HomeMy Public PortalAbout4911 ALESSANDRO AVE_Miscellaneous__ 76M444 CE #878467 MISCELLANEOUS APPLIG ION
1
COUNTY OF LOS ANGELES
BUIN
DEPARTMENT OF COUNTY ENGINEER A D O R EI SS
Ile
BUILDING AND SAFETY DMSION
JOHN A LAMBIE COUNTY ENGINEER LOCALITY
COLEMAN W JENKINS SUP T OF BUILDING NEAREST
CROSS ST
FOR APPLICANT TO FILL IN DISTRICT NO 1:G�p
TYPE PROCESSED BY
CONS -r�
BUILDING fj
ADDRESS ^
NO (CIRCLE) STATE MAJOR SECOND LOCAL
LOCALITY (6; PtA� L,' USE ZONE SPECIAL CONDITIONS
NEAREST AA
CROSS ST LTJ U
LEGAL REQUIRED YARD HWY STREET NAME EXIST
DESCRIPTION I LOT NO BLOCK SETBACK WIDTH
FRONT
NO OF BLDGS P L
TRACT NOW ON LOT SIDE
USEOF P L
SIZE OF LOT Y1119EXISTING BLDG
OWNER
MAIL
ADDRESS D
CITY TEL
CD
APPLICATION FOR c-')
OCCUPANCY C)
INSPECTION f SAFETY PERMIT U
W
TRAILER USE y
Z
USE OF STRUCTURES OR DEVICES
S`
LIMITED TIME USE
DATE DATE
FROM TO
INSPECTOR S
APPROVALS DATE SIGNATURE
OCCUPANCY APPROVAL
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GROUP OCC LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR
RECT AND AGREE TO COMPLY WITH ALL COUNTY TRAILER USE
ORDINANCES AND ST TE L S EG EATING SUCH
WORK AS INDIC ATED(HER E ON
SIGNATURE OF SAFETY PERMIT
PERMITTEE
TEMPORARY
STRUCTURE APPROVED
ADDRESS TEMPORARY
22 ST R UCT UR E R E MOV ED
FEES FINAL APPROVAL
APPLICATION VALIDATION JOHN F LEWIS PRINCIPAL STRUCTURAL/ENGINEER
(NOT A PERMIT) CK mo CASH PERMIT VALIDATION CK mo CASH
Arn 1 6 1 3-0 AUG27 2 2 D 15 00- '