HomeMy Public PortalAbout9224 LONGDEN AVE_Certificate of Occupancy__ ^� APPLICATION FOR OCCUPANCY INSPECTION
7OR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
ADDREBUILDING C12-24Z4 Lon eh BUILDING AND SAFETY DIVISION
SS
BUILDING
�OC
CITY L c ZIP ADDRESS
OF LOT ,1� NO. OF BLDGS. LOCALITY
SIZE
Vv _ NOW ON LOT Z
_ NEAREST
TRACTT.A. L4 ti V C BLOCK � L N0. / CROSS ST.
ASSESSOR
OWNER ( TEL' L MAP BOOK PAGE PARCEL
R® 1 l�S NO. ��� 44 MAP
DISTRICT TYPEIF]RE OCE I BY
� �, � CONST ZON
ADDRESS j//Z�� �� r� R
CIT' IAC R L R ZIP ZONE NO? !J�
ZE OF NO 1
EX' ING BLDG. ORIES SPECIAL
CONDITIONS
PRESENT OF BUILDING BLIDG. SETBACK FROM
FRONT PROP. LINE OF (STREET)
HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF EXISTING
N0. PARKING FRONT PROP. LINE HIGHWAY WIDTH
SPAC PR ED + _ 0
c
BLDG. SETBACK FROM IL
EASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET) d
^ �� ,ti
m n�� HIGHWAY } YAR=DTOT AL SETBACK FROM TYPE OF XISTINWIDTH C
(� .. ` Ti� (� DE PROP. LINE HIGHWAY WIDTH F
f •t f-
a 1� IT O PILao
NO
/ rkw II CORNER CUTOFF YES NO �
e trir..•f? CC OCCUPANCY GROUP `-rd�
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. ❑
SIGNATURE OF PANIC DEVICES '❑
APPLICANT
PARKINGREQ'D l PROVIDED D
ADDRESS � .L � � 1 SPACES •
d �
on IF COL JL
ZIP
PHONE
4� MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDY COUNTY ENGINEER DATE BY B
by c,,� 4 �� 6�1 • APPLICATION VALIDATION M.0. CASH
_3 7 9AAUG 522 0 18 to
8.0 0 A
i6A662-CE992 12-73 "'