HomeMy Public PortalAbout5921 TEMPLE CITY BLVD_Miscellaneous__ 7SM444.DHS 75 11.55 mi S C E L LAN 1t 0 0 S- A•P P L C AT I..
DIVISION OF>'BUILDING AND''SAFETY OCCUPANCY-3
Deportment of'-County Engineer
County of Los,Angeles BUILDING //'
JOHN A.LAMBIE..COUNTY ENGINEER -ADDRESS 4z.• 'I 1
CASSATT D.GRIFFIN,SUPT OF BUILDING
LOCALITY N7 1
}LW FOR APPLI ANT T ILL I NEARE S'1. F/
OWNER. SCROSS
MAIL. ` ' " �� .DIST T. ROUP TYPE N8.
ADDRESS
TEL.
CITY' a j p
NO. MAP' ` STATE , YES NO
TEL. .NUMBER �: '' HWY
CONTRACTOR NO. USE•ZONE SPECIAL '
CONDITIONS'
[ADDRESS
LEGAL
DESCRIPTION I LOT NO I BLOCK gETBACK YARDI HWY'I REET:NAME I =WIDTH
NO.•OF BLDGS.
TRACT C(� _4--NOW ON LOT FRONT
P.L.
USE OF 'SIDE "
SIZE OF LOT I EXISTING BLDG. P _-
AP LICATION'-FOR INSP,.ECTION RECORD
OCCUPANCY
INSPECTION I SAFETY PERMIT ��::'•-j�; a'1L
TRAILER USEI LIMITED TIME USE '}
DATE DATE I n y / •' �•w.
•Y
FROM: TO:. IP'/+ f fl{?,r}Pg�Ct?'•;R 1 `4,J?" I' �+'tt F'd
USE OF STRUCTURES OR DEVICES
• /Tl�.r /�'!C?' i"ft,t•+:? CE ......r.i it i �S�Lcan
INSPECTION FOR
F OCCUPANCY A +� All-
,
I
_I Hs _I._......._ri..._.
I HEREBY ACKNOWLEDGE THATAVE READ THIS APPROVALS-Ai..
PPROVALS[ATE. -V [rY ,
APPLICATION AN&STATE.-THAT THE'ABOVE IS CORRECT Df1sPCyC R's sIGRaT RE
AND AGREE T_,O,COMPLY WITH ALL COUNTY ORDINANCES OCCUPANCY APPROVAL ^ .�
AND STATE LAWS R GULATING BU IN CO TRU. GROUP ,;�-,�j OCC.
ALL
�,0'//p/�>'>.. F
TION. i � , +
SIGNATURE OF -.i�.tWV�� r TRAILER USE
P€RM ITTEE
C SAFETY PERMIT
ADDRE y TEMPORARY
STRUCTURE APPROVED
TEMPORARY ,
STRUCTURE REMOVED_
- ' •- -FEE-$_.•` ,•,
FINAL APPROVAL
SOH'N.A. LAMBIE.COUNTY ENGINEER `' ATION 'CLYDE N.DIRLAM,CHIEF BLDG. INSPECTOR..
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O ,CASH
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