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APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF DEVELOPMENT SERVICES
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DATE
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BUILDING OWNER 8+JSIP'K3
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` THIS USE WOULD BE DESCRIBED AS;
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❑ NEWLY CONSTRUCTED BLDG. CHATS=�E OF OWNER
CHANGE OF GGCUPAN i
EXISTING BUILDING ❑ CHANGE OF USE
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t_{{—1 ADDITIONAL OCCt.IPA`!T
Indicate former use. If any s 01.1 paiicy Gr
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SQUARE FT. OF BUILDING TO BE OCCUPIECi...._.�,-.