HomeMy WebLinkAbout120 14th St - CofO (4)e CERT �ICAt `E C?�F ddibu: ANC`t
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7lisyis to ceitfy 'that 'tleCCt31'1_F3 g j _ as'i(`
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un i r r i g`Pet `if Nib X . .7"! ' 'fi is (Mip s 120 x'4th
address
aril described as R6n Ellis
in th lbit ill; = i i°icy -Ron 1��.� �.�r at 120 14th ft A
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SHALL BErstetl trl a cons�ifctr�Us'ilace rtn
blre�tor of 6611ding & COMMOnity O�ivetapment
�ha pterises arid shali'riat be'raribcd exceptrs
by By
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Business Address .
Name : BUiL rt G OWNER Addros�i GUY Phone No.
h3.s use *oulc e r�escr'bed as
eta f�uildinp Existing Bui.l�3zn�}���h�inK� rai tJst� ;ha%�o of Oc�r,er�Ch�`� gc� of Occupant
Ind i a #:e f ort 'er tise a. f any
Name" Bt�SI�3ESS 'OWNE , . , w_- e;idin �dd� ess y Zip
Phone No. ., iit�sitess: ..�.__..�_.._._. Residence:
DEPARTMENTAL APl R( AL;; R1 C;ETttED: d
Boil. !1� E -Department f r5 4.. Public Works Departmentcr"n
%acne Date Name Datc=
2Ping D(artmt . 1ixfmentc7)c��a
Barrie Da: tt N�� Da tc',
3. Fire Depa tmnnt.
Name .1)a t c= v «
St'fjPLEMEN'rAL INFOCtMA'("inN
Sid, ft. r:,E building, _._._..._s ip _.__._ _ Plan Check No
D:.cupancy 'Croup ,� -� 1 �P xrnii No.
Occupant Load _. :� �% AcI�-in, Action
No. of Stories _.�. t` o. Parking Spaces
Utilities 'Rc:-l_eased -�1.
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