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HomeMy Public PortalAbout6270 ROSEMEAD BLVD_Grading__ 4SE6 T.CE,��7 APPLICATION FOR GRADING PERMIT . � COUNTY OF LOS ANGELESSITE , DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY C%�` JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN MAP NO. PROCESSED,' STRICT_ O. STATE HWY� _ SITE YES NO❑ BY ��/, �. SI /I ADDRES - `1 �: ,j .� / USE ZONE SPECIAL C� LOT / CONDITIONS 111116 E R SI_5.�aa BLOCK TRACT 2- N U M El E R NUMBER _ _ SETBACK YARD HWY. STREET NAME EXIST. OWNER C _.WIDTH MAIL FRONTP.L. / ADDRESS G / . 1 �'��l �/Cr r�! �/. 1�< T . . . !/ CITY % s/ N QEL ' SIDE PL I J U - ) STATE SURETY S - BOND ENGINEER REG. NO. BOND NO. SURETY ADDRESS COMPANY SU P,VG.GG. STATE DATE RECD. ENGINEE r NO. FILED BY CASH RECD. DATE ADDRESS �j�r.% (' !' DEPOSrtT S BY FILED CONTDRACT R // G�I7C}Jv0 �f �� /•..J IL% f� A �21*' "�'•.. - �' � 'A•. ADDRESS3J /V/ `, /5'I CO/I .x'!,`� �.tYt. DESCRIPTION OF WORK e1. —4�i`a IL-tic Tot-' CHECK IF SUPERVI GRA I G �1 SIGNATURE OFAPPLICANT "Z ADDRESS r�7^61," NO.OF CUBIC YDS. HANDLED: S/C flJ'—O TO�`'- FEE - /� FEE S/-' I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS WORK TO BE COMPLETED WITHIN DAY APPLICATION AND STATE THAT THE ABOVE IS CORRECT FINAL CONTOUR ("� ib �E INSP 01S SIGNATURE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MAP FILED AND STATE LAWS REG LATING E AVATING AND GRAD- _ - ING. FINAL CE L OF ENG' R C'L. y -- - / SIGNATURE OF cO WP KL L./r STRICT E �I E PERMITTEE ADDRESS J` CLYDE N. DIRLAM. P I c P U/CCT% RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT A D ION CK. M.0. CASH i. ©k y`;r.Vis.•��r;,/ �������-✓