HomeMy Public PortalAbout10203 GREEN ST_Grading__ JUL 11 1�oL
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8-59 APPLICATION FOR GRADING PERMIT 1
8-59
COUNTY OF LOS ANGELES SITE
";�ARTMENT OF COUNTY ENGINEER ADDRESS �;: ' O
Bb7LDING AND SAFETY DIVISION LOCALITY
'I JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICTT/�N AP/too. STATE HW
SITE 1 pp !� I I 0" C� CJ YES ❑ NO BY
ADDRESS Gl ickm in Ave. & Green St. USE ZONE SPECIAL
LOT
NUMBERS 1-26 CONDITIONS
BLOCK
TRACT
NUMBER 27309
SET BACK YARD HWY. STREET NAME EXIST.
OWNER J. B. Weber. Development Co. WIDTH
MAIL l ADDRESS 5926 Temple City Blvd.TE FRONT P.L.
CITY Temple City No.STATE L-AT ()-2815 SIDE P.L.
BOND
ENGINEER Hillcrest Eng. REG. NO. 1.532 BOND SURETY NO.-
SURETY
ADDRESS 30 Santa C.lara,A j(D- 111 7-3563 COMPANY
SUP'V'G.GR�D'G. TATE DATE RECD.
ENGINEER i'•_arel 11. Tongle' EG. NO. 1.532 FILED BY
CASH d( RECD• DATE
ADDRESS 30 Santa Clara, Arcadia DEPOSITS, I —DY ZL �_.. FILE T,
GRADING TEL. /
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK
Grade Lots Per an
Tract No. 27309 — ---
CHECK IF SUPER ISED GRA I __
SIGNATURE
F APPLICANT - -
'ADDRESS_2_ ' f •yr'g r"c�
NO. OF CUBIC YDS. HANDLED:
FEE
J' U S
FEE
I
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS WORK TO BE COMPLETED WITHIN N5
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FINAL CONTOUR DATE SSI E
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MAP FILED
AND STATE LAYVS REGULATI G EXCAVATING AND GRAD-
FINAL CERTIF.
ING. �L j"!'sr lI9W'}i OF ENG'R.RECD.
SIGNATURE OF WORK DISTRICT ENGI
PERMITTEE j> �-' �' d COMPLETED
c
ADDRESS r �-� _y /'�
SURETY BOND /y}. /
7 /�T` G'�'-�Y'T�' I' RELEASED Cj��E�. /r.� (./i-Gf• �-
CLYDE N. DIRLAM, PRINCIPAL ST ;C NEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. H
#1' 329- AL 0 1 3 0 1 0.017� 1 9 3" OCI 41 ; 1) 535
5 1 9 4:2 OCT 4 4 D
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195 OCT 49 :'' D G0G.l