HomeMy WebLinkAbout15075 GOLDEN WEST - CofO (5)'
C7ET(31''UIT"S
Date
klUNTINGI BEACH
s
D�I�t f
.L�L{.1 i, Cl..i. tf
�
-./V-
}
:< .
.;.f '�P� GAR 'AlI' t`'! �
tYsiiss Type N1�: Sib' TIC FAN
lJc.otii {�2
t
- ,r,
BUltbf(#(1V,1IJF
�USINESOtI1fItVl�Efi`:
d
s
y
B�isi»Qs It opeft
'are
�13ta : N Tian
I9�
!
h
a k ° bi m
"
H 6���
`
ICSs
tv--'
97 800 ttwn goon i as h,, C&�. 2�4t
G ty f�me`i'aj:,�34
.0
;.Tel.
cc SP r
bLo 'ci 0Cl
4
o ed
`
4
i
Thi`.L�rtC�icate'bfCcuoany
T1 C i.: �i-N si�x`r _ ,t' . t' ,F i:i3': ;•
D'E'A�iTILTDCf� 1 Si
l
,j
3Sffl:�d'ih
�` oiij�lctlac� of
fhb 'Pl� ri Mr c� 'be tYib d b�' dOt
I
_..
r
D� ` E1.6F MEN'i' SERVICES
VICE.,
1 -
r
i
.
t
A0PLICA'1�(' F `_ iY AIiP li`nCCtlf�Ai CY
DEPAR lVI�'NT 1Jir� gtt
f F 'VICES
1pRfli'(SFi t1Ed(Y1
Address (� S� _ kN iy S `% 1 f ! - ___ _ Dlsfelct
Tel. `
__ " '8u�lnett l'1i e - t t�7i - _ 'Occ:' r i i
C
e ,iG}wR euSIN 'ess ovhbft� WNaaEe
t�f ern a
re
ss
r � a
TetTel �
. ,1 a I
i' Ietrjt-bE DESC� ! "M:
�GiAG OPE{OCCIIAY
(j'MNG`E'4OF O t '
fSi` G'� G CH�A GE E`l E 40M. t7CCANT
Indrkmllrf6'rr i' se if n" lj spar% ' r. Div. i
80 " `E Fr off
� 1 Oceu°ars%y oany eia t b�ide�issub, *lVNOT&Ic y
h' ' V e� i�iii� ect�d':3 id a'eerri$°is ed
elleode'telie afl i4cfa�llsesetYp ic'ien,`s ecfi tiSc -sflf"e�r Poecpc e - f , i��rt 'YI-n. f 'ariisL:t:
lg 0111t l'.Measeore12, iD66��(1 os�c'er�rrt���e. AI:a f eivisic°tiGii ' efs�d��t`ei ep
S
t
R ° is 11 is f _ z
CIIR�I 3. .b frble r�tfse ii pea io ee. (1V i `ever i i� r ecessary f `ire Of
g t f�`-li�i�l��
i�e�lia�ac'ter of�e' i "iy`orCi e
IN
i�es ire otler'to de#eIieff a�a
. ..;. � l i 6.1 s es iriZli �Vo( Iie fh'tii i a fr'i'itii cif .:
of ocP piS or An a- cif occit�`io;' a-ehaigp of ocebiirieci�nfe of $
,� si�aii a�d,t k
t
5^
4: Hun 9 Beach`EP�Cle,, ecabQiesFth't b(iflsifi°e `a {
�# . �.
'I t e i�i li ix� : Ti iie t i �(�1 �h st '6 ; Ifi`'dr'�f 'cr f %asf� Si eIf ���k= {
of afct` (} y _ �1
% �_ a`Icai h't is iisibfe°fr►e stet.
b r t'be posted csb i r i(d��'(I�
rc�i' i'11e e n s rri
h e SectioYi
5. Hint rtBe"ei`ii'f�Gd s
� p�� ff` e�'
1 i . ; �tl��s" e � is���,� s e
per Y1te wt Iml dire Prdte+ t �(l f fee r�r�t r=se sib 3
OCCI � I CY G OL F' PLM61 CKSPACES _
'OCGIlPA�N f Lb :O 1_�! PEA alb FiFAL'i4s3oVAL
Nfj;i°�Si`4 _ ___ _�_ ACII+l:`Ai;`tN' __ l,f ESYE A Eb
'd f C3Ef'i"iOA'TEOF t'Cf'OY FEE
APF' DATE CNAVGE' OF USA FEE `$ $
T•^�•e J
TOTAL
76039.REV.
DF.vv.v)I)M NT SERVICE
. .■