HomeMy WebLinkAbout814 GOVERNOR ST - Building PermitsADD��cant t0 fill In all soaces exceot lhose wit�in heavv borEer Ilnes antl sivn all aouroo�iata Oeclarations.
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C7TY OF COSTA ME�A CONSTRUCTION PERMIT PER�T NO� � TRACT NO. LOT NO. UNIT NO. A P# Ze�a
Pro'ec� Address , TO le-r N 92.
� 7��. - S Main Building: Accessory euilding:
AppliCant'SMailingAddr¢5�-��y ��� �'���� TYPEOFCONSTRUCTION NEW `ADD ALTERATION REPAIR E 2
Owner'S Name �Q S• \•��-� �erL byb 3�7 � CONVERSION ❑ DEMOLISH ❑ OTHER T FloOt O
� Phone DESCRIPTION OF WORK/USE OF BLDG. I A Fear N
Address p
Arch/Eng. License No. S-�3f1�r?. TYPE OF PERMIT GRAOING ❑ FOurvOATION STRUCTVRAL �' C Aight N
K Left G
Address � /��� � ❑ TENANT ❑ ELECTftICAL �PLUMBING ❑ MECHANICAL �$ R
Contractor's Name.�QS+�.p_i.d1Y� ��Phon g%/S�3 ��OTHEa ' Ping. Ref, # Parking Req./Provided E
Address (mailingl g�___� �/�.rV ST L.L( i�a�0/A PROJECT DESCRIPTION SO. FT. oCCUaANCv g Notes: - ry�
�— CONSTRUCTION TVPE " VALUATION § Plannin
City License N0. �""�� �� ZONE � � GRADING CU. VDS. ACRES S.
LICENSED CONTRACTOR DECIARATION �
I hereby affirm l�al I am licensetl untle� p�ovisions of Charte� 9(commenCing Remarks:
with sec[ion 7000) ol Division 3 of th@ gusiness antl Professlons Cotle, antl
my Iicense iz in full torce antl efiect. ELECTRICAL FEES
License ciass 5.=� a Lice�tse rao �.33 e�a� Automatic Washer Transtormer ❑ 15�50 KW
� Date]=�b�8� 5� ��� �. �C�4�1A1 flt PLUMBING FEES
WORKERS'COMPENSATIONDECLARqT10N� —� ConstructionPoleSub. ❑50+KW
'eby aHirm that I have a certificate of consent to self-insure or a certificaie 88r Sink Showers
� brkers' Compensation Insurance, or a certifietl cooY thereof (Sectlon Cooking Unit Meter �up to 100 amps
( , J, lab. C�.)�[] Backflow Preventer Service Sink
(� aolicy No. _l..v=����ompany���ti/0� Backflow Irrigation Sewer Ca Dishwasher � Meter �over 100 amps
P
�Certifietl copy is hereby furnishetl. p Oryprs ❑Gas ��Electric Sub Panel
Ce� ifi tl cop Is filetl with the tity ��p`pg pivi5�on��J��wK- BBlhtUbS Sewer Connection
oace apaiicanit: 1 Fan Motors�PiHP01h-8
EXEM TION FROM WORKERS' COMPENSHTION DECLARATION Clarifiers Solar ColleClors
(This Section neetl not be completetl ii thp permit is for On¢ huntlretl (5100) or F.A,U. In0. S012r 09�15 HP �16-15+
Iess). Dishwasher Solar Pipin9
1 celli/y thal in thC PerfOrmanCE Ot the Work for which thi5 p¢rm4 i5 i55uetl 1 Fi%tul¢5 MiCfOwdvC
snall nol employ any person in any anner so as to bemme subje to }f+e Drinking Foun�ains Solar Tank
Workers' Compenwtion Laws af Cal' o'a. (� Device Boxes Pole Li ht
Date Si9nature — Floor Dreins Swimming Pool w/Spa 9
NOTICE: 1/, atter making tbis tleclaratioh, you sboultl b ome subject o the Outlets • Fan e
Workers' Compensation provl5ion5 ot the labor Cotle, y0u mu5t fOrthwith FIOOr $ink5 Urindl 9
comply witn such p�ovisions o� [his pe�mit shall Ee tleeme0 revoketl.
