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COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
COSTA MESA. CALIFORNIA
of
Ml MAIL BOX
■ MAILADDRESS
CITY
Santa Ana, Calif.
p[ [ gg��T n
LIC.TNO. 2086 6 TXL aL,1 —z2O
SIZE OF SLOG
OF LOT 16 X HO I NOW ON LOTS O
USE OF
EXISTING BLDG. none
6ETBACK LINE PROM G -
CENTER OF STREET 1/ 1 REAR YARD 25`10
SIDEYARDI LEFT 0' RIGHT 0
DESCRIPTION "OF `WORK
BUILDINGNO. OF
S ZE 880 ROOMS STORIES 2
EXTERIOR WALL ROOF
COVERING StUCCO I COVERING Rock
USE OF BUILDING AND WORK TO BE PERFORMED
Construction of 11II) occupancy bld s.
with Vlf construction garages-.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COM.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION.
SIGNATUREOF + / /--' I 1
0 AUTHORIZED
E RECEIVED
Lot z16 AUG 3 �q
Plan # FINANCE
����TDEPT64
APPLICATOP FOR h MESA
BUILDING
For Office Use Only
RECEIPT NO.
RERMIT NO.
RECTI T
O ECfiI ED
��199�IE']364
BUILDING
ADDRESS
FIRE //
ZONE TYPE ✓ GROUP
PROVED
BYDATE
ZONING
SONE
NO.OPI
UBH OF NF
PLANE
BUILOINO
I
LEGAL Ir1- -
�.
DESCRIPTION 11 \
l /
A. P. NO.
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
SO' TO SIDE 8 REAR P. L.
EAVES
ALLOWED (U. B. C. REQUIREMENT)
YARDS APPROVED
YARDS APPROVED
MAIN BUILDING
ACCESSORY BUILDING
(FROM C/ STREET)
FRONT PT.
FT.
R. SIDE FT.
D FT.
Q
L. SIDE 0 PT.
FT.
REAR. FT. -�
FT.
DISTANCE BET.
BET. MAIN S:
MAIN BLDGS.
ACCESS. BLDGS.
CAU. P.4 �S
APPROVED
p�
BYPROVED
DATE
�7 l d V SQ. D n
THE AMOUNT SHOWU,GNDER VALUATION IS FOR THE
'PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
VALUATION
(y/l�
PERMIT FEE $ ,% 2
PLAN CHECK160,50
TOTAL FEE $ A 15-()