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TTACHMENT D
APPLICATION FOR CODE COMPLIANCE CERTIFICATEATEJ
Certificate N6,:Application Date.$< / /7D NEW APPLICATION ^feENEWAL APPLICATION
Business Namo Cr^'.^yi c/-/^ /^///;^r//J phnno Niimher ^26 7</7 s / f <•/ (— REQUIRED INFORMATION
Business Name C r^> ^-»/yi C(
Business Ariri».» t3>^- ^- LAf^C. A^^
City/State: P ft S^ f)£~A^^CA
Business Owner.F^-ft^t-, ?^o T y/i/ofe ^
Mailing Address 2-^^{C MA^S:^^ ft-Jt
City/Stace; <^<^ .^1 ^^-/-'€ _CA
ZIP Code:-^Z^L
Phone Number <S ? <^ * V^'2-' ^2 <J
ZIP Code: ^TZ^-2.
Propercy Ownpr U.n<-/G H ) /d '<?t5/<?':i-^/( /
Mailing ArirlrBtt ~}^-V ^'.^S7ff^\ .S-/- <,€.,-/-/C'^>
City/Sme: ~^0<-' ^/^ ^ ^ <^? cft'^<^
Phone N,,n,h.r 424- ^/" ^^J^
ZIPr^». ^?9/^Jd>
Provide a detailed description of business use; S /•^> c> // (^ a r ^ fs «, /. / -/-a kl f ^ Hours of Operation: — cl ~*^ " 11^ p '-l-i Number of Parking Spaces Provided /{ r-^v-A^ /Of") <~ ^ /^ Square Footage of Office/Business Space 'f<^ -^^3
Applicant's Signature / Date
.MISSING INFORMATION MAY CAUSE A DELAY IN THE PROCESSING OFYOUR APPLICATION
OFFICE USE ONLY
Zoning Use Classification (for use described above) f6(]^ ^ '^^^^ ( |7H'l'JD^\ C^f ^(•hf \T"-f^.r \i7\\\\a^^ f?\\\\w
Permitted Use U YES U NO
Conditionally Permitted Q YES -I NO
Variance U YES u NO
Nonconforming Use '^(^YES U NO
Zoning District
IfYES - C.U.
^i\^(y\ er^CL-Sp-lb 'lvl'vrl^nf'fl(^.
(Attach decision letter)
If YES -Variance^
(Attach decision letter)
(If YES, please describe nonconformity)
Code Required Number of Parking Spaces — - -'
'Approved ^^Elenied Sign
(-T
irkine.Agreement:
Date_IlrU:H
Comments/Resti-ictions with approval or reasons for Denial FLANMIM^ ANO DEVELOPMEr'IT nEPARTMENT
CQOt: COMPLIANCE SECTION,';- NORTI-; <,ARFIE..D AVENUE
PASADENA CA S) 109
T u?(3 ,-^.1 4»i?3
F 826 7'1.1 4249