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HomeMy Public PortalAbout6022 CLOVERLY AVE_Building__ APPLICATION FOR BUILDING PERMIT FJR APPLICANT TO FILL IN (Print or type only) I BUILDING 6OZt fjaj�,L�/Z,L` ,/�Ut COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY ,l LJ !� ZIP - BUILDING AND SA TY DIVISION NO OF BLDGSBUILDING SIZE OF LOT// NOW ON LOT 3 ADDRESS �DoZ 2 1 + V ) TRACT {Q BLOCK LOT NOV, LOCALITY TELNEAREST OWNER fj''�� N044OOvv CROSS,ST ASSESSOR ADDRESS {��( ,�Q��/ZL MAP BOOK PAGE PARCEL 7 ��� r DISTRICT GROUP TYPE FIRE ESSED BT CONST ZONE " CITY ZIP ARCHITECT OR TEL .,� OQD . T ENGINEER NO , STATISTICAL CLASSIFICATION SEWER AP ADDRESS A A f CLASS NO DWELL UNITS L BX_p'�G CONTRACTO /J U ZONE INO MAPLIC b ' ADDRESS NO � rL'(I� f SPECIAL D , /. CLICLASS CONDITIONS CIT f/"'+2 i 4 �I [4. ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG ETBACK FROM FRON PROP LINEOF (STREET) ADDRESS CITY HIGHW Y + YARD =1 TOTAL SETBACK FROM TYPE OF EXISTING SQ FT Ojy NO OF � NO OF CHECK FRONT PROP LINE HIGHWAY WIDTH SIZE y7 STORIES FAMILIES ONE DESCRIPTION OF WORK NEW ❑ + U ADD I� ICl BLDG SETS AM — SIDE PROP LINE OF - TOTAL SETBACK FROM (S OF(STREET) O ALTER ❑ E— L' �; ❑ HIGHWAY +' YARD - HIGH WIDTH W E PAIR SIDE PROP LINE CL USE OF + + _ - Z EXISTING BLDG DEMOL ❑ APPLICAN /j' .�!� TE CORNER'CUTOFF YES [3 NO ❑ (P /VI l , N4 1' l BY ATU E IN OPENSPACEt, YES ❑ NO ❑ IN COASTAL PERMIT.ZONE I YES ❑ NO ❑ VALUATION,$ I HEREBY ACKNO LEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL ORDINANCES AND LAWS REGULATING BU'L" G CON- STRUC TION I CERTIFY THA .IN DOING THE WORK A HORIZED HEREBY I WILL NOS EMPL ANY PERSON IN VIOLA ON SOF THE r + LA BO ODE\OF TN S F CALIFO NIA ELATING TO WOR EN'S C MPEN AT I U NCE , SIGNATURE PERMITTEE J ADDRESS NTE OL /� �� FINAL /D BY y DATE PMT AIA&E CHECKS PAIABLE 70 FEE $ FEE / HARVEY T BRANDT, COUNTY ENGINEER PLAN CHECK VALIDATION CK M 0 CASH _ PERMIT VALIDATIONCK M C CASH 1 `7 S AItG �2 1, o _ . 6 2.2 5 ,&06 76A636A CE#003 5/74, ' , f -Tr FA l'L_e7 CIT y 76A538A CE#8091058 APPLICATION FOR BUILDING PERMIT ` 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGU EER ADDRESS A 2"L a GLO v�2Ly BUILDING AND SAFETY DIVISION LOCALITY EM LE �I JOHN A LAMBIE,COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST �iVL DISTRICT NO GROUP PROCESSED BY FOR APPLICANT TO FILL IN �•p� I c PNST I 0 -Oytc� BUILDING / ,/n SEWER MAP ADDRESS dY `y'� ��� f ISTICALCLASSIFICATION BK PG , CLASS NO DWELL UNITS L /S LOT NO / BLOCK MAP ,{ ,�/ STATE YES NO /. NUMBER [/ "/ HWY TRACT USE ZONE SPECIAL NO OF BLDGS CONDITIONS SIZE OF LOT I NOW ON LOT - ! USE OF ` �` EXISTING BLDG ' BUILDINGEXIST" SETBACK YARD HWY STREET NAME WIDTH OWNER FRONT MAIL �/ P L ADDRESS q��'/1 I �• SIDE CITY ��r V NO 1_- ,.si 3 P L INSPECTION RECORD ' ARCHITECTOR TEL ENGINEER NO , D RESS TEL � CONTRACTOR j P. J NO / ADDRESSf I �C�T DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ FT NO OF SIZE STORIES FAMILIES USE OF STRUCTURE -� c� c)Gam! C Y SIGNATURE OC'F �3.