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HomeMy Public PortalAbout5916TEMPLE CITY BLVD_Building DEPARTMENT OF ]J UILDING AND SAFETY YL1GA 11UN FOR YExMrr COUNTY�C& LOS ANGELES SEP 2 6 �� jT G WM.J.FOX, CHIEFNGINEER �+ iTU�� NO. OF EI:i.NG. ORD.-NO. DISTRICT NO. PLAN CK. NO. QE�IT NO. • 9 f//�J/ /l/J, LA P 'SETBACK LINE �••^' �— FIRM „„ APPROVED ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED ZUSE ONE L , APPROVED q / —YI /�/�� Y/ BY DATE yy0/ oC(y APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY BUILDING 1 O NAME ADDRESS E \ M � �1/l,- Cis �a F Z ADDRESS LOCALITY G NEAREST U U W CITY CROSS ST. �•�%Q d' STATE TEL. J(�,. /^• G LICENSE NO. NO. E NAMEId Z MAIL O NAMES Z �`�'i QJ ADDRESS ! D -PiY:•✓� V TEL. rr C ADDRESS _ C �� 1 CITY Si.. NO. I Z � Q I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS O CITY O ���`� APPLICATION AND STATE THAT THE ABOVE IS CORRECT STATE + TEL. f AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. r ) 9AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ` 7 ` SIGNATURE OF Z 4r LOT NO. / O SIZE OF LOT2y "�,� OWNER i` `rt < J d NO. OF BLDGS. t l7 BLOCK / [�// NOW ON LOT ��1LIN� AUTHORIZED/ AGT. I J m TRACT V J is / j/ CORRECTIONS IIII O USE OF BLDGS. 1� I NOW ON LOT / i�� DESCRIPTION OF WORK _ NI \)Li W4114USE OF .. i BUILDING �1 1 �! �•'� 6r If 7 O z a r NEW TYPE GROUP F NO. OF NO. OF ALTERATION ROOMSy FAMILIES ADDITION SIZE 1-✓ A �f REPAIR STORIES I MOVING WALL COVERING SLI"ce'-a- DEMOLISH ROOF COVERING �ow-11'/!+ $ P'C.S,S u FINAL APPROVAL FEE 39400 r! SI I INSPECTOR'S VALUATION FEE DATE Q NAME