HomeMy Public PortalAbout9941 GARIBALDI AVE_Grading__ APPLICATION FOR GRADING PERMIT
76A641 T-CES 07.12-73
COUNTY OF LOS ANGELES SITE
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALLIIsTY
FOR APPLICANT TO FILL IN CROSS 5T. -
SITE //++ � Ar. � DISTRICT N0. MA NO. tSTATEWY. SEEDDYADDRESS C7'Qr/ /O7/, $ 6� O
UMBERS BLOCK U ZONE SPECIAL
TRACT 37-
�/ ' ' CONDITIONS
NUMBER �v( / y
OWNER
MAIL �D2 7 ! i ws 7�r DATE AGENCIES REQUIRING CLEARANCE
ADDRESS / �J /D ASS (/��/�/ ✓ �-y
CITY /`CAV Ate( ,�f. yN TEL
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A O D R ES S 37 iC�? Iy�IrG r
T `313 /D
CITY NO.
GRADING - TEL.
CONTRACTOR NO. DD E
DONI6 + BOND
NO.
ADDRESS � � - - - � -
SURETY
PROPOSED USE OF GRADED SITE(S) COMPANY Y
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FIA,A,LED eEG'D-
DEYC,0. FILA
POSIT Ep..,
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F SUPERVISED GRADING THIS IS A LIlA TED TIME PERMIT Z
S11� A PLII NT - ALL WORK AUTHORIZED MUST EE-COMPLETED BY - !
TEL.
A��DI1DRESSySp NO. TIME LIMIT:
HAN6LEB� C!/� F6V ; EXTENDED TO: BYt
PEE EXTENDED TOI B'rt
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS INITIAL DAT[• INSPECTOR'S SIGMATURF
•APPLICATION AND STATE 'THAT THE ABOVE IS GRD. PREP.
CORRECT AND AGREE TO COMPLY WITH ALL COUNTY
ORDINANCES AND STATE LAP'S REGULATING EXCA- COMPACTION - -
VATING AND GRADING. REPORT RECD.
SUP ENGR'G. ..
SIGNATURE OF CERS'. R[C'D:
PERMITTEE _ ROUGH GRADIN[
ARPIIOVAL
PLANTING AND
AGENT FOR IRRIGATION
.. - SUP.ENOR'S.
FINAL CERT.
ADDRESS FINAL
APPROVAL
MAKE CHECKS PAYABLE TO,
SURETY BOND
HARVEY T. BRANDT, COUNTY EAbINEEIR RELEASE
PLAN CHECK VALIDAT cR. M.0. CASH PERMIT VALIDATION- CE. M.D. CASH
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