HomeMy WebLinkAbout15131 Triton Ln - CofO (57)--,-----"ice
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APPLICATION FOR G Z., ICATE OF OCCUPANCY
CITY OF HUNTINdTON'13EACH
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DEPARTMENT OF COMMUNITY DEVELOPMENT
HUNT1NGtON 9EACFI(PRINT OR TYPE ONLY) DATE
Address / /.S/ d ✓ t^) 1wz' .S+�rfil� /D� ��s G4 q! 2-&'Y l District
Business Name z-w 41Jo►t 0— 0.g- 3�' Tel..
Business Type -St egc '� Cb . IF Occ. Group
BUILDING OWNER BUSINE S OWNE /MANAGER
Name ek ELF R Y� Name PoA r ✓
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Address �. k'� Address
City— f�/� 1 C4 �)r,, Tel.. �__ City Hr e Tel
x,vTHIS USE WOULD BE DESCRIBED AS:
NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT
Cif EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any Occupancy Gr. Div.
r SQUARE FT. OF BUILDING TO BE OCCUPIED p 7
(FOR OFFICE USE ONLY)Y%'�
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SUPPLEMENTAL INFORMATIONS
ZONING , - /3-
OCCUPANCY GROUP 'rb"T
OCCUPANT LOAD
PLAN CHECK NO,
PERMIT NO.
NO. PAL'KING SPACES —..
HEALTH DEPT. APPROVAL
_
NO. OF STORIES — —_
ADMIN. ACTION
UTILITIES RELEASED
�'ERTIFICATE OF OCCUPANCY FEE
CHANGE OF USE OR OCCUPANCY FEE $
PP ED B DA.
TOTAL
$
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