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Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 78-950 Highway 111
Use classification: Commercial Remodel "Kohl's Department Store"
Occupancy Group: M/B/S2
Owner of Building: Wal Mart Realty Co
Building Official
Type of Construction: III -N
Building Permit No.: 04-3926
Land Use Zone: CR
Address: 702 SW 8T" St
City, ST, ZIP: Bentonville AR 72716
By: Daniel P. Crawford Jr.
Date: 211/05 - 1
NSPICUOUS PLACE