CONSTRUCTION LENDING AGENCY CidSSEfViC¢ �utl¢t5 $witCh25 Si9�
I hereb a/firm lhat [here is a constructio Water Close[
Y n lentling agency for the performance
of Ihe work t0� which thl5 permit is issuetl (Section 3097 Civ. C.) In[erceptors Water Heatei Gd�bdgE Di5pO5Bl Standing SectiOns
Lenaer's Name Generaror �0-5 KW �5J5 KW Trash Com actor
Lentler's Aatlress Kitchen Sink Wa[er Service P
OWNER BUILDER DECLARATION
I hereby a(tirm ihat 1 am exempt from the ConVactor's l.icense Law for tne Lavatories Auto-Wash
tollowing reason (Section 7031.5 Busin�ss antl Professional Cotle: Any city or
county whlch requires a pe�mit to Const�uct, alter, improve, tlem0lish o� �epdir P-T�dp LdUndfy T/dy5
any StrucWre, PNo� to it5 i55uance, also �equires the applicant fOr such permit
to flle a si9netl statement that he/sne is licensetl pursuant to the orovisions ot Roof DrainS
tne Contracror'S License Law (Ghapter 9(commencin9 wit� Section']000) ot .
1' 'on 3 0� tne Business antl Professions Cotle) or tha[ he/sne is exempt O Reinspeetion FeB $15 Issua Fea $ 3
I rom antl lh! baSiT fOr [he alleged exemp[iOn. Any violatlon of SeCtiOn I ,�5, � ` �rZ � E �� 0
5 by any applicant tor a permi[ subjects the applicant to a civil
enalty ot not more than five huntlretl t1011ars ($500j. $ 3 DEVELOPMENT SEHVICES REQUIREMENTS:
� I, as ow�er ot the property or my employees with wages as their sole ReinspeCtion Fea $75 Iitue Fee 2oning Approved By Date
mm0ensa[ion, will tlo lbe wo�k, antl tne slructure is not intenCetl o� off¢rOtl
for sale (Section �044, Business antl Protessional Cotle: The Contractor's MECHANICAL FEES Building Approved By Dat�
' License Law tloes not apply to an owner ot a property wno builtls or Improves IiWYon ISt ed B ^
thereon, anC who tloes such work himYnen/t eate'fnot int ndetlhor otfer�eC far Boiler Hood or T APP Y Dat
empbyees, provitlatl that such improver ype I ❑
saie. 11, however, the builtling or improrement is soltl within one year of com- Canopy Type II ❑ SUMMARV OF FEE$
plelion, the owner will have (he bu�tlen ot proving he/Sh¢ tlitl nol builtl or im- Duct - Under Ground '
prove ior tne purpose ot saie). BUILDING PERMIT $ SMIP $
❑ I, as owner ol the property, am exclusively contractM9 with licensea con- Duct -SVuctural Retrigeratfon System PLAN CHECK $ PERMIT
tractors to conztruct the Oroject (Sectlon 7044, Business antl Profes5ions Cotle:
The Conira«or's License Law tloes not apply to an owner oi property who Duc[ - Ventilating ❑4100,000 BTU ❑100,000 BTU PLUMBING $ S- 0 V I$$UANCE $
builtls or ITPrOves Ihereon. antl who cryp[rac[s for such oroietts with a mn-
tractor(sl bcense pursuanc to me Convactors License Law). 1 am aware tha[ P�,qN CHECK 25% $ ENERGY P.C. $
proo� ol tM1eir Worker's Compensalion iniurance Shoultl be p�ovitlea to me, Exhaust System ❑ Multipl¢ ❑ System Repair/Alteration
ELECTRICA� $ GRADING $
L7 I am exempt untler 5ecfion B. 8 P. C. tor this reason Flrepl/Fact.61[. �CBO �k Fire Dampers PLAN CHECK 50% $ MICROFILM $
Date owne� Heating System & Ducting Registers
MECHANICAL $ TOTAL FEE $ • O
I hereby certify that I have reatl this appliwtlon antl state that tha above ❑0.100,000 BTU �100,0006T PLAN CHECK 25%
in(O/mation is co��ect. I agree to wmply with dll city antl county o�tlinanGez $
antl state laws relating to builtlinq construction, antl hereby aW�orize repre-
sGn[dllve5 Of [his city [o en[er up�n th¢ above-mentio0etl property fOr
Inspectlon rposas. Q s1\N �--�'' � �/
Si nature �. Date /�N �- --
D9ivers' License or 55 � Reinspection Fee $15 laue Fee $ 3 � L �:�'�] �- � - � ' � � � � � -
�F `' _ , _. . .. ' _ . �..