�jLG�/�,�/I1I�/L ' APPROVALS ` APPLICANT - / /� yy11 + DATE INSPECTOR S,SIGNATURE ADDRESS t� !c^ e FOUNDATION LOCATION - FORMS MATERIALS �VALUATION 0O P C $ FRAME FIRESTOPSFEE BRACING BOLTS Ls $ FURNACE LOCATION FEE GAS VENT DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP + PLICATION AND STATE T THE ABOVE IS CORRECT AND LATH INT AGREE TO COMPLY W,,11 THS/jAAL1�ICOUN,TY QRDINANCES AND STATE LAWS REG�'P1NG//Ic I G M LATH EXT J SIGNATURE OF �ti tHOUSE NUMBER COR-PERMITTE RECTANDPOSTEDADDRESS FINAL CLYDE N DIRLAM PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CK mo CASH PERMIT VALIDATION CK M O CASH , DEPARTMENT OF BUILDING AND SAFETY f APPLICATION FOR PL7tW= COUNTY OF LOS ANGELES WM. J. FOX. CHIEF EN13INEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRIC NO PLAN CK NO PERMIT NO _ADDRESS L7 /G i l Y 1P J�� li �- D I LOCALITY �,���,s /� (�� 7 ,/ RECEIVED BY DATE OFAPPL DATE ISSUED NEA CRREST /� � G O T (� /�/� BUILDING ",�� OWNER f /f l �® ADDREBB ` CL Q C+ .. LOCALITY - ADDREBB /1 �j,r/ NO d q NEAREST At CITY �k-A /r `�,/ /T �9J` CROSS BT '1 ai ep FIRE NO OF TYPE GROUP— ARCHITECTORTEL ZONE PLANS ENGINEER NO BLDG - _ _ ORD NO ADDRESS SETBACK LINE - j[ y- APPROVED Y CONTRACTOR /-/]/'/� //�7 e C/G NOL,4/ 1-Q11/f BYUSE - DATE ADVRE9F 3 / w I C ZONE —' BY DATE DATE LEGAL �q p CORRECTIONS DESCRIPTION LOT N 7 V BLOCK TRACT & _Gr ' LD SIZE F L T J 0 a ,] I NOW ON LOGTB OO �( USE NO OF EXISTING BLDG F� [B I RO MS /' r�. Ef !� ,r DESCRIPTION OF WORK _ E NEW ALTERATIONADDITION 1 " r O A_ REPAIR MOVING F DEMOLISH Bq FT NO OF . <' A Z SIZE ROOM, ST13RIEB �' WALL ROOF COVERING „d! COVERING { 1" i USE OF NEW .(moi° /1 ^ � mai 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT, FOUNDATION, LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 1 FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME* FIRE STOPS, 2-0 �� SIGNATURE O BRACING,BOLTS 44 PERMITTE LATH, INT i AUTHORIZED AO LATH, EXT 76A636A-3 2-80 $ P C/S PLABTER,INT. FEE PLABTER,EXT _ 18 VALUATION FEE ed FI NALF 1 , r i i ED t 76A688A Obb 8 Y 83 - APPLICATION FOR BUILDING PERMIT �. DIVISION OF BUILDING AND SAFETY BUILDING ADDRESS Depaxtment of County Engineer County of Los Angeles LOCALITY WM J FOX COUNTY ENGINEER NEAREST CASSATT D GRIFFIN, SUP T OF BUILDING CROSS ST �S-i1�'✓ClS3xQ'.Li FOR APPLICANT TO FILL IN mma� 12 D16TR-V NO GROUP I TYPE ,r I SEWER - PG ..� CONST -- � � G.�� BUILDING / MAP O •" TWATE VgS ADDRESS] � ® ge,* L ,[V/i-, yL,..� NUMBER LOT NOJdq7 - EX GPP?' �..�SY< <h BLOCK USE ONE SPEC IO !�L r CONDITIONS TRACT �� SIZE OF LOT I NOW ON LOTNO OF S BUILDING YARD HWY STREET NAME EXIST' SETBACK WIDTH USE EX STOING BLDG R /ES / O N C E FPROL T OWNER J� U S (� �, SIDE P L MAIL // /' E C ,/� ADDRESS IG G v r L O V P 0 TRACT DWELL I UNIT S INDUSTRIAL CITY T ' Pc.G I�°t' Y� NO M DWELL 1 UNIT 6 PUBLIC BLDG ARCHITECT OR TEL 2 DUPLEX 1 UNIT ENGINEER NO 7 ADDN ALT ETC 3 APT UNITS 8 MISCEL ADDRESS 4 COMMERCIAL CONTRACTOR p E' NO INSPECTION RECORD ADDRESS A-1 E DESCRIPTION OF WORK aj—/,?