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Lafayette%20Certificate%20of%20Occupancy

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					                          APPLICATION FOR CERTIFICATE OF OCCUPANCY
                                         PLANNING, ZONING, & CODES DEPARTMENT
                A NON-REFUNDABLE APPLICATION FEE IS REQUIRED
                PERMANENT ($100.00)                   TEMPORARY (OWNER/AGENT ONLY) ($25.00)
                                                                   NO BUSINESS MAY BE CONDUCTED WITH A TEMPORARY CERTIFICATE OF OCCUPANCY.


                DATE:                                    STREET ADDRESS OF PROPERTY:
                NAME OF BUSINESS (Must be same that will be used for utility account, beer/liquor permit, etc.):
                IMMEDIATE PAST USE and OCCUPANCY (Name of last business at this location) :
                DATE BUILDING WAS LAST OCCUPIED:
                ZONING CLASSIFICATION (For Office Use Only):
FOR PERMANENT




                OWNER(S) OF BUSINESS OR LOCAL MANAGER [List all owner(s)]:
   C.O. ONLY




                HOME ADDRESS AND TELEPHONE NUMBER OF BUSINESS OWNER(S) OR LOCAL MANAGER (Local Lafayette Information
                Only):

                BUILDING TO BE USED FOR (List all uses of the building and land):
                BILLING ADDRESS:


                PROPERTY OWNER NAME, ADDRESS, and TELEPHONE (Representative or Leasing Agent):




                NAME AND PHONE NUMBER OF PERSON TO CONTACT FOR INSPECTION (Number where you can be reached between 8 a.m.
                and 9 a.m. Monday thru Friday):


                TEMPORARY CERTIFICATES OF OCCUPANCY ARE GOOD FOR 90 DAYS ONLY. ONE EXTENSION MAY BE GRANTED WITH SPECIAL APPROVAL
                FROM THE FIRE PREVENTION DIVISION OF THE LAFAYETTE FIRE DEPARTMENT. NO BUSINESS MAY BE CONDUCTED WITH A TEMPORARY
                CERTIFICATE OF OCCUPANCY.

                NO SIGN IS ALLOWED AT THIS LOCATION WITHOUT BEING PROPERLY PERMITTED THROUGH THE PLANNING, ZONING, & CODES DEPARTMENT.




                                                                           Signature of Applicant/Authorized Agent

				
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