0865-46, rev. 5/Ba wnite - BW iding; Canary - Applicant; Pink - Accountlng; Goltlenrotl - Assessor
� c��-'�.-�:
� CONSTRUCTION AND PLANNING �" POOI R SPA
APPROVALS Permit# Date Inspector AppROVALS i ,iit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ,
2. Soil-Pipe=Undrgrnd. ^' • 53. Steel Reinforcement �
3. Electrical Conduit Utility-Undr9rnd' � � 54. Forms .
4:-Electrical�Conduit:Undrgrnd. � • 55. Electrical Bonding
5. }Steel Reinforcement 56. Rough Plumbing & Pressure Test
6'�ElectricalUFER'Grnd. � _ 57. APPROVALTOCOVER-GUNITE
e
7. Footings , -�'�� � ' - 58. Electrical Conduit-Undrgrnd.
8.- Foundation ' , ^�� • 59. Gas Pipe, � Undrgrnd., Test .
9QWater Pipe-Undrgmd. ' � 60. Backwash Lines, P-Trap, O Undrgmd. �
��,
10. �Structural Floor Sysiem �- � 67. APPROVAL TO DECK
11. Property Sewer.�Line & House Connection ' .� ' 62. Backwash & Receptor-Final
12. Sewer Cap�� � � i� ' 63. Heater & Vent-Final �
13. Roof'Drains � � `� � -; �y ���� � 64. Plumbing System � Final �"
14. Rough Plumbing ' '� �' 65. Electrical�Final '
15. Rough Electrical-Conduit ' 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access.Approval
�77. Rough Wiring Sign 68. APPROVED FOR�PLASTERING
7.8: Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
�,. .
20:" Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground I�ydrb
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. StorageTank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro '
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Freme and Flashing 76. Dry Siandpipe
28. Lathing & Siding 7�. FIXED SYSTEM FINAL '
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:'7�-a( jj�{' ;��-p �(„ ��
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing �
39. Water Service-Final
40. Gas Service-Final � �
41. Solar pomestic-Final �'
42. Backflow Preventer '''
43. Backflow Irrigation -
44. Landscape Irripation System
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING
48. Special Requirements Completed
49. Electric Release to Edison ::'
50. Gas Release to Southern California Gas Co ���
51. CERTIFICATE OF OCCUPANCY '
No. Date �
'✓'
OWNER
�$. IT. �.
