HomeMy WebLinkAbout614 SHASTA LN - Building Permits D j
City of Costa Mesa Planning Department
Post Office Box 1200 •
e 77 Fair Drive
m5' o „r, Costa Mesa, California 92626
p c (714) 556-5245
REQUEST FOR OCCUPANCY
(Single Family Residential or
Condominium Units)
•
Tract No. L;?"' 4' ` Date y5-.---`" C' Tr"- / 7
Lot No. ! 69?
Address b t' U ��
The developer of the above entitled tract desires to sell the above
set forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(he, )renrey) .--c14—.P. (was of—were)l� ised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the
City at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless
from any claim resulting in damage or personal injury to the undersigned by
reason of the aforementioned uncompleted condition.
RECEIVEDB • �' . •
CITY OF COSTA MESA y Purchaser
•
AUG 19 1977 �a�'�►/i.
AM PM By • '�� a a
rai
718191101111]2111213141516 D r er an nr .1
�/�� '-"ice
By dm. N. • „
17731 IrvinerBlvd.
• Tustin, California 92680
CMF 0569-26