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This is``fo `c;erfiify that the
as aulhOr4 d'd
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Inder Eat"r ldirrg`Peirir t Nip. RX� f iI ar tl is ide'r�iti f61 as I�.� !Main fit. x Nt�t�i�'iri��a�► `$e�►�h
adi�re3s
1
and'dese' "'t id as S N CIE 5 t " 5 1`i�tu 7iil "�
irl 4he ilif ii '` s�nrried by 14 � I�I+i 9bk6 at M&` 11 St. tU ci` = 3, h
ii.amez addrass
complirs wth 'the`:pi'ri�isi�ns `iif all lyert�i;it`tr►ws, codes; oiPritices arKi ar�y"irriptsed
. " 66Adifibhs for :tie Use desarlb d arir 6lassI*tipd `as,P6n F' _.r °6cedpaney.
MA}�i'lU OM OC60PANT LOAb i�l~ ilVlETttl)
V tine:.
This Ce fitldfe abf 'Occd A6V `
.Intit E. Behrens z'
iNAL- `6E pb"sfed in a cafispiciiatls place oil c�lrectoi of a►��tdin9 a cumin. 6 ty o4�ai�pmen�
the pr fii es artd shh" n6t" e`�re`itidveti 6kc ept
_By�the'Buildiii `U�fficiel.___�----
APPY"IcAttoN 114611 'CETtt1F;,f6AdE'' OF OCCOPAN(Y
n
'Ino1*1V o r 66iwinq co!,:�Ru De'v e* 1 61)Me
Cit of
p6tj AP v I'T cANr fix) V1 M, 1 W V vint"
y1w 6,11-1. V) a.24/ 7
iApplicati011 is hero' by ma' de for a ceftikiddte' of Occ6p�anv.y for at
001� be -Businesp. J� s e
4
TO be 4K110e.1 cis
at
AS_
A t,"
t
NaftVI-1. SUIMMIG OWNPR Address city z I p
T1110 USE wmllm w." !*,SC4RTBw AS:
Chan g'e of- owner i a n, ri e Of Occ-upaht
.41-Y Constructed Bit 11 d i lim
t4c
c� [7 j j t 10, Q,' cupant A C, 11 a ji 9 of o
111(b ZuilttS formor Ut.t(!
IN1.7 OWNEIP Re!" i d(mco Addrest; 'City
pith{ 140. 1 Jkj">,j n es -7z j
a
I
71 cenZrl Will not hv.N OT Y Ci Of. :kj!y'1mJ.1din(j its prohibited and a bisitiess,
occ an
issutid until- th0t
ho-liding has been insluiced And a 1-0 fic t( f, UP cY,
issued
NO e'lectri cal sorvic-c wiI I - be - rcleasod for any exiSi .�uildingAihtil. the
pancy
1v 'been inspect d alid c ap is its 10r:occu
-is P
artified safe. All
14 an ex1piting - butiding'ererequired to i4tch, up##
Mule arv�cicctr SC
ions vction in theI)opaktnent of guilding and D V 16�indnt a te
"fine this application Is filed**
7
CHMME oe OCCANCY OR" INSPtCTION Mt. Whenever it is --necessary to
es -in 6rdto er 'de'tPrm, n
c -a"bu-1.11ditig -9?�� premisi ti If, a' dhariqe may
-Use f t -�premiseo
be made in tht: ", 6 bAractei 'pt occupancy or 0 lie bui.ldiii§ or
41'� whicill would placc.'tho U4hding In a differefitdivitsi6n :of, 06 same qrouptof
c :a charge of. occupancy OCCUP4 or fin a Aftrent group 'of occupancy
t14
-the city.
ins 01b f Y �2 00 shall be paid to
F0 R F OF1§EONLY) NLY)
�(2 % i
f N TAL INFORM �-,: SUPP C ATT607
A L
P-lan Chock N j 1_3�v
ft. biii1divi§ s t-'e';
tipancy. Group �,�R6iinit No.
0,cdUpant:_Load "ifi, Action
�Novof Stories 'No. I?Arkif�q 'Spadesis
"
Health Dept.oVail, Appr
Mi'liti6s'Released
PROVEDZY. QAT18
5 ;,00
A Cj0M*CY" FEE
cgldIFICAIFE 'OF oc
C NGE "'OF QCECTIM FEE.
COPANCY 0 OSE
s
:,:075-039)
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