HomeMy Public PortalAbout10936 FREER ST_Certificate of Occupancy__ APPLIC,6TION FOR OCCUPANCY NSPFC70N
FOR APPLICANT TO FILL IN (Print or type only COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
gDG BUILDING AND SAFETY DIVISION
BUILDING n
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NO. OF BLDGS. LOCALITYVey -
LOT NOW ON LOT
NEAREST -
BLOCK LOT NO CROSS ST. ^
ASSESSOR
NO. MTELAP BOOK PAGE PARCEL
N0. ! DISTRLCT TYPE FIRE _ �PROCESSED.B
� CONST. ZONZIP USE ZONE MAP
NO. OF NO.;u
G BLDG. STORIES SPECIAL
CONDITIONS
PRESENT USE OF BUILDING BLDG. SETBACK FROM
FRONT PROP. LINE OF (STREET)
HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING
FRONT PROP. LINE HIGHWAY WIDTH ^
N0. PARKING � 7VS
SPAC PROVIDI=D + _ _ / /ti
BLDG. SETBACK FROM
REASON FOR INSPECTION REQUEST �.� "f SIDE PROP. LINE OF (STREET)
HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF IST]NG;
SIDE PROP. LINE HIGHWAY WIDTH
t =
CORNEA CUTOFF YES
PROPOSED MAX. OCC. OCCUPANCY GROUP [:��AS VERIFIEDOCCUPANT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR- EXIT HARDWARE:
R ECT.
NO. OF EXITS NO SPEC. KNOWL. ❑
SIGNATUR PANIC DEVICES ❑
APPLICANT
ADDRESS
PARKING REQ'D O PROVIDED O
SPACES .
: ZIP
PHONE
MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDY COUNTY ENGINEER FINAL BY
DATE i
APPLICATION VALIDATION CK. M.O. CASH
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