DATE
JOBADDRESS 81li Governor Street V BUILDINGPERMITNO. 9Gµ
GENERAL CONTRACTOR Owner-Builder VALUE $ �jOO,OO
��, 64 e�ocK TRACT 1872 Enclose carportfor garage and
�a-5T X za�
GROUP J TVPE V ZONE R�- FIRE DISTRICT S%C)
INSPECTIONB
Footing Trench
Foundation Forms and Grade to
Rough Framing
Plumbing, Rough to Slab
Plumbina. Rouah Complete
Wiring, Rough
' Heating, Rough
Heating, Final
Sewer
S� � Tank or Cesspool
La. .eg ��
Plastering
Plumbing, Final, Fixtures
Plumbing, Final Gas Test
Wiring, Final �
Occupancy
Furm YlJ GH lM 12-65
PERMITS ISSUED
DATE SUBCONTRACTOR -
--.-.. � DATE I NUMBi
. Costa Mesa B ding DeparLment /9,a,6 APPLICATION FOR PER �
� 111 EAST 20th STREET � B U I L D,t N G
, ''F.• COSTA MESA� CALIFORNIA
FOYt APPLICANT TO FII.L IN FOR O�FICE USE ONLY
, � ec ip -No. I Permit No.
Building /
Address 6
Costa, Mesa, California Received by I oate rtec� 1 Dafe Issued
Nearest , �/J _ ..-r . . IO%-a5�""S
Cross St.
Owner �j
Mafl
Address
Clty
Arohitect or
Engineer
Address
tractor
Addross
of
s
�tm S2�
ewmmg � n �
SIZO .s G 7c i0 1
E -ior Wall
I:C71
.....y�.
Now on Lot �
No.of No.oi
Familiea� Room:
Demolish I
Ste�ies �
Costa Mesa, California
Nearest
Cross St.
Zonen / No. of Type I G
pC Plana (� �
Approved
by Date
CORRECTIONS
�ALS
Inspector
" Forms. Materials,
Under-Pinning
//t�_ �' Y/X � O / Frame: Fire Stops,
— 2l.L�L � n Bracin9. Bolts
L�
I hereby acknOK'ledge that I have mad this Application Lath. Int.
and state that the above is coirect and agree to mmply Lath. Ext.
with all Clty Ordinances and S[ate Iaws regulating
building rnnsti'uctlon.
Signatureof t/ �%� Plaster,lnt.
Permittee /PO.� r/-�' C1 �
� Plaster, Ext.
Authorfzed Agt.
Masonry Reinforoetl
Valuation PermitFee$ y,0
$ �r Plan Check $ O Bond Beam
��� Total
Fee $ �'.S � FINAL
FURM Z04 0-N 2M 6-54
Date
0
J,
_ \.
�I' . Street I . _ : . . - .
...�_ ..
' . _' . - . ' . .: . '. :" '_
PLOT PLAN _ • ,
Show IoCatlon and distances from � .. . � - " -
property line and between buildings. � , , . , , �
� . .� �� . . . , ,
�p yp� carry�`4Yorkmen'§ Comperisat�6S �
' $nsuranCe4 Yes �. No �! -
� am ar�aro 04 P: o�ision 37G0' o� the St-aEB
#,abor Code ��hicYrreauirc-� e�eryemploys�. - - - -�- --
to be insured�gain�t lia6ili-tY fo�2`. . ,
Yrorlffian's edap9asat,ion. .
$3gne3:�=�—iJc`�,.fL _-
�� OWNElt BROOI�It
] JOB ADDRESS
� C'-"liRAL CONTRACTOR
(�Q t. , o. 11�
\ INSPECTIONS
DATE OCT 7 (9-
BUILDING PERMIT NO. - 23Orj5 ^'
VALUE $ 250.00 - —
ZONE
JP J TYPE
SUBCONTRACTOR
� :, 23055
:�C�STA MESA BUILDING-SAFEfY DEPARTMENT
P.O. BO%3f] C06TA MH6A. CALIFORIiIA
For Applicant to Fill In Completely
TYPE OR PRINT
ADDRES3 �� S�• V
COSTA MESA, CALIFORNIA
■ ARCHITECT
■ 9ETBACK LIN6 PflOM
TEL. . �.
NO�O^ BLOQO. �
DESCRIPTION OF WORK
N6 NO.OP
� ROOMS e% 6I'ORI88 �
OR WALL I ROOF
II HEREBY �CNNOWLEOOE THAT 1 X�VB qPAD THIY APPL�GTION
ANU 6TATE TXAT TH! ABOVH 19 CORHECT AND AOPCB TO COM.
