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PV2020-035 - Permit Application
n Comm't ......'Iurrl dg polar Permit Application Residential City of Newport Beach -Building Division ?V% ii1 2l S NO'GE;. PLAN CHECK FEES DUE AT TIME OF SUBMITTAL wilding L7 Drainage Elec 6 Project Address N CutF-7 Plum cu Yd -' / F-7 Cu Yd F'll of matlmg address Flood11 1 LI j Q (' ) ❑ ❑Fireic(%;r,; .12ylide A Floor © l D�°C t/ ,, Suite No Description of Work aof ct Use ConstType� L" 4 � � � � IiL(t u2 I (, # Storie j U ' s if Res) New/Add SF h � Remodel SFC— - _1 .Garage/New/Add aluation$ OWNER'S NAME ateriaVLabor �, _7 c :last Owner's Address. .FirstAdq . D 61' In - Owtner's E-mail Address ctty l`7 State Lam CC I Zlp APPLICANT'S NAME Telephone"'-cl Last Applicant's Address First Wore s E -m Wore I. Applicant'e ad Address - city ..State I Zip �,�j, - ARCHITECT/DESIGNER'S NAME Ta W Telephone -S c _( �q Last I Architect/Designer's Address I First C� Lia No. Architect/Designer's E-mail Address City t State Zip Telephoned ENGINEER'S NAME �----� Last 'r � �. First Engineers Address Lic. No. ( I Y i Engineer's E-mail Address City ry State Zip h i�� ilrt ..L^� Telephone CON 1� T R 'S i ACTOR'S NAME/COMPANY � T � p I Contractor's Address L �' - I Lic. No. iJl I 9 Class) �l U 00 �•n Contractor's E-mail Address City F State I 1 ` 4 I ZiP j��- f� L-iSLL° I � i Telephone) ! I SETBACKS REAR SETBACKS FRONT SETBACKS LEFT -- SETBACKS RIGHT ; PERMIT NO.. �`a USE ZONE PLAN CHECK No. DEVELOPMENT NO f• s -Lf' �') Y