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HomeMy WebLinkAboutX2019-1382 - Permit Application (CANCELLED)i Ifforrkshel Comm'I j;Residential V \\, �), p � (0, J� , - r� s CA 1: �, four Combo Wucddang & War Permit Application City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE_ AT TIME OF SUBMITTAL != uilding h Grading F- rainage , Ele ( M ch lumaiq cut Cu Yd Fill Project Address (Not mailing address) Flood Fi e Landslide ! N/A Floor Suite No (JZ ©N/� Gi % yv� �672 r� � � 6 I uescripaon or vvorK- Lor%,V" _T je C21P I Use I itConst type # Stories # Units (if Re�, ���---- Valuation $In, New/Add SF Remodel SF Garage/New/Add Material/LaborI l� ._ OWNER'S NAME Last First I � W, ID Owner's Address Owner's E-mail Address j �7 L �h >SV t LL A -a v i c Ci StateFW Zip Gj 2 6'7 Telephone `]/ u _ 7�i 7- 4 b7 G APPLICANT'S NAME Last / - .T 'rr-ajA First V/'&t66U f � /Mu v Applicant's E-mail Address Wu�v CQr& Ceuf4� PC;Le, -kc- (0m, city k D E lU State j Zip Zq Z14 J Telephone � t 4 _ 7 f g. ({ 5-,j- 6 � I�oV 2 ..( ARCHITECT/DESIGNER'S NAME Last First �— Lic. No. 1 Architect/Designees Address Architect/Designer's E-mail Address _- city ENGINEER'S NAME Last NAME/COMPANY Contractor's Address State F— Zip Telephone i First Rfiflineer's E-mail Address d r rw-!"Wv Lic. No. Class Contractor's E-mail Address State "- Zip Telephone! SETBACKS REAR SETBACKS LEFT USE ZONE SETBACKS FRONT SETBACKS RIGHT DEVELOPMENT NO PERMIT NO. PLAN CHECK NOI.a- �ff n i PLAN CHECK FEES $