HomeMy Public PortalAbout5846 ALESSANDRO AVE_Certificate of Occupancy__ APPLICATION FO OCCUPANCY INSPECTION
FOR APPLICANT TO FILL IN (PaCOUNTY OF LOS ANGELESnt or type only) DEPARTMENT OF COUNTY ENGINEER
BUILDING BUILDING AND SAFETY DIVISION
ADDRESS
BUILDING Q
CITY /M'0/� /1 ADDRESS �v
SIZE OF LOT /„ r//1 / NO OF DGS LOCALITY
ll O (� `' NOW ON LOT
NEAREST
TRACT /�S� BLOCK LOT NO CROSS ST
ASSESSOR
OWNER TEL _ MAP BOOK PAGE PARCEL
DISTRICT TYPE FIREED BY
ADDRESS ^a CONST ZONE ^
CITY /p ZIP USE ZONE MAP
SIZE OF !! C NOOF NO Q
EXISTING BLDG STORIES ' SPECIAL
/// CONDITIONS
PRESENT USE OF BUILDING
BLDG SETBACK FROM
/ FRONT PROP LINE OF (STREET)
YN c TOTAL SETBACK FROM TYPE OF EXISTIN
HIGHWAY } YARD =
NO PARKING FRONT PROP LINE HIGHWAY WIDTH
SPACES PROVIDED 4 + _
BLDG SETBACK FROM
REASA FOR INSPECTION REQUEST SIDE PROP LINE OF (STREET)
HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF XIS INC U
SIDE PROP LINE HIGHWAY WIDTH j=
O
} = I--
CORNER
JCORNER CUTOFF YES NO rai
Z
PROPOSED MAX OCC OCCUPANCY GROUP L-LJ
AS VERIFIED OCCUPANT
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR
RECT EXIT HARDWARE
01a a zIIIIJJJ/ �1•x 0119 NO OF EXITS NO SPEC KNOWL ❑
SIGNATURE OF /� PANIC DEVICES ❑
APPLICANTPARKING
/
ADDRESSO `,� SPACES REQ D PROVIDED
f
ZI 70
PHONE
MAKE CHECKS PAYABLE TO -
HARVEY T BRANDY COUNTY ENGINEER FINAL / BY
DATE 2��f�7S
APPLICATION VALIDATION CK pp M 0 CASH
7 9 ��ROV 13 4u D �v I'
76A662-CE992 9/74 ^'1y� O O
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