HomeMy WebLinkAboutOC_387824 - Permits (2)'
COUNTY OF ORANGE_ENVIRONNI"TAL
-:,
WA7NAGEMENT AGENCY -
` CENTRAIy OFFICE REGULATIONREGIONAL OFFICE '
P.O. 90%4048 11
'26052 GETTVORIVE .--
a -400 CIVIC CENTER DRIVE WES '
.. FEE RECEIPT.FORM LAGUNA NIGUEL, CA 9267
lttt SANTA ANA, CA 92702 J� �\ l 714631 2610
714834-2626 - j W
r e '
RECEIVED OF
(
PAYER:
ADDRESS:
.TELEPHONE."
CIT'
OB ADDRESS
4k44
JOB OWNER:'
OR TRACT i NO.:.
OWNERS ADDRESS:
REd EIPT FOR:
, 'AMOUNT
LOCAL PARK FEE REQUIRED FO
k
-
,�
E -TRUST FUND
a?
LLwNitNGLE".FAMILY DWELLING 1PLEX
�``
g
(Ch,g k No
5 �k
PLAN CHECK FEEEl
`
MULTI-FAMILY DWELLING
El GRADING PRE INSPECTION FEE
+ UNITS WITH BEDROOMSEli.
LOCAL PARK FEE
ADDN. ALTERATION TO
rl MOBILEHOME PARK WITH PADS (Sites)
❑,. PERMIT
j
(Type) (Number)
,
l
':
El ':OTHER
tl
CENSUS TRACT AP
-: LOCAL PARK FEES DETERMINED:OR MODIFIEDZY
'
DATE
'REFER TO
`
..- ' + -- 3
'-
'BUILDING VERIFI
'PERMIT a `.
..
.,. (Number) .;, .., Inihalg)
'1 JAN 101 3$7,.8Z4
28.83+ . 2 2 3
WORK COPY 2
TELLER, DATE
FEE
F0250-189.3 ('R 3/80)