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HomeMy Public PortalAbout10789 FREER ST_Certificate of Occupancy__ APPLICATION FOR OCCUPANCY INSPECTION LJ ---- _ -_ . 4' BUIL I AND SAFETY D SIGN FOR APPLICANT TO FILL IN BUILDING p (Print or type only) ADDRESSecf BUILDING /076 Fee 'sr sr LOCALITY ADDRESS NEAREST CITYLiM eves ZIP /7Q� CROSS ST. 4 N0. OF BLDGS, ASSESSOR SIZE OF LOTS6' ���0, 'NOW ON LOT � MAP BOOK PAGE PARCEL DISTRICT TYPE FIRE /rPROCESSEV BY TRACT 3/�. BLOCK LOT NO. CONST„/' ZON ,S ALL// L� OWNER jp , Npc 9� US ZONE MAP V I NO. �) VZI SPECALi ADDRESS O 7Amer S r v vu CONDITIONS CITYT / C ZIP 9/.7 �p SLOG, SETBACK FROM SIZE OF fid+ NO. OF FRONT PROP. LINE OF (STREET) EXISTING BLDG. S IES HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING FRONT PROP. LINE HIGHWAY WIDTH PRESENT USE OF BUIL NG } BLDG. SETBACK FROM NO. PARKING SIDE PROP. LINE OF (STREET) O SPACES PRO` D TOTAL SETBACK FROM I TYPE OF XISTIN V HIGHWAY } YARD = SIDE PROP. LINE 1HIGHWAY1 WIDTH O REASON FOR INSPECTION REQUEST } w a CORNER CUTOFF- YES NO rn OCCUPANCY GROUP [�� OCCUPANT AS VERIFIED LOAD EXIT HARDWARE: PROPOSED MAX. OCC. NO SPEC. KNOWL. ❑ NO. OF EXITS' I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS PANIC`DEVICES ❑ APPLICATION AND STATE THAT THE ABOVE IS COR- RECT. PARKING REQ'D PROVIDED SPACES C FINAL SIGNATURE OF DATE APPLICANT ADDRESS 1drFrO 7 ®,p� Within the scope of this inspec- tion the Building Official may approve minor corrections or alterations of an existing struc- ture involving work of a build- Permit Fee Z Ing, plumbing, mechanical or electrical nature. Issuance Fee PHONE Total Fee APPLICATION VALIDATION CK." M.O. CASH 76A662 C-CE992B 11/75 .3 ��� ✓� v�"2 © 3 �•� � �