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CER IFICA TE OF
0 CICUPANCY
City of Rexburg
Department of Build*rtg Inspect
Ion
Zoning/Land.
Building Street Address:
A4-
Land — Ll Description
Bu 11 d i ng Owner
Address
Contractor;
Tem .
1Z� S is=
N
i
Descri-
ortion Of bili for '
r ficat i this
Occupancy Use Class-L.fications(s):
a
j.,
This Certificate, issued pursuant to the requirements o f Section 109the �Ir�i form Bui�dir�g CDde, cer�tiPies �h�.�, a� ��e tim.e vf iSSi.IGtT�Ce0�'
building or that poption of the building th�x� was ir2.spec�er� on ih�i his
listed was found to be ire comptic�nce with the r�ec�uirerr�ents o the co���
for the grn�cp anc� division of occupancy Q�.d the use for which the
de
proposed accupa�tey was classified.
DATE:
F
Approved.6
C. -O. Issued by:
0
•-100
owe
r
"Building ii
C le-ia
Vf "%--
T
This Cepti"ficate of Occupancy shag be posted in a conspicuous place on,
the premises and sham not be removed except by the Building Official.
There shall be no future change in the existing Occupancy cl ssi icatio-n of the building nor shall
s l -rnc tura-1 chans, mod ficationv, or additions be made to the building orany portion
thereof uritii the
Building Official has reviewed and approved swirl f"t � h
CA "V �cn