HomeMy WebLinkAbout15049 GOLDEN WEST - CofO (5)•
d ANdY
CER -OE OF` C p
Jj
CItY'6FA'ONYIt4d*O'--N bEAcH Jiffnttary 30r 1084
D E PA A tM ENT'6F'blv t4T 8&VICES Date
HUNtINGION OFACH
Address 15049 Goldehwest St..
Btasinessam
THE PERFECT FIT Tel. M-3773
G JWD TH R�&Xo Occ. Gr6bo
Btj§ln,' ess'TV06 TAILORIN AL NS
-h'F 'PjmANA'db
�uit BUM SS�OWNE
Hare Misin'ess Pr O*Pelr: ties Naime Chins Devoll
0 H6 ton
sr -1151-7 Gladsto-e cir.
Pitch,, P'O. -AcIftess
city Irvine, Ch 92713 Tel. city Fountain VAIley `'.HotweTe?75-46471
o. 0" ft Stogie 16 s. C6dpa'h't'Lwd 22 r Al '
Con i ered
.'44CNrfl1Id80WO'f becupariev DEPARTM UT;6F"bNtO d P MMT:SO'hVl'dE'
`sgAcLv'posted'in a co'hspl6d6Us 016ce on
the premises and 'Shadl-bof be'remidvieid except
by fhe 8 U-106 6i"O'c"fal. by,
DEVELOPMENT SERVICES
dAT E 0 F OC , C, P Y A00`CATfo`WP6R C
D'EPAR'tME'N't.,'or-DtVELOPMENt SERVICES
I TINGTON U3,Attl WN (PAfNT'OR TYPE 6WLY) 6ATE
RF./rA
q I 1?e 4 C_ Difte 6 t 11-Y ide LA q
Business N'ame 22-tz dl:-.,2 e Tel.
tfodn' 6ss TV, Pe Occ. Groin,
duit eftkts -oww-,WWANAGER
Name &
Address J-1a. 0ler ao. ze l
C TPUl'Ce C-4 pL /Y"
RY Tel. CRY /6 Tel.
ED AS: THkS"U"S15*6 Wi B'EbESdlf�16
NtWCY CO & s -r x ebtwo. CHANGE OF6'Whff'h CHA 4dt OF --OCCUPANT
"
'OHAN"6t OF USE F1 AD 0NALOCCUPANT A T
Andl0td:f6f,me'e1jsq if i-tt Z1- Occ6phhby'Gr. Div.
1\10fldE: 1. t8wit-6d" 8-,6busl h6ts - ficehso" Vill Uh-6t, be" issddd 1011ke' 60 1
ha9'bberf1dsp6bt6 I ddhi'd_'6-,cor t If k4o" f 0 o'd icyzj s �1. s s U' e'd.
2. N; � eledtilddl tervice. s 1 6 0118M v a ' 6d f6r my-exd§1; IbO _0 service )hspepto
h Tog "d, 16' e-,ddlWlh
_1161 d.46t" &I 'ancy n an e and bdW d 'safe. A�aoo AR"6611dift"drW `bIr d" sd"h
16�
e se ,� I n- tp' e 6 t 1&''-* 1 h`ll h 'e'' � D e p' b i bf °� b`. 061651%WSO, , Nices at the WMI *Hit aii 1166-
Ad 6W f.a
3 pan y rium- nspe"w 'fee. b WWWribcossary o-make Ihs'ped
dWh116___-of c' 6 1 Wh"e' 00
-68* 1h1h, 'hd`Ab
i Ay 'e-, "' -c bf pdricy, ruse
J* 0 or t61 ad Awelf 'a" �6wdh ffi' b' ' " ng-orp"640 sAwl Pfd �d m e�
o 'th' W118ft'or pr , dMiset which vvddIdt0IAce isidn,76f 'the' shiiw&oo
of the
1 �y
"
6f �&660arf6yokl 1hwdl f6edfitle' 0-0 _OCCUP�Ahby, a 6ha*64e�'61 in"'gpectl6h- feebif $30'.'0
shall be ` ba I d I o" - t' h- e 61 t y.-
rd'" bl fttho s Ut 8— 1
it. HUM, 10.2 t'WI IJ& &be hi "m
616f*6 W !J-6�k.
n es- h b i0"sfMke and' 6CA'011i'' Atkz
6f f6h r4y"416'Ni "Wh-616fit'Wit' �'dho'hifff%)` ras g
h'-V-d r, 4 1 rf(6 .'
aft-8. 1t)ese*6Ab&sAwt;be-'-o stdc!"'o"' - 6 '13611diho1h a obb WMilblo w street.
5. With n"'gffio"n""'Beach Fite -Code :'Se6!lo*'n 10.861, requires 11te ejZtlh"§'U'Nhor Wediloh and'diWili Idh
per AWi&
6h"Msd t "wh106
. cid. H lkl`6� (see`reverse �d
e`bI* Fite Pto-466th
f 27o
W6111604CE: USE 6N*LY)
S UJOK El"'M EN't A L i N'F 0 FkK ON
SdUARE FT. OF Bd D I ING PLAN CHECK'NO.
b C C 00 At Q C' Y GROUP 2- PERM I I I T NO. _
"OCCUPANT -LOAD _D__ ADMIN. ACT10U
NO.'O F'St" 6' E S
Ct'Al-iF't(;AtE6F'OCCUPANCY FEE
APMOVEb'gy DATE CHANGE OF'OCCUPANCY FEE
TOTAL
75-039 REV.
(AVELOPMENT SERVICES
NO. PA04NG spAdEs
kEALT H'Dt-PT. APPROVAL
OVA . L
h
ItS'k E L E ME D T
$
$