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HomeMy Public PortalAbout5931 CLOVERLY AVE_Grading__ 76A641T-CE807 APPLICATION FOR GRADING PERMIT 4-58 COUNTY OF LOS ANGELES SITE DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY of h I-e � JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN. SUPT OF BUILDING CROSS ST. /►'{ .S FOR APPLICANT TO FILL IN MAP NO. STATE HWY. PROCESSED DISTRICT NO. YES❑ NO BY t//'�A{ iT" ITE _ G DDRESS �- J(,�` USE ZONE SPECIAL LOT n'7--.g CONDITIONS UMBERS 6 BLOCK N-3 UMBTRAC UMBER (p SET BACK YARD HWY. STREET NAME EXIST. WNER �.n e —dT—cls ^3 WIDTH MAIL J �'] FRONT P.L. rf Z Z W�Y1�G alC /TL' JS -AC..'1'/- /� �) ADDRESS CITY r/' �Ll7 GLe1 le 'J NO&rTIL J� S'ii J SIDE P.L. STATE SURETY S BOND �„•.____ _ ENGINEER f J� - REG. NO. BOND ADDRESS LQS +�) yea SURETY :2 3 lvr �j s � COMPANY SU P'V'G. GRA D'G. STATE DATE RECD. ENGINEER REG. NO. FILED ✓ BY CASH RECD. DATE ADDRESS DEPOSIT S BY FILED GRADING > � TEL NO a ��O CONTRACTOR � re� ( ADDRESS Q C�'e vt i.�/ DESCRIPTION OF WORK CHECK IF SUPERVISED GRADING L✓� SIGNATURE OF APPLICANT ADDRESS NO.OF CUBIC YDS. HANDLED: FEE - Cl FEE S �_, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS WORK TO BE COMPLETED WITHIN_F'� DAYS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FINAL CONTOUR DATE INSPECTORS SIGNATURE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MAP FILED AND STATE LAWS REGULATING EXCAVATING AND GRAD- FINAL CERTIF. GRAD- ING. OF ENG'R. RECD. f Jf WORK SIGNATURE OF � (Z/L`� COMPLETED PERMITTEE - /� SURETY BONO ADDRESS �© 1(� '�(� RELEASED CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL E ER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 5 13 A 5.00 .� O n i1-'Iii ?5 lJF _143 -.IV