-f S- NEW ADD ALTER REPAIR DEMOLISH 4)1Y, p7n ,/, ,- SO FT , / NO OF NO OF /✓/V A' SIZE A.1 O L9 STORIES FAMILIES USE OF STRUCTUR ^ G A r� P3 G E- /9 re IM141 SIGNATURE APPLICANT APPROVALS r - ADDRESS DATE INSPECTOR S SIGNATURE FOUNDATION LOCATION P C $' FORMS, MATERIALS / 1/!!• Cd FEE FRAME FIRE STOPS n VALUATION BRACING,BOLTS ( _ v,A ,YJ FEE (G '� FURNACE LOCATION I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT I AND AGREE TO COMPLY WITH ALL COUNTY OgINANCES LATH INT AND STATE LAWS REGULATING BUILDING ONSTRSJ�- TION LATH, EXT -��`•I�� J SIGNATURE OF HOUSE NUMBER COR- ' PERMITTEE RECT AND POSTED �y ADDRESS FINAL _u a v WM J FOX,COUNTY ENGINEER VALIDATION C N DIRLAM, CHIEF BLDG INSPECTOR 105 8 6 3 5 JUL 2'1 1 600 in 76A836A CE:#803 9-67 / "� APPLICATIO OF�,yBUIL�DING PERMIT COUNTY OF LOS ANGELES BUILD'TNG DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, SUP T OF BUILDING NEAREST CROSS ST ;NG OR APPLICANT TO FILL IN DISTRICT NO GR��ll11PP TYPE P E BY CONS Print ort pe only) Q BUILDIZV Cl STATISTICAL CLASSIFICATIO SEWE,P MAP ADDRE � V N CLASS NO DWELL UNITSLOT NO � BLOCK USE ZONE MAP NO �Z FJTRACT (!J SPECIAL _ NO OF BLDGS CONDITIONS SIZE Oc7 -OX NOW ON LOT USE OF EXISTING BLDG BLDG SETBACK FROM TEL X FRONT PROP LI NE OF —(STREET) OWNER C! TYPE OF EXISTING SETBACK HIGHWAY + YARD TOTAL ADDRESS 0 ;t2 o U-e2L 4d HIGHWAY WIDTH FROM C L Cl TY ETBACK FROM ARCHITECT OR T L BLD S (STREET) ENGINEER NO SIDE PROP LINE OF - TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL ADDRESS HIGHWAY1 WIDTH FROM C L TEL + _ >_ CONTRACTOR D /�+ NO a LIC CD ADDRESS NO CORNER CUTOFF YES E] NO V CD CITY c ASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK a r' rn z NEW AD LTE REPAIR DEMOLISH SQ FT NO OF NO OF SIZE7'6-XWSTORIE_� FAMILIES USE OF STR TUR t SIGNATURE O APPLICANT VALUATIONS �d��� d'v J APPROVALS DATE INSPE TOR 5 SIGNATURE PC PMT G o FOUNDATION LOCATION 7.. FEE$ FEE $ O1-5 FORMS MATERIALS �7 FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT LATH INT ING TO WORKMEN 5 CO��ATIONSURANCE LATH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS a2 FINAL JOHN F LEWIS PRINCIPAL STRUCTURAL EN ER PLAN CHECK VALIDATION CK M D CASH _ PERMIT VALIDATION CK M O CASH ` 295 # FEB 5 3 0 12.0 � � 7GA630A CE#00310 ea APPLICATION FOR' BUILDING PERMIT 1 ' !r COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS t z BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUPT OF-BUILDING CROSS ST DIST RI NO G OUP TYPE P SSED BY FOR APPLICANT TO FILL IN _ cortsT STATISTICAL CLASSIFICATION I ER MAPS BUILDING !