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HomeMy Public PortalAbout9177 LAS TUNAS DR_Certificate of Occupancy__ t?. APPLICATION F`O -CCbl��CY INSPECTION ] FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND S FETY DIVISION ADDRESS BUILDING / CITY ZIP O ADDRESS SIZE OF LOT _j NO. OF SLOGS. LOCALITY ` U J NOW ON LOT _ NEAREST ' TRACT BLOCK LOT NO. CROSS ST ASSESSOR OWNER TEL MAP BOOK PAGE PARCEL ♦ 1 N0. DISTRICT TYPE FIRE OCESS BY ADDRESS,,4 ZON r CITY I ZIP USE ZONE �NM P ©� SIZE F L N0. OF EXISTING BLDG STORIES ECIAL NDITIONS PRESENT USE OF BUILDING BLDG. SETBACK FROM FRONT PROP. LINE OF (STREET) HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTING NO. PARKING FRONT PROP. LINE HIGHWAY WIDTH SPACES PROVIDED BLDG. SETBACK FROM REASON FOR INSPECTION REQUEST a SIDE PROP. LINE OF (STREET) 0 HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF XISTIN V SIDE PROP LINE HIGHWAY WIDTH a= O 4 + - U W CORNER CUTOFF YES NO N 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- EXIT HARDWARE R ECT, N0. OF EXITS NO SPEC. KNOWL El v PANIC DEVICES SIGNATURE OF ❑ APPLICANT PARKING REQ'D PROVIDED ADDRESS SPACES V, 17 4-41;55 7w4 ZIP PHONE n C6 MAKE CHECKS PAYABLE TO { HARVEY T. BRANDY COUNTY ENGINEER FINAL T BY DATE a APPLICATION VALIDATION CK M 0 CASH 0 2 9 LmAR 30 4 V U .t7 U ; 76A662-CE992 9/74