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HomeMy Public PortalAbout5918TEMPLE CITY BLVD_Certificate of Occupancy APPLICATION F OC x PANCY INSPECTION COUNTY OF LOS ANGELES 'L) APPLICANT, TO FILL IN (Print or'type only) DEPARTMENT OF COUNTY ENGINEER BUILDING � BUILDING AND SAFETY DIVISION ADDRESS D � BUI.LDING AM CITY L _ yQ ZIP %' ADDRESS 8 SIZE OF LOT `i v� N0, OF BLDGS. LOCALITY NOW ON'LOT NEAREST TRACT BLOCK LOT NO. CROSS ST. TEL ASSESSOR OWNER • C NO.p � �� DISTRICT TYPE MAP BOOK I PFIRE CE ED BYAGE ARCEL. _ ADDRESS �' d� 0 CONST. ZONE rJ / —3 CITY L ZIP /Q��1 a: tJ USE ZONE MAP SIZE OF N0. OF N0Q d EXISTING BLDG. , STORIES �Z/ SPECIAL. CONDITIONS PRESENT USE OF BUILDING( � `E,p.. BLDG. SETBACK FROM CG7 V;g FRONT PROP. LINE OF (STREET) HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF EXISTING N0. PARKING FRONT PROP. LINE HIGHWAY WIDTH e SPACF,6 PROVIDED + _ L BLDG. SETBACK FROM REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTINGY SIDE PROP. LINE HIGHWAY WIDTH 0 V �• 0 + - CORNER CUTOFF YES NO PROPOSED MAX, OCC, OCCUPANCY GROUP AS VERIFIEDly� OCCUPANT �� , I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD APPLICATION AND STATE THAT THE ABOVE IS COR- RECT. EXIT HARDWARE: NO. OF EXITS NO SPEC. KNOWL. ❑ SIGNATURE OF PANIC DEVICES ❑ APPLICANT OAW­A M -141_� - _ PARKING ADDRESS r` SPACES REQ'D PROVIDED Aw ZIP PHONE ! MAKE CHECKS PAYABLE TO: HARVEY T. BRANDY COUNTY ENGINEER DATE BY / " A.PPLICATI"ON VALIDATION . CK. M.O. CASH _ 7.9`1 A.NOtf• 19.4 0.0 - tt' .� d AW 16AG62-CE992 12-73