HomeMy Public PortalAbout4303TEMPLE CITY BLVD_Miscellaneous 7SM444-CE087512-70 MISCELLANEOUS APPLICATION
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION eulLDwc /� /�
JOHN A LAMBIE COUNTY ENGINEER ADDRESI 3 / , -{-
COLEMAN W JENKINa SUP T OF BUILDING LOCALITY
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FOR APPLICANT TO FILL IN CROSS ,T
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ADD EIS!NG
DI�jRtCT NO
F�GROUP CONST TYPE PR SSED
LOCALITY
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K T NSF 5 (CINCLK) STATE MAJOR SECOND LOCAL
NEAREST J
CRGIIII ST 1✓ UaE ZONH SPECIAL CONDITIONS
LEGAL ��Z
DESCRIPTION LOT NO BLOCK
NO OF SLOGS SET BACK YARD HWY STREET NAME WIDTH
TRACT NOW ON LOT FRONT
USE OF P L
SIZE OF LOT EXISTING BLDG SIDE
P L
OWNER Y MAILr
ADDRESS y3o 3NY—p/- OrI
CITY /Y✓.. r C NO .7� �Q ria
APPLICKTION FOR
Y
TRAILER USE$& GEOLOGY INSPECTION ❑
Y
SAFETY PERMIT ❑ (LIST ITEMS BELOW)
O
W
6
H
Z
LIMITED TIME USE
DATE DATE
,no. TO
INSPECTOR S
APPROVALS DATE SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS TRAILER USE
APPLICATION AND STATE THAT THE ABOVE IS COR
RECT AND AGREE TO PLY WITH ALL COUNTY SAFETY PERMIT
ORDINANCES AND ST LAWS REGU ING UCH
WORK AS INDICATE TEMPORARY
SIGNATURE OF STRUCTURE APPROVED
PERMITTEE TEMPORARY
p STRUCTURE REMOVED
ADDRESS P' `
FEE $ FINAL APPROVAL
i
APPLICATION VALIDATION JOHN F LEWIS, PRINCIPAL STRUCTURAL ENGIN
(NOT A PERMIT) C. 4CASH PERMIT VALIDATION DA MD �••�
7 8 373 MOV 19 1 6 D 1 2.0 0b