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HomeMy WebLinkAbout15049 GOLDEN WEST - CofO (7)4`6"Ct Pb 0' c AN.CY Ji 'S"6F_WUNYlNGT6N'bEXdH -0 E 11t Nfl, GIo4 StA01 Date DmObt Wddebss Tel. SO-1- ausiness'Naii ne. bcc. Gr6u"P Business ' uit' ss Type 6WNEsjMANA(jIEh Name Wine (11 r Address 1. —7C Ad i CRY Tel. _q� A cuparit —No. of 8tofies :Natice: PAAT MEN . T Or � DEVE CO' This Certificate Of Occupancy Sk A U 1,213 t" Ostedin a conspicuous p ace on the p- be rem6v6d except I rem seS by by: the: __DTV E LORX9ffWV FCTTS 4 Ltom; lit TwGTON BrAoi Addre"ss Midn'ess Budness . 10 1KI 61-( �/ 'A&11� Add►f s `city b A' B " rx fW19"bSE MAIO BE E SCII E AS: 0 A -N, 0 PP ;F' A' T(OTCATE-br' CdOOMOV CITY f%F OUNTING'Torq NtAdi bEPARtMENTOF DEVELOPMENT SERVICES (PRINT OR TYPE ONLY) Name JJ_r �el' Address'` 1 City A Nb#LY CdN'SfAbbttb`_'AtDG- Ej CHANG"E"1OF MOO EX19fING"6MOIN , G CHANGE'_bFbSE indicate former u so, If an, 06ctjpJhcy Or. NONCE: 1 2. U 5. / Ir &'; e Telg'7'7­� Odc. Grbtfip- X? MAI kAn___CAnti TO CHANGE Or -OCCUPANT F] Adblf ONAL'OCCUPMT Div, I K, 1. ­. 0 c -aii'd a busl' fihdtibe� 1ssu6d-,(1tft11`thb' bill adofty,of�mIVIAld W'syro 11JR66, nesslicahse w I d and'b`d6r , 66t f as,bbbh1h*6 Ail... e�o ,occupan yAs issue. - serv_10'-W 1"bb" t6i ease '#Vihe serNioe"has been frigpedtod No eledif'.lcal d"for airy dki4l"tib boildIKO, tm h and,cerirft6d safe. All a p0h�mltt` for -.o- c- du p-a hey, in an exist* scedule-ah9t , AA electrical 160 1 up" Inspe'e"416h in` the* Depart t -o '06ve" loohio'ht SerVices at'the tide this apollbb- 116 `�111M. -0 s sb Uspe' 116h ee. Wd- -It I t k 6twin,of a bdild. bh-an'ge1b'f,'bc'ddlJiiIi*" e��Ll r .:snecessarV w -8 elhspa U ­b­c atatter -10h of beituoancy,or, se ing'','or''p'r'-d*ites-in-ijtdert�0--fddtO'rWh'd.if a t6fte�*hiay�-b.o'hi`ddie 6h of the'6011dft' Mikes the same°droU n 6f bdcUpahcy, a chailge -of -60M y -feefbf of br-fi' -a"d0f6teht g'00pi pectl& 49AU h , W�' Beath FlWcoda gection 10.A8-�r0&bs;fh5t`b011d_ h i­MbOes- 6Aist"be a m ufn inch 8h`d76f- c6ht sfl'h0'bb1or-ff6h!'thd"babk- of half (%)Ah a ea dr6ft. These hil M-hdrs M-11ft"be,00st-6d" '0ur:b'01l`dln`q 'in e lotaitlowth6t: is visible fr&n, the street. Htin'ti,ngtbh"Beach ' Fire 'Cod'o' Sedtibn fO.301 ''requires fire extin6a her -se,166061h and di§telbtftib�n' per the Wtlahal Fire Pt6tect'16h Association pampfilet f6lsee­r6det f Aj (FOWOPFICE USE ONLY) SUPPLEMENTAL INFORMATION CHECK No. NO, PARKING SPACES SCOAAE FT. OF b(AbING PLAN cHr P _ -A� HEALTH DEPT. APPROVAL OCCUPANCY GROUP PERMIT NO. OCCUPANT LOAD ADMIN. ACTION ''r' 1ES :D F STO " YJ 4, �J�t�!�� J4 I NO. OF STO 'IES c c OCCUPANCY FEE RTIFICATE OF APPROVED Y DATE CHANGE OF OCCUPANCY FEE' $ TOTAL $ 76.039 REV. DEVEK)Pm! ill,