HomeMy WebLinkAbout15055 GOLDEN WEST - CofOI.
DATE PAID .,.,.. .
`
AMOUNT RECEIVED ..
"
NAME _
(FOR OFFICE USE ONLY)
j
ZONING
.-
SUPPLEMENTAL INFORMATI
OCCUPANCY GROUP PLAN CHECK NO,
� °f""PERMIT
NO. PARKING SPACES
HEALTH DEPT. APPROVAL
4`
e =' ry
OCCUPANT LOAD y` -k 70'
NO.
4
NO. OF DRIES
ADMIN. ACTION
UTILITIES RELEASED —
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riZ--,—
CERTIFICATE OF OCCUPANCY FEE
$
APP VED . Y DATE
CHANGE OF USE OR OCCUPANCY FEE $
li
TOTAL
$.�.
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75-039 Rev.1/97
COMMUNITY DEVELOFMFNT
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SU7, PLEMFI'TA,L
INFORMATION (Continued)
Does
the operation involve any of the
following materials? Yes
� n;
(5 Vo
If
Yes, indica•ie qua, tities:
M �zFrial
Quantity
I
7.
Flammable liquids
a
Glass I -A
i
Class I-F3
Class I-C
2.
Combustible liquids
Y �
' y
<.
glass It
Cla." 131-A
k
!
3.
i
3 �
Combination flammable liquids
4_
Flammable gases
<; ,
.,
5.
� Liquefied flammable gases
_ '
E.
Flammable fibers - loose
7.
€
Flarrimable fibers - baled
.�
8.
' lr
Flammable solids
9.
Unstab!e materials
Corrosive liquids
11.
Oxidizing "material - gases
,1 ��