HomeMy Public PortalAbout9566 LAS TUNAS DR_Certificate of Occupancy__ 76A662-CE992-477 .
", APPLICATION FOR OCCUPA NCY INSPECTION
FOR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS 915
E�VDILDING LOCALITY
DRESS
o 100 lJ NEAREST
CXTY ZIP 3 CROSS ST.
SIZE OF LOT' NO.OF BLDGS. ASSESSOR
NOW ON LOT MAP BOOK AGE PARCEL
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DISTRICT TYPE FIREMLSONE kaY
TRACT,, / BLOCK LOT NO. ! 3 , `��CON3� Z
YY// ((((((/// `/�/�/
OWNER TEL
/�SS NO. USE ZONE MAP
NO. Q
ADDRESS $
SPECIAL
CONDITIONS
CITY ZIP
d BLDG.SET BACK FROM
SIZE OF NO.OF FRONT PROP.LINE OF (STREET)
EXISTING BLDG. n J O0 STORIES
HIGHWAY +" YARD — TOTAL SET BACK FROM ' TYPE OF IXMG
FRONT PROP.LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING
BLDG.SET BACK FROM C
NO. PARKING SIDE PROP.LINE OF (STREET)I C
SPACES PROVID D
TOTAL SET BACK FROM TYPE OF IXSTING
HIGHWAY +
YARD= SIDE PROP. LINE HIGHWAY WIDTH
F
.REASON FOR INSPECTION REQUEST + Lei
a
o CORNER CUTOFF YES NO a
z
OCCUPANCY GROUP OCCUPANT
AS VERIFIED LOAD
EXIT'HARDWARE:
PROPOSED MAX.OCC.
NO.OF EXITS NO SPEC. KNOWL. ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT.
PARKING : REQ'D PROVIDED
SPACES
'SIGNATURE O
PP LI CANT FINAL .r �� BY I
DATE
ADDRESS
5_6 2
Within the scope of this inspec-
tion a tithe Building Official may j
11L approve
minor
rove minor corrections or
ZIP alterations of an existing struc-
ture involving work of a build- PERMIjkqE
inc:, plumbing, mechanical or
PHONE electrical nature. ISSUA E
TOTAL FEE
C to s
APPLICATIOfTVALICYA-MON CK. M.0. CASH
o
CIt 0 ♦ {A
i 0 ® PJ
OD ® p
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