HomeMy Public PortalAbout5531 ALESSANDRO AVE_Certificate of Occupancy__ APPLICATION FOR OCCUPANCY INSPECTION
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FOR APPLICANT TO FILL IIV (Print or type onCOUNTY OF LOS ANGELES,ly)
DEPARTMENT OF COUNTY ENGINEER
BUILDING �5-3 i �L�s N��b BUILDING AND SAFETY DIVISION
ADDRESS 1
M� �,r BUILDING
CITY ( , C �T- i ZIP q I � O ADDRESS
SIZE OF LOTQ 3 * 9Y- NOW ON NO'OF BLOTS I LOCALITY
V ` NEAREST
TRACT BLOCK l ^ LOT NO 7 CROSS
Tf TEL )$)` ASSESSOR
OWNER V o Eger -F ( pMr TE 't MAP BOOK PAGE PARCEL
f�.1/ G K. /'IV DISIRICT TYPE FIRE PROCESSED BY
ADDRESSCONST ZONE / �^
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CITY O�1 _Lewoov ZIP RDS � USE ZONE MAP
SIZE V lOF NO
EXISTING STORIES SPECIAL
CONDITIONS
PRESENT USE OF B ING
BLDG SETBACK FROM
FRONT PROP LINE OF Z (STREET)
HIGHWAY } YARD - TOT BACK FRO TYPE OF EXISTING
NO PARKING 5;#FONT P OP LI HIGHWAY WIDTH
SPAC VIDEO _
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BLDG SETBACK FROM 0
EASON FOR INSPECTION REQUEST SIDE PROP LINE OF (STREET)
HIGHWAY } YARD = TOTAL TB CK R M TYPE OF XISTIN
'Peor 'Foo! SIDE 0 LINE HIGHWAY WIDTH 0
vL rK�q� T V V } _
CORNER CUTOFF YES NO
Z
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I PROPOSED MAX OCC OCCUPANCY GROUP
AS VERIFIED OCCUPANT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR
RECT EXIT HARDWARE
NO OF EXITS NO SPEC KNOWL ❑
SIGNATUREF PANIC DEVICES ❑
APPLICANT 0, AjejL-A
PARKING
' ADDRESS -*qSPACES REQ D PROVIDED
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ZIP
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A1AKf- CHECKS PAYABLE TO
HARVEY T BRANDY COUNTY ENGINEER FINALS�� e Y� ^ `
DATE '��y!)//)
LICATION VALIDATION CK M 0 t
7 5 L222 D 1 800A�
76A662 CE992 12 73