HomeMy WebLinkAbout1401 Huntington St - CofO (2)`11
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vl6Adh Ca ll foX"fi• a And des6 ibed as --
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naMe address
N1 f 21 C� � `'T3t38G• "1 complies Vvith the provisions of all 1�eetffi6ht laws, cosies, rnf ilhStAr:CS it`rtiri ay irripitiscci
t� if tlttit ns" for' talc use cft�srriiit+cf and clas3ifii d as an ._. �_w _. _ accit pancy.
Al }'Mce
"this "C�riffi 'ta cif `C�a~ ipa cy
IL F3E lY6991 d' iri .a c ntisjiicuot,s..placr. on
tila ��rr+ii isms at ii $b6l � n6t'`be removed L•x+ n;fit
by, tha Buil<i34,600M.
btrtsctor of Building R Conitnunity Devoloprrtient
Ety
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001ilt
ATION FOR C F RT f V 1 t tE -`oF c 00A ky
Oopartril :pit of De v 0, 1601k t Services 6 Of Ahting on Beach
f✓0R Aft iCA 1T TO FILL IN (Print or type only)
'hereh. A 'fbr'a -t Of icate of 0 c"*phhcy for
App'.11cati6ni is ce) I c U
Gr.
D, S, c, ibe Busihoss Use
r
-0 .:tDSMESS qil
'4
PM-Ke- No.
�7, I
Nathe ; BUILDING OWNER
S 'WdID.t*E brSiCkt6b :As:
E`
xistihTguildin-
_te f rmor use
Ii d 16 0i f any "Iwo
.0 f any i
S irphse
-0cap, baildi�h r WiT;717 I
a s
until been int-poctod acid a, C60'ti f i Cate c') f 0 ddui arl cy i s I ss"'Ied
No alettrical 'service will -bo, relea*s�csd for-,ahy existing buildi`-Dufitil e
�Iicahts'T6 occLp Y
3 .. 6 1 , - z��
sery i ce, 11AS IfispecAe'd --and c ) t 1 f 1 ed safe. 'All Ap r 1 6hd
'in 6ee roquire I d to sclie,dtile', dh -electrical "fuse up,"
.i c 1-6-n 66t the
We"t". -in th.e. Dopart�ioht of Bifildil"z"and Cofiftfnity 06VPIOOM at time
this a*p`p1,ica'ti,o-n is -Filed.
C PANGE -11F OCCUPANCYOVUSC ` 1ASPECTI4N PEE. 'Whenbver I t i se hecessary - to snake
inO'ectidh 'of a -11M Idi . h�:&-. prie to i ts P. s I in 16-Mpr to detormi-be if a 'thahge may,
be m6de in' tile of occupafi.cy 6v usc of the building 6r ftenliser, . Which
would .p I ace the building in a diff --,dup6f �occ , opghcy
eroht -division of the same g6
or in a Ai rf erent -0%'60 of occupailcy$ -a change of Occupancy inspection fee of
$30."00 - 041 I'be -paid to the C i ty.
{rovorFicr tiler ONLY
le S S
ress
C Y.
cito_ 042
w�MhWb j r
*15Z"Change -6f 'OwnIer
2.
3.
El 00111c,-6f Use
Chaihqe,rof OcWpot
[-JAdditiohal _OccdOfit
) upa cy:
ct o c1r.