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G'OWNER NERIMA AGER
ame
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C. -Oro ShoZo & RUt:h Hiraho
AddeLis's 1.7631 Pit''l.0"-
St HZe 2236 Via Verity AVG,
Address
Tryinet—CA city Hacienda ligts, CA
City— "Tel. H eu-6-nalial..
QA&b�fl6h No, of StoriesCCU I J)arl . t Load— 57 Sorl' 'kl&r6d
This 9 site -ofbccuoihcy DEPARTME T OFD�vtwOMNr 8tR OCES
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REVEL OF"MIFNT SERVICES
i
HUNTINGTON MACH
APPLICATION FOR CERTIr[dATE'0F "OCCUPANCY
CITY'OF.HUNT-INGTON B.EACI I
DEPARTMENTOF DEVELOPMENT SERVICES
(PRINT 6A TYPE ONLY)
1)ATE
So Sq Grolde-VA
,A.d'lre$S._ District
J"ness N 6 e'n' e IS I R_ G S Lk 9- A, 1\) -r Tel.
�>B ifiess Type N-- (n d 0 Occ. Gr6Up
BUSINESS oMtjAiMANAGER
L C_ 5tA(4 LL. me L:M_[2-cif H 1-4-teAX)v
Igpe -�56 V/A V6 eXrA Vc—
Address I 1 3 7- C_ ress 4"
e C,
City Tel. 144C160D4 1,46rV6% CA-_HomeT_I, *3X_ T
THIS -USE WOf16j'IJt`b E-sd6bie"t) As:
E] 6 NEWLY GdNST406 b'kba. Ej CHANGE`OF
F OIL' CHANGE 6F`6dC PXNT
E RIS' ff N` G 60-6 114G E] C HANGE'OF USE L] ADD !Tfl 6NAL- OiddbPMT
Indicate-for-m—prose, if any OrcupancyGr. ----Div.
SQUARE FT. OF F BUILDING TO BE OCCUPI,ED_L�Lk_0__
N di I'd t: 1 Occupancy 6f a"'n'y'bdIldIK6"is"Oroh-lbit'e'd and a';business license Mllitdt be issued
has been`Ih§6edt6d and a cettif'16"a"'te-k-6f-6ctdpd"66y'is-issue'd.
2. No electrical service will 'be,rOleasdd for any �`Ithe, servic'e"Kasbeen ihS08C.t 6d
acid c6illi8 safe. All doollbants for-occupancyzlh,!n cikistlh' "bOlIdIA" ate -requ Irem16 arl
n rt ion9 .9
electflcal "I'LlSe Up' inspection, In the Departrh6ht of Develoo*6ht Services at the t1rhellils alJolle'a-
t166,.is filed.
3. Change of''bcc%pancy `or use inispectiuit fee. 'Whdhever it is 'necessary to make 1hs0e6tI6&-6f 6-bdlld-
irig or prohilteis, ifibeder'to 'deter' lhe- If a charge may be - made in the character 6f,6.cd . (10,6hey-bruse
of the b 118!h-g or premises Which Woul&olace the bUilding in a4lifor6ht divNioWof 'the same
7&66p,
of occupancy or In a diff6ten-tgroup:64 occupancy, a change of becUpdricy 1hspe'c+,I6n`fee of
shall ble-paid 'tolhe city.
4. Hu"A"'M ton'BeaCh Fire Code Secilon 10.208 lr6tlblres that Iju_ildIh--0�h1fi'hb6rs hi' t be a m lhlftl�h
.of j6t1r-'(4Y,`Inbh0s,Ih hbl�k with one half (M inch-str6ke, and of a cotitrast"I'lid d6l6r`iro'k"ih-6'%ack-
gr66d. These n0MK6rs,6iV6t'be po§tdd'dh'Vdhr'bdIlding lh,a locaflon.th6fls visible ft6fti'the street.
5. M fSh"beach Fire Code Section 10J61 rdtlillres fire e,flhqfflther seledtldh 64d,dNtl`I15(ft16h
per the Nki6bal- Fite Pr6tedtflOh Assoeiklo,hi-paiihohlet 10 (see reverse side).
(0613'OFFICE.UtE ONLY)
SUPPLEMENTAL' INFORMATION
Z0141'NG
C "AY�dkoup
0 C'UP C
A-3
PLAN CHECK NO.
NO. PARKING SPACES
6(.dUPANT'LOA'D
PERMIT —'NO.
ACTION
HEALTH DEPT. APMOWAL
NO. OF STU us
ADMIN.
UtILITIES'AELEME-b
CERTIFICATE OF OCCUPANCY FEE S
-
APPROVED lJY
DATE CHANGE OF USE OR OCCUPANCY r-EE $
TOTAL
$
75-039 REV.
7 7,S'