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'APPLICATION FOIE CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT7-- 2la � o�
HUN7P,CTON SEAOi (PRINT OR TYPE ONLY)
DATE
Address �� O �- ` J� District
Business Name n� bhS� CC�O�Ttr� Tel `1Cct"�
Business Type `—�Ti�iT3 Q��1((�P/r Occ, Group
BUILDING OWNER BUSINESS OWNER/MANAGER
Name Y 00 1Jg &"q Name 51X•PFA M Address.2,Z`Sl 1pS"tbS is a.�b . `i Addresses 2 �11JG13
city V11�5 �1L 1 o Tel. City tA•-P_:' Home Tel, O(s
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG. ❑ CHI NGE OF OWNER CHANGE OF OC=1ANT
EXISTING BUILDING ❑ CHANGE OF USE LJ ADDITIONAL OCCUPANT
Indicate former use, if any. ��"� - Occupancy Gr Div.
SQUARE FT. OF BUILDING TO BE OCCUPIED�o
TRAFFIC IMPACT FEE
DATE PAID
t
F'ai14C7t.fN F RECE!1V (FOR OFFICE USE ONLY)
NAME — - ---- — ZONING
OCCUPANCY GROUP PLAN CHECK NO NO PARKING SPACFS
1' OCCUPANT LOAD PERMIT NO -- HEALTH DEPT APPROVAL
I
NO, OF STORIES ADMIN_ ACTIONC05" UTILITIES RELEASED —
_ CERTIFICATE OF OCCUPANCY FEE $
APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE $ 7
TOTAL y
75-039 Rev.1/97 '^GMMUNI I Y DEVFLi wP F-IVT
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