HomeMy Public PortalAbout6152 IVAR AVE_Certificate of Occupancy__ r r
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ECTM
APPUCAMN
PINCY NSP
FOR APPLICANT TO FILL IN (Print or type only). COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDINGAjZ BUILDING AND SAFETY DIVISION
ADDRESS
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CITY �./ �� ZIP AD REISS �CS�. 1
SIZE OF LOTNO. OF BLDGS, LOCALITY
'�-0 NOW ON LOT
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TRACT D BLOCK pTY CROSS ST.MP _
^ ASSESSOR
OWNER �/ /"
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ADDRESS I,( - s _ ccerl O-Di _✓- CONST. ZONE
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CITY ve P, lye ZONE MAP
SIZE O f NO. OF (J�'-�J t NO.
EXISTIN. OG. TORIES f SPECIAL
O CONDITIONS
PRESENT USE BUILDING - BLDG, SETBACK FROM '
FRONT PROP. LINE OF (STREET)
HIGHWAY t YARD - TOTAL SETBACK FROM TYPE OFEXISTING
N0. PARKING FRONT PROP. LINE HIGHWAYWIDTH
SPACES PR ED _
BLDG. SETBACK FROM
REASON INSPECTION REQUEST SIDE PROP. LINE OF (STREET)
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HIGHWAY + YARD = -TOTAL SETBACK FROM TYPE OF EXISTING C�
SIDE PROP. LINE HIGHWAY WIDTH C=
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CORNER CUTOFF YES - NO N
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PROPOSED.MAX. OCC, OCCUPANCY GROUP
AS VERIFIED �`� OCCUPANT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS - LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR-
EXIT HARDWARE:
R ECT.
N0. OF EXITS NO SPEC. KNOWL. ❑
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PANIC DEVICES
SIGNATURE OF ❑
APPLICANT -
PARKING
ADDRESS ,(� SPACES REQ'D C�•. PROVIDED
I/Cgee- CAI,
ZIP ,(%.�' �// 1 ax w ,
PHONE ..
MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDY COUNTY ENGINEER FINAL BY
r DATE
APPLICATION VALIDATIO CK. O,. CASH
76A662-CE992 9/74
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