HomeMy WebLinkAbout15073 GOLDEN WEST - CofONCY
CERTIFICATE OF OCCUPAoate
•,I GLTY OF HUNTINGTON BEACH
coo DEPARTMENT OF DEVELOPMENT SEflV6%ES
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Aduress—_ r: t'f� rou 1
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Business Name — _ BUSINESS OWNEHIMANAGER
Business TypE------ _
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QCr tia�i{ir e NameAddress
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Name HomeTe
Address
City #
3 ., 9,11�_C --Tei �-- R prinklered ti.
ant Load 1� Ci
Gity_�� Occupant
Corstructir n
No. of Stories
DEPARTMENT QP DEVELOPMENT SERVICES
This Ceriit` icatO °t O�=nr lace on fi
poste iia a conspicuous p by
SHALL BE pn0j removed ex-
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emise= and shall
Off{cate
fhe BuMing y T ..
VELOPMENT SERVICES ..t. K..
APPLICATION FOR CERTIFICATE OF OCCUPANCY NX
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CITY OF H DBEACH
DEPARTMENT OF DEVELOPMENT SERVICES _.tf`.. -1
NUNnMGTpN BFAOi 1PRINT.OR TYPE ONLY). DATE
Address �1� LT.C.li�i�/�CIL`/`— ,'qd� District
Business Name A _"C w Tel.
Business Type Occ. Group
BUILDING L7r IFR (' BUSINESS OWNERWANAGER
Name_ / � C /C��Ric/ � if L �—iVame�,�. ! IMF 'ffC_Cw EWiry,�!c
Address�' N!l%� Home
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Address � S'L"� .'x1.1,� tG C'lC
City h It b Tel. City 1 Home Tel
THIS USE WOULD BE. DESCRIBED AS;
El NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT
i
EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any Occupancy Gr, Div:4
SQUARE FT. OF BUILDING TO BE OCC IEDS�'�
SUPPLEMENTAL INFORMATION (FOR OFFICE USE ONLY)ZONING _
OCCUPANCY GROUP P, V-' — PLAN CHEC., NO. NO. PARKING SPACES
OCCUPANT LOAD s PERMIT NO, HEALTH DEPT. APPROVAL NO, OF STORIES ADMIN. ACTION UTILITIES RELEASED
CERTIFICATE OF OCCUPANCY FEE $ _
APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE $+
TOTAL
75-039 REV. DE..VVLOPMENT SERJ:0*8