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HomeMy Public PortalAbout5928-5934 TEMPLE CITY BLVD_Certificate of Occupancy__ APPLICATION FOR OCCUPANCY INSPECTION" 1=75 BUILDI�ASAFETY DIVISI PADDRESSIq3q0 OR APPLICANT TO FILL'IN BUILDING (Print or type only) ADDRESS • t' 3. i _ LOCALITY �22 9W• T� -pC,E Cal I l)- NEAREST � ZIP CROSS ST. NO. O.F BLDGS, ASSESSOR T NOW ON LOT MAP BOOK PAGEDISTRI•CT TYPE' FIRE PR D BY / BLOCK LOT No. O CONST. 0, 1JllTEL. dI�LE S rl�• VLO N0. 7 1 b USE ZONE MAP///��� NO, Q(�• S MAVJ WN % �� SPECIAL 11 CONDITIONS IYVA N M v s, ZIP 2 BLDG. SETBACK FROM SIZE OF NO. OF FRONT PROP. LINE OF (STREET) EXISTING BLDG. STORIES TOTAL SETBACK FROM TYPE OF EXISTING PRESENT USE OF BUILDING HIGHWAY + YARD- = FRONT,PROP. LINE HIGHWAY WIDTH e BLDG,. SETBACK FROM NO. PARKING SIDE PROP. LINE OF (STREET') SPACES PROVIDED TOTAL SETBACK FROM TYPE OF XISTIN C HIGHWAY + YARD = SIDE.PROP. LINE HIGHWAY WIDTH REASON FOR INSPECTION REQUEST + _ - u CORNER CUTOFF YES NO - c ' OCCUPANCY GROUP ` AS VERIFIED Z OCCUPANT LOAD EXIT••HARQWARE: PROPOSED MAX. OCC. NO SPEC., KNO.WL.- ElN0. OF EXITS.' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑ APPLICATION AND STATE THAT THE ABOVE IS COR- RECT. PARKING SPA'.CES REQ'D PROVIDED �. FINAL BY SIGNATURE OF F.INA //����� ' APPLICANT ADDRESS ^ W W' Within the scope of this inspec- t! tion'the Building Official may �11qlqapprove minor corrections or �� IV V - L alterations of an existing struc- tore.involving work of a build- Permit Fee , ZIP ing,-plumbing, mechanical or electrical'nature. Issuance .ee P ONE © (p Total Fee APPLICATION VALIDATION- CK. Ifo. CASH" 9 3 5 W0V 24 -0 D .0.0.o�tt 76A662C-CE9923 11/79 •- -