HomeMy Public PortalAbout9518 FLAHERTY ST_Certificate of Occupancy__ APPLICAMN FOR OCCUPANCY 9NSPECMN
FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDINGJ BUILDING AND SAFETY DIVISION
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SIZE OF LOT N OF BLDGS LOCALITY —�
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EXISTING G SOTOOF S LTIONS
PRESENT USE OF BUI G BLDG SETBACK FROM
FRONT PROP LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH
NO PARKING
SPACES PROVI
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BLDG SETBACK FROM
REASON FOR INSPECTION REQUEST SIDE PROP LINE OF (STREET) H
HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF XISTIN Lu
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SIDE PROP LINE HIGHWAY WIDTH CL.
+ _
• , CORNER CUTOFF YES NO
PROPOSED MAX OCC OCCUPANCY GROUP
AS VERIFIED OCCUPANT
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I HEREBY ACKNOWLEDGE THAT I HAVE READ JHIS
APPLICATION AND STATE THAT THE ABOVE IS COR
EXIT HARDWARE
RECT
NO OF EXITS NO SPEC KNOWL El
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SIGNATJRE PANIC DEVICES
APPLICAN
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SPACESG REQ D PROVIDED
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ADDRES
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PHONE LL V
A111 RE CHECKS PAYABLE 7 0
HARVEY T BRANDT COUNTY ENGINEER DFINALATE "/� 7 BY ( � `
APPLICATION VALI TIO %✓ M o CASH
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