� ��JE ` � _ � ADDRESS- : ,CLASS NO WELL UNITS S LOT NO J V C &Q BLOCK NUMABER 'WYE YES TRACT (p USE ZONE SPECIAL CONDITIONS NO OF BLDGS / ^` SIZE OF LOT 1, � I1 NOW ON LOT USE OF EXISTING BLDG GUC A•�//✓G' BUILDING EXIST 1t YARD HWY STREET NAM SETBACK WIDTH � OWNER O G�/•S FRRON T eq AIL IDE Mp� ADDRESS 00�IlL ISP CITY t NO %�' INSPECTION RECORD - _s ATELRCHITECT OR SEL NO r� ADDRESS TEL 2 CONTRACTOR NO ADDRESS t - ` DESCRIPTION OF WORK _ f 6 AlTo = ADD ALTER REPAIR DEMOLISH ti NO OF NO OF, _STORIES FAMILIESI"",RELc AJ& cW n/ L�REOF ANTAPPROVALS DATE INSPECTOR S SIGNATURE FOUNDATION LOCATION 4FORMS MATERIALSONS` FRAME FIRESTOPS. BRACING BOLTS PC PMT 'FURNACE LOCATION. FEE $ I FEE $ J+ ! GAS VENT,DUCTS ` I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT PLICATIONrAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO ,AND WITH ALL COUNTY ORDIN NCESAND�' _ STATE LAWS REGULATING BUILDING STRUCTION ' LATH,EXT k—., I HOUSE NUMBER COR- ' SIGNATURE OF !f / - RECT AND POSTED PERMITTEE D ADDRESS o?a �, e �� r FINAL / � "ts �1I/ r . CLYDE N DIRLAM, PRINCIPALS U RAL ENGINEER E CK PLACHECK VALIDATION O 'CASH _ PERMIT VALIDATION D,� tX,,3 7 5 9 OCTa 1 A -� rJ.Q in rep L - ' 76A538A DBS 3 12 54 V APPLICATION FOR BUILDING PERMIT DIVISION OF B=ING AND SAFETY ADD EISS ✓�� Deportment of County Engmeer County of Los Angeles LOCALITY Iay.—i Vic �tl WM J FOX COUNTY ENGINEER CASSATT D GRIFFIN,- NEAREST T of BUILDING NEAREST CROSS STImmsmsommim DISTRICT NO GROUP SEWER MAP FOR APPLICANT TO FILL IN - TYPE BK _ PG BUILDING ,I J'] /��/r CONST ADDRESS '1 h ( (' MAP STATE YES NO ' `-T^,�J NUMBER HWY LOT NO 304- BLOCK USE ZONE SPECIAL ' TRACT 16S,61 CONDITIONS !pj NO OF BLDGS SIZE OF LOT �O'�C�p ( NOW ON LOT 1 BUILDING YARD HWY STREET NAME EXIST USE SETBACK WIDTH __EXISTING BLDGO r � �/�) /rs `, FPL T 9C,VL i OWNER )G� - 04 " V.') -told/ SIDE ' MAIL 6.) L P L ADDRESS rn De /D a6.)� " TEL DWELL 1 UNIT 5 INDUSTRIAL CITY rV v/ 03) NO r - - 2 DUPLEX UNIT- 6 PUBLIC BLDG ARCHITECT OR TEL ENGINEER NO 3 APT UNITS 7 ADDN ,ALT, ETC ADDRESS 1, J ) �/ 4 COMMERCIAL 8 MISCELrrO/�-��� CONTRACTOR f L/J"J V(�7� s ll NO/.7��� /r� ' INSPECTION RECORD ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPA DEMOLISH r SO FT NO OF NO OF SIZE STORIES FAMILIES USE OF STRUCTUR �/D L ,`�� SIGNATURE OF APPLICANTJ ,////� ,�,/ �jyjJT+yyq APPROVALS ADDRESS S,N(,s►�/Y"=GJ '//K�"�Qy2)/-�/""'`-' DATE INSPECTOR S SIGNATURE FOUNDATION LOCATION P C S FORMS MATERIALS ((✓✓ FEE FRAME FIRE STOPS VALUATION E O �f BRACING BOLTS ?-0 FEE ./ FURNACE LOCATION, GAS VENT DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT r AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT AND STATE LA ¢ REGULATING BUILDING CONSTRUC- TION J /� TION I I,L�1/ LATH EXT SIGNATURE C�Fj `� � HOUSE NUMBER COR- PERMITTED! A_?, RECT AND POSTED ADDRESS-// 1 FINAL WM. J FOX. CouNTY ENGINEER VALIDATION BY - wCO2y T 3'3 US AM 18 1 6.0 0 in DEPUTY - DEPUTY BY, BY ® DEPUTY ; q#"pU TY - 1 ceryl/ WORKERS'COMPENSATION DECLARATION to self nsu eeor a ccertif ca'te ohf Worke s' Compensat on a certificate of coent Insurance, APPLICATION FOR BUILDING PERMIT or a certified copy thereof Sec 3800, Lab C ) !