HomeMy WebLinkAbout408 E 1st St - Building
#"O(r IObt
MiWIZ. IMAVE-1A1CI~f ROUTING SLIP
'ficale of Occupancy
$50.00 C rtificale/lnspection Fee
DATE
Cj-ll- 0("
Address of Proposed Business
'fOil GHr<,t <,1- PorI- /lltJ";l-; , vA. 1t")(" 'L
APPlicant~'~c~":'-,J~<-,c,, ') {v\~bu~~
Address q .... i. (>,1\. wll.. \."2....
Phone: business l.{G,I- 51.. \ l,. home '-ll.> \ -5(., \ L..
Brief description of proposed business: J;,..Y;/~f"'" \
Legal Description: Lot
Current Use of Property:
Zoning Classification of Property:
Block
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. . . . . . . . . .
YES
Admission charged to patrons .. ............
Is this a home occupation?
Excavation of filling of lots. . . . . . . . .
Work done in City right-af-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......... .
-y-
--T-
r
L-y-
--y-
-7;
=~
=-!I-
I hereby apply for a Certifi te of Occupancy and acknowl-
edge that I have read t IS application and state that the
information I have su plied is correct to the best of my
knowledge.
~;7)~D ,
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
~bSQ
,- 2.1-0(, 6U
New Business. . . . . . . . . . . .. ..............
Transfer of Business Locati . . . . . . . . . . . . . . .
Change of Ownership . ...................
New Building ...... .....................
Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporary Busi ss . . . . . . . . .
Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . .
Subdivision
THE FOLLOWING WILL BE REQUIRED:
PERMITS
1) Building
2) Plumbing
3) Electrical
4) Mechanical
5) Sewer
6) Sidewalk installation
7) Driveway installation
8) Curb installation
9) Sidewalk obstruction
10) Water meter installation
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
BUSINESS LICENSE
1) Taxi
2) Peddlers
3) 2nd Hand Dealer
4) Pawn Broker
5) Dance
6) Hotel - Motel
7) Fireworks
8) Ambulance
9) Tattoo shop
10) Other
Date: q - Z. 7 - ()0
~ k Y"ll"'/~
Signed: / p..- J../.-.-
[71AR MA' t71t M?6f11
/~
0\
6'
\
~
("~5
("0
(n.D
(1\0
(,,0
( yes
(
C>
6'
~
-\=.
o
C7Q
ll\
1/'1
-to
*
Comments I Conditions
-=rhe.. (',6f () 1.LJ6.5 not mC\\ led.
bi t.lv\+ 30+- F,~"e. I)~ r'Jfrrc\\!td
~Q.-+ .:::r:. c.a..\ \ e.J. +V..f'. OW\'\-E'.lr
0\'\ IZ--IZ(n!Dl 1:11' Sctlrl
he IS nd "VI busineSS 11.+ 'fi1;.s
o-Mv-e S5 e. 'II 0 ev\ d-
ID C. a
\Jf&Gv-kA C ofo C\..fpl.Co..-n'ol'\.
~