HomeMy WebLinkAboutX2021-0680 - Permit Applicationx
Worksheet for Combo Building &
City of Newport Beach - Buil(
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City L— State'1 Zip L-__ Telephone)
CONTRACTOR'S NAME/COMPANYM- 11C. -1 Classn
Contractor's Address Contractor's E-mail Address \
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City (1/�y�jt,w ����^� State Cliff ( Zip TP Telephone gLFF mei-*�
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT ; PLAN CHECK NO
USE ZO DEVELOPMENT NO PLAN CHECK FEES $