HomeMy Public PortalAbout10644 ROSEGLEN ST_Certificate of Occupancy__ APPUCATION F R ®CC ANCY INSPECTION
FOR APPLICANT TO FILL IN (Print or typ. only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
euILOING BUILDING ANDS TY DIVISION
ADpRESS
c BUILDING 50
CITY C r ZIPQ11�{� ADDRESS -
SIZE OF LOT Q1 1/r�rt' N0. OF BLD••GS.
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NEAREST
TRACT BLOCKL-OT N0. CROSS ST.
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NO. DISTRICT TYPE FIRE PR BY
ADDRESS CONST. ZONE
CITY Z 10 USE ZONE MAP l�
SIZE OF �mb NO. OF N0. /
EXISTING SLOG. al� STORIESCONDITIONS SPECIAL
PRESENT USE OF B �'UILDING BLDG, SETBACK FROM
FRONT PROP. LINE OF (STREET) s_
TOTAL SETBACK FROM I TYPE OF ISTI
HI WAY + YARD = FRONT PROP. LINE HIGHWAY WIDTH
N0. PARKING _
SPAC PROVIDED - +
BLDG. SET ROM
REASQN FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET)
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE 0 ISTIN
SIDE PROP. LINE HIGHWAY WIDTH
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+ _ 'Z
C �
CORNER CUTOFF YES NO
PROPOSED MAX, OCC. OCCUPANCY GROUP
AS VERIFIED OCCUPANT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE 13 COR- EXIT HARDWARE:
R ECT.
NO, OF EXITS NO SPEC. KNOWL. El
SIGNATURE OF
PANIC DEVICES ❑
APPLICANT
PARKING RD
ADDRESS SPACES EQ'D PROVIDED
ZIP
PHONE,�
MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDY OUNTY N IN FINAL BY !
PPLICATION VALIDATION CK. M.0. CASH
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