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APPLICATION FOR CERTIFICATE OF OCCUPANCY
`�— CITY OF HUNTINGTON BEACH �
DEPARTMENT OF DEV' OPNIENT SERVICES t t? '
xurr oN DE4M ,Parrot t�:t GNLNt DATE
Address _1.�_ "'__.g_ _E t "� \ 1 u_: Ca —District
—
" District
Business Name �l nki ��,tit�� �La��
Business Type tCt�.� Gcc.Group
BUILDING OWNER BUSINESS OWNERIMANAGER
Name— � 'c tCaAA
1e C Name` L li i1 t aRn
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Addresrs � 1 u c I 1 3 r � ' `* Addre?s5 _d!
Cr#Y t4ont't C=' i YT" e ' tef Wit_` .- _ Ctty—L �L 1 1 HomAe �_,N i(�
THIS USE WOULD BE DESCRIBED AS.
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` NEWLY CONSTRUCTED BLOC � - CHANGE OF OWNER r�} CHANGE OF OCCUPANT
SMSTING BU!LDiNG 4 CHANGE OF U5E L l ADDITIONAL OCCUPANT
i` Indicate former ua,�, it any I _ ' : Dccupa.,.Y G, Dl\-_
M SQUARE FT OF Bt:ILi31NG TC BE GtvCLiPIEL'�._..+