HomeMy Public PortalAbout9068 ACASO DR_Certificate of Occupancy 76A662-CE992 6/71
'APPLICATION FOR OCCUPANC• INSPE ION
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER'.
BUILDING AND SAFETY DIVISION EIDDRESSG
HARVEY T. BRANDT, COUNTY ENGINEER 7 !O
COLEMAN W. JENKINS, SUPT OF BUILDING Y `
FOR APPLICANT TO FILL IN T
(Print or type only) T. '
BUILDING
fi�t-- / DIS I� NQ, PROCESSED BY
ADDRESS
&-a-so
-� a /eGiy 1f 1.�/ •� � (Jr/ IY�J ,/(1�/.
USE ZONEMAOP, '
LOT N0. BLOCK
N .
TRACT , 6 - /,7- SIZE OF LOT CONDITIO
ONS
TEL.
OWNER NO.
F BLDG. SETBACK FROM
ADDRESS > GL�`ZZ F FRONT PROP.LINE OF (STREET)
CITY TYPE
EROM OF ]EXISTING
DTH CK HIGHWAY + YARD = TOTAL
HIGHWASIZE OF N0-0 F
EXISTING BLDG. ISTORIES +
PRESENT USE OF BUILDING � BLDG�e SIDE' SETBACK PROP.LIINE OFOM (STREET)
TYPE GF EXISTING SETBACK HIGHWAY + YARD = TOTAL
HIGHWAY -WIDTH FROM C.L.
NO. OF EXISTING BUILDINGS
ON LOT AND USE - yuse- � y� p +
CORNER CUTOFF YES❑ NO ❑ CD
O
NO. PARKING U
SPACES PROVIDED
C')
• OCCUPANCY GROUP �
U
W
PROPOSED USE OF BUILDING OCCUPANT LOAD Z_
a ' EXIT HARDWARE:
No Spec. Knowl. ❑
Panic Devices ❑
PROPOSED MAX. OCC. NO. OF EXITS
PARKING . REQ'D D q PROVIDED D
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES '
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT.
OR-RECT. ����7!� �R �c� ��✓`^,-C/-�"Ooh
SIGNATURE OF L g/'
APPLICANT
ADDRESS 0 �7 Cf p _
ZIP ` APPROVAL DATE INSGNATOUR'S
' PHONE FINAL APPROVAL /` -7
JOHN F. LEWIS, PRYATRAtJAL ENGINEER
APPLICATIONVAM.O,. CASH
LA ;0 77 5 4 z Au:G-. 40 0-
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