HomeMy Public PortalAbout9620 GIDLEY ST_Grading__ APPLICATION FOR GRADING PERMIT1 �" n
A641T-,E8O7 4-671 I.
COUNTY OF LOS ANGELES SITE J�
ADDRESS (/
DEPARTMENT OF COUNTY ENGINEER r
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING NEAREST
CROSS ST. t ,l,
FOR APPLICANT TO FILL IN
DISTRICT NO. MAP oNO� YES ❑ NOSTATE Y P D BY 4
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AIDDRESS C� C=fit..' .5 USE ZONE SPECIAL
/ y c CONDITIONS
NUMBERS (QS-'�j(�'lp / �(p BLOCK
TRACT
NUMBER la
SURETY $ BOND
OW NERa C BOND NO.
i
MAIL SURETY
ADDRESS C i - COMPANY
�''7'' / DATE RECD.
CITY /-C-/y� /� �( N . - FILED BY
STATE CASH REC .DDATE
ENGINEER ('�„��, REG. NO. DEPOSIT $ BY FILED'? /,•.,
ADDRESS p� NOL 7 +Q CLEARANCE LOT NOS. } /-
SUP'V'G.GRAD' STATE �Yy G�y�► Da �'
E NG'NEER� �' REG. NOCO 3776 REQ'D. FOR V O9v d U.r
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ADDRESS 35 I3- �l� z�• - 1 DRAINAGE N
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PROPOSED USE OF GRADED SITE(S)
Z" THIS IS A LIMITED TIME PERMIT
ALL WORK AUTHORIZED MUST BE COMPLETED BY
TIME LIMIT'
CHECK IF SUPER YISED GRADING EXTENDED TO: BY: t ,�
SIGNATURE J
OF APPLICAN EXTENDED TO: BY `
61
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CITY � Sh /`�F�+'�-, PhNO, '/� INITIAL DATE 'INTOR NATURE
GRD. PREP.
CUBIC YDS.
HANDLED: Gd P.C. $ COMPACTION
�-'��'� FEE �3 �� REPORT RECD. 4
VALUATION$ $ SUP. ENGR'S.
FEE �7+ /7 CERT. RECD. l
ROUGH GRADING o "
IHEREBY AC W DGE THAT I VE READ THIS APPROVAL
APPLICATION A AT THAT H - BOVE IS PLANTING AND yy!�
CORRECT AND A E TO COMPL H L COUNTY IRRIGATION Y
ORDINANCES AN LAWS U ING XC -
VAT NG AND GRA I Gw/- SUP. ENGR'S.
FINAL CERT. r
SIGNATURE OF FINAL I
PERMITTE PPROVALITA 1471, 1
SURETY BOND 1
ADDRESS Z Z
RELEASED I
JOHN F. LEWI R NCIP4 STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
1 � 0 ;ikf1913D 31 .501ro
9 27 s v D 6 4 0,00-
L� - ^- 0540 27 4 D 6 3.0 0