HomeMy WebLinkAboutEL050722 - APPLICATION QUESTIONAIRE COUNTY OF ORANGE/PLANNING AND DEVELOPMENT SERVICES FJ J�P 1 APPLICANT'S INFORMATION SHEET FOR A BUILDING/GRADING PERMIT
Applicant must legibly PRINT N all of the known indicated Information. PERMIT NUMBER:
BUILDING ADDRESS OF PROJECT _ I U Ctes. Fr;
LEGAL DESCRIPTION OF PROJECT SITE:
Pnw"aa"wnn�Mxn pr"w.m;wtr�ydn.Montreal not eau yr
ASSESSOR'S PARCEL(AP) NO. ZONE:
NEAREST CROSS STREETS'ss,,S> Ci-( all Q �.
OWNER/BUSINESS NAME:_'Ai I Wiu; N
OWNER'S PRESENT ADDRESS Io
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SPECIAL PERMIT NUMBER: °He
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PROPOSED USE OF STRUCTURE: This must be elewly spelled outIn usual as to exactly what is the intended
se. The arms'OFFICE' or 'COMMERCIAL BUILDING• are HOT wfi
meek the Zoning Di cient No deformities If the proposed use
strict Regulations. Occupancy Group. or M Ne TYPE OF CONSTRUCTION well permit the
satlu BE SPE IFIC'
EI4 fi . •.1 m�.#I t I �+. a f, a
STRUCTURE SIZE SQUARE FEET: _ 31. I
GARAGE SIZE SQUARE FEET: rnnow 1n°°1ev
SIZE SQUARE FEET
CONTRACTOR: • 'F L-.. -1 AS w�" 3W qY l
2GI I I peel- C r !it= "M Alt 9
"21M
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ARCHITECT: NIIsoNo� _ T /
ENGINEER' T "'""'rs"'n n•^em smx.Nn
NM.a.u.N NhWWN
CONTACT PERSON: FILIATION: Ow &, rs,,fawv
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APPLICABLE TO GRACING ONLY
SOIL ENGR: I I
ENGR. GEOL' T / w"""E0°e wwdm an.xa
No 2nuWUM 4°YCer phows ;
CA- OSHA REQUIREMENTS/CHECK APPLICABLE BOX: O 1 am the owne>builder and exempt from after
Permit requrementi I acknowledge that I must submit prod d issuance of CAUOSHA Permit for The project/❑ The project does not require a CAUOSHA Permit based upon the criteria on to reverse side of this sheet.
hereby cerdry i tttoo tit bra1of my knowledge the informahbn supplied on this Information sheet is two and correct.
SIGNATURE' \ \ DATE C1 —ZO—OS
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