� - /�r "� 1C+�Ck�ss6:tC� �oiYs� COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No o 7 327Y Company Certified copy is hereby furnished FOR APPLICANT.TO FILL IN BUILDING ADDRESS Certified copy is filed with the county building inspec- BUILDING tion department ADDRESS (> ��'� l► 6 P/��! LOCALITY rte- NEAREST Date -T,FSC— =Applicant CITY +� C/�/ ZIP CROSS ST CERTIFICATE OF EXEMPTION FR WORKERS NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK I PAGE PARCEL (This section need not be completed if the permit is for one USE SONE ESPECIAL hundred dollars ($100)or less ) TRACT BLOCK LOT NO K TEL e. /I certtfy'that in the performance of the work for which this, OWNER �� .c NO ONS 0. permit is issued, I shall not employ any person to any manner DISTRICT GROUP TYPE FIRE :AED BY O so as to become subject to the Workers'Compensation Laws ADDRESS S.a�h,e � ��/ � n CONST ZONE U eg CITY ZIP F a A-5 ? O Date Applicant STATISTICAL CLASSIFICATION / APT JCtDO F- ARCHITECT OR TEL ll NOTICE TO APPLICANT If, after making this Certificate of ENGINEER NO` CLASS NO Z DWELL UNITS_, til Exemption, you should become subject to the Workers' p, Compensation provisions of the Labor Code, you must forth- ADDRESS - = SEWER MAP N with comply with such provisions or this permit shall be ` _Z deemed revoked, - CONTRACTORS. /� [ O 7 _ -/!@ BK ` n VALIDATION LICENSED CONTRACTORS DECLARATION �. LIC u {y ' I hereby affirm that I am Ic /d �ensed under provisions of Chapter 9 ADDRESS ' J NO !T7 7� 7 VALUATION (commencing with Section 7000)of Division 3 of the Business and ` LIC o-�r Professions Code, and my Icense•is to full force and effect CITY ee' ¢d-1/ e CLASS d SIZEFTS'VO STORIIEES FAMILLIIES CHEC ONEK License Number /�� / Lc Class Q //�� ��rr� !! DESCRIPTION OF WORK �¢�LC! �,¢_ 7/� NEW $ Contractorkl-4ki a cl� CO4!46e I am exempt under Sec s - - - ADD ALTER FINAL I B&P C for this reason REPAIR DATE i ff USE OF FINA Date EXISTING BLDG DEMOL B a c 59.25 Si nature APPLICANT TEL Y ° ° ° 5 9 2 5 c=., g _ - OWNER-BUILDER DECLARATION PRINT NO I hereby affirm that I am exempt from the Contractor's License ,l ,%�� 07.05-85 Law for the following reason (Section 7031 5, Business and ADDRESS Professions Code) ENT ^ QBUILDING - - I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code) MOVING TEL I, as owner of the property, bm exclusively"contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code) h REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LIN WIDTH I hereby affirm that there is a construction lending agency for FRONT - - - the performance of the work for which this permit is issued P L (Sec 3097, Civ C ) • SIDE m PL - Lender s Name rr Jr-^ Lender's Address P C Fee b Permit Fee � I certify that I have read this application and state that the Issuance Fee above information is correct I agree to comply with all County Invest'gouon Fee C ordinances and State jaws relating to building construction, Total Fee J and hereby authorize representatives of this County to enter upo 1 the above-mentionedproperty for inspection purposes - - -^ - { + SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date ®s