HomeMy WebLinkAbout3055 HAYES AVE - Building Permits.23932
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 917 COSTA MRSA. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDING
11 es Avenue
COSTA MESA, CALIFORNIA
ARCHITECT TEL.
OR ENGINEER Walt Boder NO. 544-684
W
III size
86T0ACK LINE FROM
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BIDE YARDI LEFT ✓ I RIGHT
DESCRIPTION OF WORK
NPW 16 11 ALTERAII^MII AnnPnnM
BUILDING
SIZE
EXTERIOR
R-1 Residence Vjatt.
1
1 HEREBY ACKNOWLEDGE THAT I HAVE READ TRIS APPLICATION
AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COM.
PLY WITHALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTEUCTION.� P
■ AUTHORIZED AGENT
CITY OF CVSTA ME
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MAY 5 1965
APPLICATION FOR
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BUI
ZONING
SON NO. OP USE OF HE _/
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OVERHANG SHALL BE LESS THAN
ARDS APPROVED YARDS APPROVED
' YMAIIN BUILDING I ACCESSORY BUILDING
DISTANCE
BET.
I ACCESSI BLDGe.
VAR.# DATE
5
A' a
so. FT. 2—
4
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE a
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
VALUATION and O p'
PERMIT FEE 6 n
3 R
$ X
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