PLY WITH �LL CITY OqO1NANCU AND YTAT[ LAWe R60UTATIHO
BU�LOINO CONSTRUCYION.
'� V �—��
AUTHORIZHD A6fiNT
FEE RECEIVED
OCT 7 1964 ,�
(�FIN(A�NC/�E Q7D�EPT[.�p
M��L�l.A1�VIV �V�fCRM�
BUILDING
For Ofiice Use Only
p6QIPT NO. I t P�.
FIRE
ZONE T E GROUP
APPROy D Q
B7 DATE �
ZONING
ZON[ NO.OF I I1560PNEW
PL�N6 BU�LDINO
L80AL ' � -���TI��
DEBCRIRIOM / U-
�.P.No. ' i� �-�oa -a
—�
NOTE: NO EAVE OVERHANG SHALL BE LE55
YARDSAPPROVED
MAIN BUILDINQ
tOM C/� S�JiE�T1�
)NT j FT.
IIDE `%�I PT. �
.__ % �% _ �
eer
VAR. #
C. U. P.1i
MPROV ED
YARDSAPPROVE�
AGGESSORY BUILDING
BET. MAIN Q
ACCESS. BL[
DATE
a
6G. FT, �
THE AMOIINT eNOWN t1NDEH VALUATION �8 FOP THE F
PLIRPOSE OF 88TABLI6HING A PERMIi FEE ONLY. Q
VAWATION �� m
PERMIT FEE $ �
�
0
S��O A C EC �
(
� n
TOTAL FEE $
eROP. SWA. LINE �J HOUSE CON. LJ
SPRINKLING SVSTEM
MISCELLRNEOUS
NOIIGH NEATING ANO AIR CONDITIONING'
TEMPOR�RV SERVICE OR POLE
UNDERGROUN� � POM'ER �
POUGH WIRING
TNENCHES FORMS $TEEL REINF
FLOOR SVSTEM
BOND BEAM � �STEEL REINFORC� n
SHE�TMING
FRqME ANO FLFSNING
L�THING - IN � ] OUT �
PL��TER,BROWN COAT
5
ANO A.
i TEST
DATE 5-25-77
BUILDING PERMIT N0. 44068
VALUE
SUBCONTRACTOR
�
F�
C
W
a
¢
y
y
s
F
7
i
G
�
Q
7
%"
..7
a
W
a
O
�
4
zGa�
5i
3
I
,� 4;�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Comple[ely — Use Ink Only
Keui�oiNc c3 i�i / _ .. _ _ . _ �� STi
OWNEfl
MAIL
ADDRE
CITV
BRANCH
ADDRESS
ARCHITECT
OR ENGINEEf
ADDRE55
TEL.
NO.
Ed
ADORESS
TEL.
CITY NO.
STATE CITY
LIC. NO. LIC. NO.
SIZE NO.OF BLOGS.
OF LOT I NOW ON LOT
USE OF
EXI5TING BLDG.
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING ANO WORK TO BE PERFORMED
NAlU
'?AY 25-77rws,OO1232�' *s***5.5G
FORSTRUCTURALPERMIT
DATE RECEIVED RCTF ISSIIF[
� I;NIY/A,.- I
a
A.P. NO. 1 '
BUILDING
ADDRESS
TRACT /�
OWNER
FIflE
ZONI
APPF
ZONE NO.OF
PLAN$
VAROS APPROV ED
MAIN BUILDING
(FROM C/LSTREET)
OISTANCE BET
MAIN BLDGS.
