14602 737 Bd�l�ug@r BdAd
APPLICATION FOR
CEIMFICATE of ocaJPANCY
Use classification 1514 II Bldg. Permit No.
Croup ��"� Type of consUuctionT�Z&L se Zone ( —
Owner G,e . 1�C� o `S
Address ,fi
Building Address
Portion of building
FPB Approval neoessary By: 11A 0<-A `
;tes =No Date: (f 7
Disposition of certificate: /
Date routed to FPB �b)tel aj By: m�`
Date mailed to owner ey:
Form 280-668