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Home My WebLink About121 Main St - CofO (11)77_ x C('f Y d� f �'3rtiit�f WftA�� .4.,., dir'P: '� i t i'f � = v' i F HUNxITON` BEACH SufCf ' Shy H441th ' #6 d � r This is``to"eei�tlfy�'�th"et �ie Pas afi��ize`� ui sler Boll" ih- errri�tYNo, ��3ng aK&is a if(f1ed'as address ai'ii`'%esd. Itie l'as Georg {s Surf, Cei t r itt'tlf� �t iti�fi iviin d°i�y r+ Cts" t C il, ft �tr« Truittde at P. . `b6 550 nat�i� address t11�ti3�1t`;'I<3E3gt�'i� C" firls wlifr't ie` j rani id is taf ail? ieF ine t`"h"' `r;"d �►d,, lh' i6s, and- My'ir60Wd'ri cct ii i is -e iise descr'1b6d ankd cias$ifli i as n _ _ T' 2 Nice This Gee ic'At`e o'f"'oo6b, Ai y poste a ccin'Sitil�s"lSia`dtti the `'Or, ib S-eS, aritl �hefl not �e``�er �v�tl e�tc'�pt "A 0 cl r, OR c8i�t r-, Ap�tid%T. W iFtcA TE o fa. DPWOIOOM(� 0 of HiM _VR (P rl 6 t _M, type - ""i i('! TO FXLL IN DATE er"ti f ic6te of Occupancy for A.- j c��rj 1, ion' 1, .1 f P CY -s -her,eby made or a <: Ajscrib*(� Mi.,; in -:S -Use be known (1.3 (:.7- c- 7 am -1 of t -h0Sf3 N 7 tisj J T A A 11c, q c Busit"iOSs Addres,,i ll ie: 04ER SS City P 'tIione 1Jo ra 1711-T E US :AVIOOLD 13E DESCRIBED 2N S Cons �k j Change-6f CnMer 0 OCCbpan t 1 b, w, l'y' 't ucted:�Bldildihc F1 iqe f `Inqc 'Add itioh4l Occuipal'ft i EXISt q ell, of, U"(, in Ading "i cafe former :u be i f a Ila 1!V e BUSINESS -OWNE 4 R -cit Zip Resid6hc0:-. Phone No. -5 'NOTICE 1. "'' 0�:cupancy of any -bui1dihg is prohibited and �a -businesslicchse V-1.11 not be. -thg 'has 'beei ihspected-And- a CektificAte of ocdttpanicy issued_ thtil'the d f --is - issued. X cl) , ce willbe, released for. a.hy'-existi-fig 'bu I he C, 2. 14 el ectrical 8" er Ve d 6 'fied safe.fe, :All,, .'applicants fox . r occLipAhcv v c h9p dt d n erti r �i'e has'bd'h e d an existihq lwiidihq� are.'kdqUkbd - to school le an c1le6trical �Wqo u'll 91 ion Yt�b Auilding d,�Community`'Deve' 'Pftidnt,6t the aslaecti in the bdpa nt o B an 3�ine this application is" filled. '14 -FEE, 'Vh-e-nevbr* it Is `K60-es's'a"P to -Make 3.. PIANG'E OF OCCUPANCT'6R USE'l.SPECTIO y ion of a`b ildihg, or, premises in order to determine i f-a dhgn" e may 79c made in the dhatadte.er of 6ccupdncy-or use -of the bifildihg - or Premises ich would p1acelt he bijilding in a different AiVision of'A6,same,group of : 6 ncy, a c a- 'f upancy or In adiffe'rdhlt�gjrobp� f occupA h�nge,�o c ndy c Nc =Fnspection fee 6 2_ b 0 s hA 11 be paid to the City. A. F 0 R OFFICE U S E4 L 7 UPP3,E'RE4TAL ''INFoAMAT-16N ac: i 6 IYO -7 Sq. Plan Ch)4k 44d. 066 hcy- G 0.zcupan if 'L6 a' d No. ©f 'Stovies �No. Parklnhq,.Spaces " A -'He alth Dept. Approval e Utilities Released C!N_ .,-_)�P` P ROVED BY. DATE, "0 0 CERTIFICATE :OF- CuP cy PP.r, $ `F, Or OCCUPANCY `OR U N FEE SE, If4SPt&T6 -030), :75 TOrML alQ 6 AV.