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HomeMy WebLinkAbout124 A W 1st St - Building - , '. I""' I IU-"''''' :-,. /I J (2 , .JL...U ING SLIP ----r-:r e(LSlU~S OU\CA OeA-iono.\ _ \ ':I~I J <:'lc..' "" Certl Icat of Occupancy \' $47,00 (ertif ate/Inspection Fee DATE {'{)Cv-\ ,~16: '() ~ ...... Address of Propose~ B~~ness I S \ IJ)'-IA U )P,:<,UIIS-r +, Applicant <.ShCl \J..Y\ '" ('') ~ Addre~s \~q ~ <'\c~~ L~- Rd tb--1::: A_g k~ IDr-\. <'j~3103 , Phone: business home .!:!S::Ho I L,O Brief description of proposed business: legal Description: lot Current Use of Property: Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? Construction changes. . . Electrical changes.. ..... Mechanical (heating, cooling, stoves) . . Plumbing changes New or relocated signs. . . . . . New septic tanks. . . . . . . New sewer service Admission charged to patrons. . Is this a home occupation? Excavation of filling of lots ....... Work done in City right-ot-way . . . . Is there sufficient off-street parking? . New driveway openings. A grading plan for site drainage. (parking lots. downspouts, etc.) Are the existing streets paved? . Are there existing sidewalks? . . . . . . . . . Is there curb and gutter? Other.............. . G;lt- ,~h"'D I Block / #321 fOD"'." <,Q~"... i:;~~<"';. ,. ..'h,",.-r ..- ~_. ~ - ''t'';"cw<ft'''~ New Business """""""""""""" f"><') Transfer of Business location, , , , ' , , , , , , , , , " ( ) Change of Ownership, , , , , , , , , , , , , , , , , , , , " ( ) New Building '" , , , , , , , , , , , , , , , , , , , , , , , , " ( ) Remodel, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , " ( ) Temporary Business , , , , , , , , , , , , , , , , , , , , , " ( ) Change of Use, , , , , , , , , , , , , , ' , , , , , , , , , , , " ( ) Subdivision YES NO THE FOllOWING Will BE REQUIRED: - g PERMITS BUSINESS LICENSE - 1) Building 1) Taxi - -"I.......- 2) Plumbing 2) Peddlers _L- 3) Electrical 3) 2nd Hand Dealer - - 4) Mechanical 4) Pawn Broker - L 5) Sewer 5) Dance - ~ 6) Sidewalk installation 6) Hotel - Motel - ~ 7) Driveway installation 7) Fireworks - --'K....- 8) Curb installation 8) Ambulance - ~ 9) Sidewalk obstruction 9) Tattoo shop - ~ 10) Water meter installation 10) Other - :L.- 11) Fire - L- 12) Occupancy - - 13) Sign - - 14) Shoreline t - 15) Home occupation \ - 16) Conditional use - 17) Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge, "lr7!~"mD Building Section Public Works Department Planning Department Fire Department City Clerk !?;Jt Date~ Signed'. ;-1t~~ Comments / Conditions '0 N N " 'Ci \0 > .s~~ ~ b2 ~ ~ .:; 0\ 0\ ('f") o ~, ~ ]~-g-a-~,. ~.' ~ Z "".J.:;~OU ~r-- < 4:!'o~" '" ",~,...., ". ".9 .::2 '';:: N\ ~ ~ _ -< -....:;: ~ ~ OJ Q) 0-.11'.(" ~ ~"'3 -g g c: ;::) ,I' ~ ~ ~ ,,'" ~ <t: I' ~ ~ : ,if ~ J! 1:: 0/] I: ~ ,~ (j' 6 ~ ~ & <J ~" 1:;'<;>,,:::: <l) -0 ...'" W' ;u ", ~_ ,--0 1-; _ "^-,N ~ 'Vi ,::; E ~ ~ E-< 0 \i;J ~.- 5. ',::: c -~ " .'. ~~ ~-s~~ ~ ~ 0.. !::..~ 'S <:; ~ '" z .@ W' ~ C _ ,_ ~ ~ ~ !. =-- I: :: ~ ~ " .~ c:: W'O:E g~~~~ ~ ~ fit- >. -3 t: .5 C ,c g:( A .....,.,.., ~ ~'~ 'C - ~'U"'- ",,'-"~ <; c; ,11I ~~~""'.9 ~ \J-r~ Z;~~~~ ~ ~ LL- \ .~ ~ -"S t.) ~ " ~ (.).~ 8 - \. '';:: ~l:U '0 L-,>\, ",~" r- .",,_ u_~_~ !.- a: 'Ut c:: W ul::""',>'" O '0'-" '- '> i::'; OS 'S S <; ~ " ,~ " ~ .. ~ .~ u " '0 ~ "' :i! ~ ~ 0 '" 0 0. " c " :g " " c 0 . '; :0 is 0 "'