VAR. #
C.U.P. #
r
BLOCK
VALUE
DATE.���-c�' /
BET.I
ACCE
DATE
APPROVED
&
1 hereby acknowled8e thei I heve raatl this eppliceilon and state '^
�
that the abova information Is carrect entl aBrae to comply wlth m
all lews reguletin0 builtling construciion, and I shall not employ �
any person In violation of tha workmen's compensetion laws ot m
Me State of CalHornla. �� ^,
I hareby cerUfy thet I em properly licensetl as a contractor untler SQ. FT, a
ihe State of Californie Bus(nass and Profassions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, antl that such Iicanses are in full force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
amexemptfromth provisionsottheSia<eofCelifornlaBusiness VA�UATION PERMITFEE $ a
end Professions Co , Divlsion 3, Chaptar 9. �` Jo
Signatur f M �}—� �(/ PLAN CHECK y o
Permittea S Aa /1' TAX S LL
✓ �� �
u
Authorizad ABent TOTAL PAID 5 ��
ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT �
636 North Broodwoy w �' � � � � �
� ; Y SANTA ANA, CALIFORNIA � � � " ` r
POR APPLICANT TO FILL IN FOR OFFICE USE ONLY I
NEAREST
CRO55 ST
OWNER Che.yenne Homea 1[j:�i• qDD EI55 L
nooRess 9969 W1IDehire B1Vd. scHoo� oisr.
OR TOWN
cin Beverl.y Hills No�'CR 54361 NEAREST
nacH �recr�.i� I]—TS CFi e TT& Ckl@7Lic.
ENGINEER NO.
ADORESSZZZQ E.W$1['�ut�P$8$4aQI]$
lTRACTOFd�B14OB ViBta No �143231
ADDRE55 9363 Wilehire—Beverlq Hill
JESCRIPTION NOr OT BIOGK I TRACT �`� I�
fATTACM METES 8 BOUND51
512E OF LOT / O R lOS I NOW ON LOTs O
USE OF NO. OF NO.OF
E%ISTING BLOG. F�Miues I ROO
CENTERKOF'STREEfM� S� L U• SIDE YARDZO� �11
DESCRIPTION OF WORK
NEW I � I AITERATION I I qODITION I
FEPAIRN�y� ^� I I MOVIN6 I [ I DEMOLISH1 I
SZfE�f1vJ� BQ.ftROOMB % 5 RIESl
EXTERIOR WALL FOOF V
COVERING �tuCCO COVERING ple
OF NEW
DING RGilSf�PT1f�P�AY.i:_�LTTflTY.
1 HEREBV ACKNOWLEDGE THAT I HAVE READ THIS
APPIICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE �AWS REGULATING BUILDING CONSTRUCTION.
SIGNATUREOF BEIUOB VSBta CO•
PERMITTE
AUTHORIZED AGT
11 PBHMIT FE8 $ f[�[/.
VALUATION S W��O�OO pi�v eurck f 1
�
8
� �
PLAl15
CORRECTIONS
: LOCATION INSPECTOR
MATERIALS, //7. �_ ,
i2-�
: i5�svec
1 9 194
O I
D
�
2
r
- . . . �.. .s
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' _ _'"_"__....._. '._ `_ .''�i-[ 'I"�'i�r1l`r ._^ �
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' 1 . ` ' �'J. ^.Y� ".. `. ' '
_ - • .' � :r . _ - � ,_��
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- - -- - -- . ..._ .. _. - — --- -- . _�i � . :�?- r,-r,_ _ .
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- . \ � .�. . ('� .. . . -
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- ! '.1 ' � . � ?.`I ' :)O , . ,.
� STREET. ' "- � . '. � ,3 <� •
�1 I l ' _ _' '_ _
L '.1 � � �. 1 . �. � ' .. � J �� -�' � `��"• ��':' � • ' C. ,
� ' _ . � . . . _ I ` ,. ♦ ' ��y, yr '; f • '
PLOT PLAN , I ----- -- -- - `____ _ _ __ _ _
` Show location and diatances from ; � _ _ � y.,,,;,• y _ _ •_
. - property line and between buildings: - ; „� , .
' -- - - " - _ - _ ..
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