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HomeMy Public PortalAbout6002 AVON AVE_Building_2/3/1976_enclosed portch APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) TWILDING ® COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY .ENGINEER CITY 1 C :C ti zIP 7 Al ./BUILDING AND SAFETY -DIVISION SIZE OF LOT 5,b/ 10 NOW LOTS !/ BUIADDRESS (��L 2LDING TRACT BLOCK LOT NO. ( / LOCALIT, OWNER �• �� NOL CROSS ST. ADDRESS &0QL- 60iJ ASSESSOR / MAP BOOK PAGE PARCEL CITY S ZIP �/ 7 s DISTRICT- GROUP TYPE FIRE P SSED BY � CONST' ZONE ARC ITECT OR TEL. ENGI ER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRES ,,I p&j. CLASS NO. 'LOWELL,UNITS BK PG CONTRACTOREL 1,j NOry 410 US ZONE MAP Gr'® ADORES J�1 /Vi nt .(f NO ZS4-O ff SPECIAL LIC. CONDITIONS CITY5 (57 CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES NO CO TRUCTION LENDER NAM AND BRANCH BLDG.SETBACK FROM ' FROpq PROP.LINE OF (STREET)- ADDRES CITY NI WAY } YARD,. _ 'NOTAL SETBACK FROM TYPE OF EXISNG SQ. FWIDTH SIZET. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY TI STORIES FAMILIES 'ONE DE S'C RIPTION OF WORK Yr�,o NEW ❑ } CD U ADD E] BL .SETBACK FROM SIDE OP. LINE OF A (STREET) O �s ` ALTER HIGHWAY } _ TO A S.ET CK FROM TYPE OF EXISTING V L.- l•• REPAIR❑ I E PZM. L HIGHWAY WIDTH USE - DEMOL ❑ } N EXISTING BLDG. Z APPLICANT 'TEL CORNER CUTOFF YES ❑ NO -• (PRINT) Q� N0. 6 d� BY (SIGNATURE) IN OPEN SPACE ,. YES ❑ NO ,0 IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION,$ O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALLORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE _ LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSASURMVE. SIGNATURE OF PERMITTEE ADDRESSIv tj _ TEL. FINAL /� 76 BY�,®/ CITY NO. ©Dy DATE MAKE CHECKS PAYABLE 70: FEE'w FEE $ HARVEY T. BRANDT, COUNTY ENGINEER /�12 PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIONCK. M.O. CASH 0 0 0 FEer 3 1 U 1 2,0 0 76A638A CE#803 5/74 V