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HomeMy Public PortalAbout5909 TEMPLE CITY BLVD_Certificate of Occupancy__ 76A&2-CE992-4f77 L APPLICATION FOR OCCUPANCY INSPECTION FOR APPLICANT TO FILL IN BUI NG (Print or type only) ADDRESS B ILDING DDRESS LOCALITY CITY t �!iZy ZIP NEARESTCROSS ST. SIZE OF LOT NO.OF BLDGS. ASSESSORIII NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT TYPE FIRE C ED By TRACT jw 4 BLOCK LAT NO. /�10 CONS= ZONE YY�J.J TEL pc✓ r W / 61 OWNER NO, u* USE ZONE MAP a NO. ADDRESS /*" ,6 i&,,o y SPECIAL CONDITIONS ITY gQ�p ZI /09)6 Bim..SET BACK FROM SIZE.OF 21 I ` NO.OF FRONT PROP..LINE OF (STREET) EXISTING BLDG. STORIES HIGHWAY + YARD= TOTAL SET BACK FROM TYPE OF IXLgrxmG -RESENT USE OF BUILDING FRONT PROP.LINE HIGHWAY WIDTH + BLDG.SET BACK FROM NO.PARKING SIDE PROP.LINE OF (STREET)I C SPACES PROVIDED c HIGHWAY + YARD= TOTAL SET BACK FROM TYPE OF E WING 'e SIDE PROP. LINE HIGHWAY' WIDTH �C. EASON FOR INSPECTION REQUEST + — {� c CORNER CUTOFF YES NO I .Business Ucense lnsRectton OCCUPANCY GROUP ^� OCCUPANT AS VERIFIED LOAD EXIT HARDWARE: PROPOSED MAX.OCC. NO.OF EXITS NO SPEC. KNOWL. ❑ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS PANIC DEVICES ❑ APPLICATION AND STATE THAT THE ABOVE IS COR- RECT. PARKING : REQ'D� PROVIDEDU SPACES SIGNATURE OF PPLICANT ? FINA B DATE�oZly ,,ADDRESSZ� C/ tir - C/¢ �J tl ithe scope of this ipec- onn the Building Official may. approve minor corrections or Zip !7 alterations of an existing struc- tore involving work of a build- PERMIT.FEErN .rig, plumbing, mechanical or PHONE electrical nature. ISSUANCE FE CD -o ;{ TOTAL FEE APPLICATION VAL40ArTI CK. M.O. CASH p V D �. v o {�9 �. OD o ®`�� NS © ..