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HomeMy WebLinkAbout1956 FAIRVIEW RD - Building Permits . FEE RECEIVED 15940DEC 4 1969 • COSTA MESA BUILDING-SAFETY DEPARTMENT yi FINANCE DEPT. P. O. BOX SI7 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING /,A //��'d BUILDING ADDRESS /7 s6 ru,•u/. tP COSi ESA. CALIFORNIA" For Office Use Only�/,�/,/,/-�- RECEIPT NO. CPRE-RM�IT NPOWNER L� ( ,6142m ///Li I /.7 �1 0 MAIL oo /�// iLL IV[D BY DATE RECEIV DATE ISSUED ADDRESS O// /el,�/- % I _ I/a --tit-to I I �ol- 4z- I f CITY / -, .4.-el N /6. o BUILDING 4`3 ( /X: JvG(( .L /ADDRESS / .//� 1 LI ARCHITECT TEL. COSTA MESA. CAFORNIA OR ENGINEER NO. ADDRESS FIRE ' - ZONE TYPE GROUP CONTRACTOR� ////�(% "' APPROVED r BY DATE ADDRESS ZONING ZON[ NO.OP USE (� CITY © I PLANS © I BYI I I/[� �/ STATE TEL. LEGAL RSI„ ,i�r�VY�S"�� LIC.NO. NO. DESCRIPTION F'�,V R SIZE / 7 INC. O! BLDGS. 1 J OF LOT/c/G r �'�Y NOW ON LOT A.P.NO. �// r / 36 1 USE OF YARDS EVES EXISTING BLDG. Q - APPROVED ALLOWED SETBACK LINE PROM (CENTER LINE ST.) Y lQ/( CENTER or BrnEET REAR YARD FRONT s - ' IN. SIDE YARD I LEFT I RIGHT R.SIDEIN. DESCRIPTION OF WORK L.SIDE FT. IN. NEW I II ALTERATION I II ADDITION I REAR //�j FT. q IN. REPAIR I II MOVING I II DEMOLISH I BYPROVF�I/�' I , A4^ DATE/1�y 4 BUILDING NO. OF A� �r-�V v�_P 1 SIZE ROOMS STORIES fi EXTERIOR WALL I ROOF ^ _ COVERING COVERING . n'• OF Wq/� leRMAPPROVED /��� CITY OF COSTA IL 4FCA Pl,,ANNING DEPT. sus.' D.- •I. RLG. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION TIE AMOUNT N UNDER VALU O S P R THE AND STATE THAT THE ABOVE 1 CORRECT AND AGREE TO COM- PLY WITH ALL CITY ORDINAN AND STATE LAWS REGULATING MINS 1 H afl' BY. BUILDING CONBTR O / VALVAYT.IgD� - • SIGNATURE OF /�. �./rte 'PeRtTP ren b �( �' PERMITTEE (((��� , �') N I ' % .(�V PLAN CHECK S 9 AUTHORIZED AGENT �/ //,t.. /��, - /� , L� / Q-C7 I TOTAL FEE. _ 0