HomeMy Public PortalAbout10827 GRAND AVE_Certificate of Occupancy__ kICATION FOR OCCUPANCY. INSPECTION
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BUILDING A SAFETY DIVISIO
LIC;ANT TO FILLBUILDING
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BUILDING LOCALITY
ADBRESS
NEAREST
CITZIP CROSS ST.
NO. OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICTTYPE FIRE PR D BY
TRACT I l p�O BLOCK LOT N0. ;Zq 5 0,$ CON ZONE
OWNE ` 4. ihhgQ NO USE ZONE MAR r�
N0. pf•�J
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ADDRESS 1 r•Y SPECIAL
CON-DITIONS
GT ZIP BLDG. SEYBACK FROM
SIZE OF NO FRONT PROP. LINE OF (STREET)
EXISTING B RIES yIGHWAY t YARD = TOTAL SETBACK FROM TYPE OF ISTIN
-
FRONT PROP. LINE HIGHWAY WIDTH
HIGHWAY WIDTH_USE OF LDING
+ _
BLDG. SETBACK FROM
NO. PARKING SIDE PROP. LINE OF (STREET)
SPACE P ED TOTAL SETBACK FROM TYPE OF EXISTING.
HIGHWAY + YARD = SIDE PROP. LINE HIGHWAY WIDTH OC
REASON FOR NSPECTION REQUEST +
• .CORNER CUTOFF YES NO
OCCUPANCY GROUP[::�
AS VERIFIE-D OCCUPANT
LOAD
EXIT HARDWARE:
PROPOSED MAX. OCC. NO SPEC. KNOWL. ❑
N0. OF EXITS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. PARKING
SPACES REQ'D1 :1 PROVIDED
FINAL BY
SIGNATU OF DATE 2 -
APPLICAN
ADDRESS Within the soopeof this Inspec-
tion the Building Official may
a approve minor corrections or
alterations of an existing Wuc-
zlPa 1 tura Involving work of a build- Permit Fee
Ing, plumbing, mechanical or
electrical nature. Issuance Fee
- H N
ZZ Total Fee
APPLICATION VALIDATION - M.D. CASH
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