HomeMy Public PortalAbout5913 TEMPLE CITY BLVD_Miscellaneous 78M444-CE 0875 4-67 MISCELLANEOUS APPLI ATION
COUNTY OF LOS ANGELES BUILDING J
DEPARTMENT OF COUNTY ENGINM ADDRESS / 901V �Ly
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY LE C� TCi
COLEMAN W.JENKINS.SUPT. OF BUILDING NEAREST
CROSS ST. "4�N-4S
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ITYPE P SSED B
Q,rW1 CONBUILST.
ING
ADDRESS Temple City Chamber of Commerce MAP +,�� HIGHWAY
.L.LLmw.r to Compar4y NO. !�Q/0 (CIRCLE) STATE MAJOR SECOND OCAL
LOCALITY -am dUs SPECIAL CONDITIONS
CROSS ST. Temple City. California
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
USE OF P.L.
SIZE OF LOT EXISTING BLDG. 2- *7
OWNER
MAIL Rockett Rade` �/I—J � /z Z —fe-7�} /e-
CITY ADDRESS NO.
TEL. Flying se % `G' CJf
O
APPLICATION FOR
OCCUPANCY ;J 7,�
INSPECTION SAFETY PERMIT - F-
O
TRAILER USE �' q d
` Cn
USE OF STRUCTURES OR DEVICES
Mall Rides
LIMITED TIME USE
DATE 7 I-1WI _
FROM: C
APPROVALS DATE INSPECTOR'S
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 T COMPLY WITH ALL COUNTY TRAILER USE
ORDINANCES AND ATE L S REGULATING SUCH
WORK AS INDICAT HER N
SIGNATURE OF SAFETY PERMIT
PERMITTEE TEMPORARY
STRUCTURE APPROVED
ADDRESS TEMPORARY
33STRUCTURE REMOVED
FEE$ Ne _ FINAL APPROVAL ZU-
APPLICATION VALIDATION JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
(NOT A PERMIT) CK. M.O. CASH PERMIT VALIDATION lel
` LAI,0 0 7 8 5- SEN 21 4s D .0 0 N Iq
r .
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