HomeMy Public PortalAbout4908ALESSANDRO AVE_Building (2) APPLICATION FOR COUNTY OF LOS ANGELES
OF
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B U I L D I N G PERMIT DEPARTMENT BUILDING AND AFE COUNTY DEN SON R
FOR APPLICANT TO BUILDING 54'/5ADDRESS �d� ,f_d
BUILDIN ¢
ADORES 46 . etr LOCALIT
o NEAREST
CITY "C 'e ZIP CROSS ST.
N .OF BLDGS. ASSESSOR
SIZE OF LOT OW ON LOT MAP BOOK PAGE PARCEL
/ DISTRICTe"i5UP SED FIRE ROC SD BY
TRACT/6 � BLOCK LOT NO y,�q ZIP_
T �� v
J �7
OWNER 0? .4ej) / �.6 STATISTICAL CLASSIFICATION SEWER M
ADDRESS ':�e W`0'5 N Q CLASS NOJC;�/_DWELL,UNITS BK PG
_ ♦ U E ZONE MAP
CITY Adle_ 1 P ti j NO.
ARCHITECT OFR TEL. ISPECIAL
ENGINEER CONDITIONS
IL9
ADDRESS ROAD DE ARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONT aft, �/ �f BLDG. TBACK FROM
FRONT PROP.LINE OF (STREET)
ADDS r } AJ�LI _ TOTAL SETBACK FROM TYPE OF EXISTING
A( HIGHWA } YARD FRONT PROP. LINE HIGHWAY WIDTH
CITY �_. LIC.
e� CLAS � _
CONS�TPIIJCTION LENDER
NAME AND BRANCH - BLDG.SETBACKF a
ADDRESS CITY SIDE PROP.LINEOF (STREET) V
SQ. FT - NO. OF NO. OF CHECK HIGHWAY } YARD = TOTALS BACK FRO HIGHWAF EXISTING
SIZE STORIES FAMILIES ONE SIDE PROP. LINE
} W
1:1CL
DESCRIPTION OF WORK NEW Z
VIS CORNER CUTOFF YES ❑ NO ❑ �.
ALTER ❑
REPAIR❑ IN OPEN SPACE YES ❑ NO ❑
SE OF �A /Q IN .COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG. <:7.Z=,0
-,0 d DEMOL ❑
APPLICANT TEL
(PRINT) �� NO. _/
BY (SIGN U E)
I H BY A KNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND ATE T AT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WIT AL RDINANCES AND LAWS REGULATING BUILDING CON-
STR N. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE TME STA OF C IA IN RELATING TO
WORKMEN'S MPE AT R / 7
SIGNATUR FINAL BY
PERMITTEE DATE
/ C"td
ADDRESS /
clTv ' T P.C. Fee$ Permit Fee ( 5,
Q Issuance Fee ./
VALUATION O Q Total Fee
PLAN CHECK VALIDATION C CASH _ PERMIT VALIDATION K. M.O. CASH
597lr'--APR 12 .23 1 9.00
76A638A CE#80313 12/75 5 9'8�ARR .12 -1•. .� 1 5.0 0 Arc'
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