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HomeMy Public PortalAbout4809 KAUFFMAN AVE_Grading__ Qp.pL���ON on GQ - MG PERM 76A641T-CE607 12-73 - - COUNTY OF LOS ANGELES, SITE �, � Q DEPARTMENT OF COUNTY. ENGINEER aoDR BUILDING AND SAFETY DIVISION LOCALITY FOR APPLICANT TO FILL IN NCROSSST. �c.c¢JIJ J AIDDRESS �- /J- DIISTRICTQNO. MAP NO./ STATE Y. PRO�C�E,/�SEDD BY. /�, _ V '©U .�.0/& YES ❑ NO NUUMBERS BLOCK amu$ USE ZONE SPECIAL CONDITIONS—7.v V TRACT %i - �Q�._ 'T NUMBER - OWNER l P ej— e P, AMAIL DDRESS 5���-W�nl /e .ei� f3Jvc DATE AGENCIES REQUIRING CLEARANCE ' TEL. CITY.7- ISC- _C/ _ N O. �/►"2 '7 h6 ENGINEER• N g,- e I REG. NO. F* ' MAIL _. - ADDRESS Q "TEL. .._ - .. CITY L,�- .- NO. ��� GRADING TEL.. / CONTRACTOR /�.��y�� NO. M /p� - ADDRESS.SZ(a-'"lka. BONDTY $ U NONSC'�OFS'' �2b� SURETY PROPOSED USE OF GRADED SITE(S) COMPANY ..enr DALED -7BYC,D 7 —23-/� O .. .. CASH _. REC'D. .. DAT.E_.. .fes DEPOSIT $ BY FILED a CHECK IF sUPERVISED•GRADING -THIS IS A LIMITED TIME ,PERMIT Z SIGNATURE OF APPLICANT ALL WORK A UTHORI-ZED,MUST BE-COMPLETED BY EL ADDRESS-f k NO. 2� TIME LIMIT: CUBIC YDS. P.C. $ /� HANDLED: �� FEE �/0 EXTENDED TO: BY: FEE $ '21 U EXTENDED TO: BY: IHEREBY ACKNOWLEDGE THAT 1 HA'•VE READ'THIS INITIAL; - PAT ".';�,N„S E,EC TORS 96NATURE APPLICATION AND STATE THAT THE ABOVE IS GRD, PREP. CORRECT AND AGREE TO COMPLY WITH'ALL COUNTY ORDINANCES AND STATE LAWS REGULAJ ING- EXCA- COMPACTION -� - --- VATING AND GRADING. REPORT REC'D.. SUP. ENGR'S. SIGNATURE OF _/A CERT. REC'D.= J `I[ PERMITTEE ✓`�� ROUGH GRADING ? - .. APPROVAL W,81 / PLANTING AND ` AGENT FOR �Y"�L/�R 1 /L/��� /�� �-i// IRRIGATION �— ! `�" -�F FI,P.NALECERT.� CB 16 ADDRESS MAKE CHECKS PAYABLE TO: nPPRovnL :#A14 " SU RETY..BOND HARVEY T. BRANDT, COUNTY ENGINEER RELEASED Q - v PLAN ECK VALIDATIO cK. M.o: CASH PERMIT VALIDATION cK: �m 0 CASH 5 2 9.'cl_�A?R ;�6 40 21 0.0 0 �1 Y a).