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CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH Te ZIZ� "" 14
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DEPARTMENT OF DEVELOPMENT SERVICES oa
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Bvimess Type (7ec. Group R— '>
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Bi tILDING OWNER BUSINESS OWNERIMANAGER
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Name ..:.1riSi�t �,z.: .'.-.ii?:"'1,,3 �°�..; �.._..,�
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Construction —No. of SIorIPS Ops"pant Load. Sprinklered
This Certificate of Occupancy DEPARTMENT OF DEVELOPMENT SERVICES
SHALL BE posted in a conspicuous place on
the premises and shalt not be removed ex-
cept by the Building Official. icy _ f •� art°
.3E VEL7PMNT SERVICES
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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o �{ CITY OF HUNTINGT4N BEACH
DEPARTMENT OF DEVELOPMENT SERVICt:? _1/
t HUNTINCTON MACH H (rniNT OR TYPE QAY, DATE
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Business Name d•' '` =; Tel..c`r7i � J'6Y o7c
Business Type Occ. Group
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`h BUILDING OWNEF '5US NFSS OVINERIMANAGER
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Address Jf_ .__ _ Addres
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THIS USE WOULD BE DESCRIBED AS:
NEWLY CONSTRUCTED BLDG. �: CHANCaI; OF GWNFR � CHANGE OF OCCUPANT
EXISTftG BUILDING � CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indl,ate former use, it any_ Occupancy Gr Div
' SOUA V FT. OF BUILDING TO BF OCCUPIED _
(FOR OFFICE USE ONLY,'
SUPPLEMENTAL itifFtIRM��ATION ZONIN+�` ���-��—�_�_____
OCCUPANCY GROUI'___L:3 _4:—r PLAN CHECK NO..�...._..,...�. . NO. PARKING SPACES�"'��uL� �
OCCUPANT LOAD PERMIT NO. ---- HEALTH DEPT. APPROVAL
NO; OF STORIES ADMIN. ACTION UTIL MIES RELEASED
r��'OERTIFICATE OF OCCUPANCY FEE $
APPROVED BY D<; E CHANGE OF USE OR OCCUPANCY FEE $
TOTAL $
7$-039 REV.
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