\0 ,0MG6 E-S2hL CLt('At2
O•S ice.
-,- j'�t,13 i_ A:Si(aI� i })L" PWl S 1� f C EC1� C .IC.k RAq
TTf Y4
Ho_., ., s dd�;es�
Address �S 33 A/ - � 1LLY' M -1,0(L0IS'4 �ei2
`T
City pn f^ 23 Cittr AN N��
THIS LISI!, Y'T LUZD BE DESCRIBED 3S,
^ar_mucced Buildi � or "i,; i,1Q B ildinG
CHECK ALL THAT APPLY: '
0Changa of Owner hancr- of Occupant UChangz of Use CAdditional Occupant
Indicete former use; if any
Does the building have electricity? Yaso Nod -�
Yes No
If Sao; are you -requesting that the elzectiricity be turned on?
The building is sprinklered? Yes ® N
Yes No
Operations Nvill product dltsi%Nvood shavings or similar material?
Operations -will involve the repair or reg:acezuent of automobile parts Yes '' No
If yes: Describe the componezzts repaired or replaced.
2NMc.P S of L Cn+�UG E'
Does the operation involve the use of welding or open r`lail-ie? Yes' ® Id 0
The business is drinkic - gq, dining or asserribly use that will result in an occupant load
of more S ian 50 persons. Yes ® No1
The follotiving best describes my operation: -
❑Retail Sales FlMedicalfDent�1 ®Rastauran-dTeke Out Food ��yarehouse
I Of zce Only
OMai ufac uingistributiotz (describe process and end pradi7ct}
Other `describe}
-
'k-kozkvP
+' Office Use Only:zoninz
�tazd5;
Ti_ e
SEc�..es: l arkin` Spat View: - Paid a 1 GRE finzi''IsP snn
ac —
,
t Co�;����ant ; Bld )PI1n Checker LziFi�ls J
CofO
j i ls;