HomeMy Public PortalAbout6043 ROSEMEAD BLVD_Miscellaneous__ 7§V;'44-CE #8754-67 MISCELLANEOUS AP LICATIO
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER A D o E SSSS 67,//_j _
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY +�
COLEMAN W. JENKINS, SUPT. OF BUILDING NEAREST t
CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT N c uP TYPE PRO /� BY
�fJ �BUILDING f . — o CONST.
ADDRESS 40 O.S. ,C/� -� MAP y HIGHWAY
N0. O`G (CIRCLE) STATE AJ OR SECOND LOCAL
LOCALITY ��%M pL� �Ty USE ZONE SP CLAL CONDITIONS
NEAREST
CROSS ST. �i'K• ��Q�JJ� Q�
LEGAL /Q REQUIRED YARD HWY STREET NAME EXIST.
DESCRIPTION LOT NO. BLOCK SETBACK WIDTH
FRONT
�] NO. OF BLDGS. P.L.
TRACT C� NOW ON LOT SIDE
/3i Q'Y USE OF P.L.
SIZE OF LOT a /` /EXISTING BLDG.
OWNER
MAIL
ADDRESS
TEL
y -�
CITY' NO.
s
APPLICATION FOR C—Z<__wg33 ? ' "`' ;% •' fT �' v
OCCUPANCY _ +
INSPECTION SAFETY PERMIT�� m��.7� �"'— •'t L ' '1"`-' O
V
TRAILER USE + �. `-`'---- CL
C)
USE OF STRUCTURES OR DEVICES r -~= !' •s '_i: x S Z
G/_ ss' P L4
LIMITED TIME USE
DATE DATE
FROM: TO:
INSPECTOR'S
APPROVALS DATE SIGNATURE
OCCUPANCY APPROVAL
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GROUP OCC. LOAD
APPLICATION AND STATE TH TTHE ABOVE IS COR-
RECT AND AGREE TO CO Y WITH ALL COUNTY TRAILER USE
ORDINANCES AND STATE WS REGUL IN UGH
WORK AS INDICATEII HE SAFETY PERMIT
SIGNATURE OF
PERMITTEE TEMPORARY
`n STRUCTURE APPROVED
ADDRESS `✓ �� TEMPORARY
STRUCTURE REMOVED
FEE Gj V l FINAL APPROVAL At
e
APPLICATION VALIDATIO JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
(NOT A PERMIT) CK) M.O. CASH PERMIT VALIDATION CK. M.O. CASH
� � � 9 4 y nr 22 3 3 D 1 0.00 -. ;