HomeMy WebLinkAbout110 Pacific Coast Hwy - CofO (11)j,.
...��_
'I`(1CA�� �P O�t:UPp+i�1CY bate
� C CI'i'Y UC� NLSi37iNC3`fb� E3�r.AbN
DE
it
N� sER'tiC�SAt
a '
p�4'��'ClV1�NY
NUNYthCipH giAtit ----""
1 loyY���J ---- —'--�"r O�c. Grau1�
t*on- — -"
�xddress ` e
Sustness Name Gar,;'r
B:is'e'Te oDayvt3-
Dr
�o, 101 g ix '
Oscar `AY �- ------ Acfdnrch
5 Roll
�cT�`6s 3 5E rliikt ed __----- ---'
,t61 es_ � - -- ----dc f � ` � ���t��Cts
'dtt"n
No. of P q �t
� Cdiisti�
od �� fce: ,y
N`---�'Y
is
t � {eit`ti� fi cd ispic dus ;Etc e
:� i dyed exc�Pt
SNP i�tl°nt'ti� rerrn
y------
1
,3
3;
4
APP ICAT O 'Ti A' -ERT'CATE-017"oCC PAIVCy
a CITY bF H�uNiM146 rON REACH„
DEPA" f�i±iVT OF Di~VE!_'OPM fVT SE tViCES
_ e1 , •�
ttutrTiNGltxr BEACii (P!AINT OR TYPE ONLY) DATE
i
`i
r 3
C) t
Adciress t _� -� 'MtHat
Business Name Tel. _
us Biness Typ e BUILDING owO' R BUSINESS 0 ' E"7MANAGER
Nye u�,•` 'i Neme
3 HoMe
Address _ ' _ <_3_j _� 0o 0_ 0,s_
city_Ho`me Tel.
(� NEW C65NS7` iCiCTED B bG. CHANGE Q>a i3 N EP CI4AIVGE bF'OCCUPANt
E i f 1G B'%IWL CHANGE OF USE `4156 NAL'OCCUPA V'1"
Indicate fcii�r'jse, If any •� 1 Ji c t _. Occupa�r►cy Gr. _`Div.
`SCARE FT.'OF 0tLA`G`TO`BE OCCUI�IED
NOTICE: 1. dccttb'e'rtcy -of �any'-bdIIdit,1s`pr6Nib It6d e'nd a btu`sIh0 s Iicen: sb Will nbt be=issL.tetl`Of't11"tl*� bUiIdirig
huskeenhspet'ei mid a'`ce`r'tlfiatp of or'c'tIcyis iifi.
2. iVoelectrical seNice' li be`reieasa i 'fot• ah` exist ` b0AM tfMIII`fhe'seNlce'has `beep In betecl
ah`;d certified safe. All applicants for occiti 'r icy i eXist gT� ilcif ig`are re iliredsto s he Ie an
electrical 'fu'se � ip' insjiO` ff' 'I ilhe Depa�'ti 6htAof' DeVelo ii ent Sei iices at the` tf ie t is ap lica•
floe is filed.
3. that'ge`"of woccbb or"ttse °irispec'flon`fes. I1Uhenever1i i$ necessary to tn'ake insliection''of'a buiici- I
/ ing or prdd ises in orde'r''tc, de"ihe if a ehJh`g` e ► `y be b-iade in'ihe ch-aracte 'of o6cuparicy`6r i se
l of�' N' builcii`n :o�`` re.�iises vv Leh wol�id` `lace{the k�t�i i:n 'I a" iffi3 a t`` x i nt"fi`t a sa > a rou
9 i� p ltl g n d. ,�r r diti sie5 o h rn g l)
of°occupancy it in a different ropcfcipcy,achaieopconfeeif$g%f S
shall tie'p"bid ta�'the city.
4. HuC&Ie`Se` iioh nuffibers'niustbe a MIMIMm
of f0'tir'(4) inches in- KdI'dht vvith--o`fe half 2) if ch str6 (e, and of a contrast i9-dblor frc�lri fhe°'� ai k-
`geft"Hd: The' e hU`n1hfthUt`iie'poste( cffi°youlr bir ildii q iii a'`iocafiOn that'is'visitile`fro'rr `the sfre t.
5. HUMMW o t °Beach Firs Code Secfl6b 16"1 re' uii� s ;fire o of il-'her selection and distrii ti n
per ie'Natt I Fire Erotecfiarn Associatitin'=i��i l�hlet f o`lsee reverse side)
(E F OF ICE'USE WO)
Y)
511OLEivii'i'AL fi�lntNlAftl ZCStING _
OGC PA ICY"G IC JP �_ _ _ PLAN'CNECK" 0.. _+ _ � ISO I#Kf�IG SPACES ___
,OCCI�PAi�T L`OAU f'EiM1T 10. ��_. HEALTi�I DEFT. API'I`VAL s
"Nb.* STdlf'IES 4611l N. ACTION _ _ UTWlT11=S:kkLEASEb
— _._ CERTIFICATE OF OCCUPANCY FEE
APPI1'6VED•SY DXrE Oi AWE OF USE OR OddOPAi C'/ FEE
fdTA L $
75-n39'F EV.