HomeMy Public PortalAbout9237 BLACKLEY ST_Certificate of Occupancy__ 76A662-CE992 10/69
•r. APPLICATION FOR OCCUPANCY INSPECTION
- COUNTY OF LOS ANGELES
ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING 19-7
JOHN A LAMBIE,ICOUNTY ENGINEER ADDRESS l
COLEMAN W JENKINS, SUPT OF BUILDING LOCALITY '
FOR APPLICANT TO FILL IN NEAREST
(Print or type only) CROSS ST G
BUILDING DISTRICT NO PROCESSEDJfY
ADDRESS �c rQ Tc rc_
LOT NO �7 �C /- �0/ OCK USE ZONE MAP
NO
r PECIAL
TRACT SIZE OF LOT Q COND TIONS
TEL
OWNER Crj.[ S NO
DDRESS �1 �i' BLDG SETBACK FROM
FRONT PROP LINE OF (STREET)
TYPE OF EB } YARD
XISTING SETACK HIGHWAY =
TOTAL
CITY HIGHWAY WIDTH FROM C L
SIZE OF /�/� NO OF
EXISTING BLDG �/V i STORIESBLDG SET
} _
PRESENT USE OF BUILDING e rS� SIDE PROPBACK LINE OFOM (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
HIGHWAY WIDTH FROM C L
NO OF EXISTING BUILDINGS
ON LOT AND USE } _
O
CORNER CUTOFF YES❑ NO ❑ CJ
NO PARKING =
SPACES PROVIDED �
OCCUPANCY GROUP w
PROPOSED USE OF BUILDING z
-/ OCCUPANT LOAD
Q� if yJ EXIT HARDWARE
No Spec Knowl ❑
Panic Devices ❑
PROPOSED MAX OCC NO OF EXITS
PARKING REQ'D D PROVIDED O
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT
SIGNATURE OF 1
APPLICANT 'Uz�
ADDRESS '3 s ✓
ZIP APPROVAL DATE) �� i jANAPURE
i' � 7
PHONE 12 FINAL APPROVAL
( Ir
JOHN F LEWISRINCIPAL STR-1_-t ",WAL ENGINEER
APPLICATION VALIDATION CK M o CASH
4 ar, 3 8 3 4 75 NOV r 3 2 2 D 1 8.0 0 h
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