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HomeMy Public PortalAbout6019 GOLDEN WEST AVE_Certificate of Occupancy__ APPLICATION FOR'OCCUPANCY INSPECTION FOR APPLICANT TO FILL IN, it or type only) COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ` , BUILDING AND SAFETY DIVISION ADDRESS GO BUILDING • CITY ;./ ZIP R`�g� ADDRESS SIZE OF LOT7 NO OF BLDGS. LOCALITY ' 'Z0 NOW ON LOT ,Z Q'{•�,{/I NEAREST - TRACT '` r= - BLOCK LOT N0. i ` CROSS ST. tttt ASSESSOR OWNER TEL oo MAP BOOK PAGE PARCEL N0. L DISTRICT TYPEFIRE PROCESSED BY I ADDRESS --� - CONST. ZONE © iQ tion i \5 p r� CITY ZIP C4 11 Q D USE ZONE MAP SIZE OF, .... NO OF v NO. EXISTING BLDG STORIES I' SPECIAL , CONDITIONS PRESENT USE OF BUILDING �• BLDG. SETBACK FROM FRONT PROP LINE.OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING NO. PARKING q FRONT PROP. LINE HIGHWAY WIDTH SPACES PROVIDED -&�� -4 _ va(ar<<Qtstl _ BLDG. SETBACK FROM REASON FOR INSPECTION REQUEST - SIDE PROP. LINE OF (STREET) > TOTAL SETBACK FROM TYPE OF XISTIN 0 - I HIGHWAY + YARD = SIDE PROP. LINE HIGHWAY WIDTH U occu 4t Pct ie vc + - o VAIR iAn,fL F-0 A- G 8J A;1. c_> CORNER CUTOFF YES NO a Z_ PROPOSED MAX: OCC, OCCUPANCY GROUP AS VERIFIED �_ OCCUPANT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS - LOAD APPLICATION AND STATE THAT THE ABOVE IS COR- RECT. EXIT HARDWARE NO. OF EXITS NO SPEC. KNOWL. El SIGNATURE OF ` PANIC DEVICES ❑ APPLICANT tW. (;Q,k PARKING REQ'O PROVIDED ADDRESS ` ,tom• SPACES ZIP !� /YJ PHONE �NJ` /4GV�5t ��',t, '�y� 7�rh�N �i/Z�i✓r4cL �vr�Di.vC� MAKE CHECKS PAYABLE TO- HARVEY T. BRANDY COUNTY ENGINEER FINAL DATE ^Cr APPLICATION VALIDATI�CK. M O CASH 10 22 ® 3-0.0 76A662-CE992 875 - f -----------