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HomeMy WebLinkAboutXR2023-2252 - Permit ApplicationI___'_"'-. I avvee�aiew�c Iv1 vv1111Jv L.1U111A1119 91 QVIQ1 r_t:111IIIL MjJiJ11UdLIOn 0�01NA, Ci of New ort Beach - Buildin Division Comm'I 'r Residential NOTE: PLAN CHECK FEFS Ill IF AT TIRAP OF cI IPIRAI=Ai 4[oRR Building F7Grading [-Drainage F_Elec F_Mech j-Plum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) r Flood [_ Fire r Liq r Landslide �N/A Flnnr Suite No Q- �. -� r t - LS a Description of Work Use Const Type Resl4ce 17r.�wa I � a ncl J.. n S �_q__{'ics✓� �rca.� # Stories # Units (if Res) 1 \ale( (� 1 - New/Add SF _ _ _ - Remodel SF Garage/New/Add �— Valuation S Material/Labor OWNER'S NAME Last _ I,f b ex- First PQ,t,l.l Owner's Address 1.5.- Owner's E-mail Address City re - C 1 e_qv,.._ _ State Zip �.._>b Telephone _I (3Fck7 APPLICANT'S NAME Last f 211 First Applicant's Address Applicant's E-mail Address ]22- Qra_� evyoC�d-i�R _. - City /� State �— TWar�er.®5�-n_q Ye toration_ Cori 5 __. (SowAw, (&r-CaVe,- . Zip ZgyL. _ .Telephone ' ) 2 ARCHITECT/DESIGNER'S NAME Last First ---- - Lic. No. F— Architect/Designer's Address Architect/Designees E-mail Address City State �— Zip F— Telephone�— ENGINEER'S NAME Last First Lic. No.�— Engineer's Address Engineer's E-mail Address City F State F_ _ ZIP Telephone— CONTRACTOR'S NAME/COMPANY S1 S►1 a l R¢ Star4 } m r Lic No. lass Contractor's Address Contractor's E-mail Address 12ZI �f�rl e WQ� `��1Qi� �j,.Sgrrv.�,® 5' �n�l re5}olG.-I-r6h. Cci City I GgT.At.1 G rr v r, State FQ AC— Zip Eg44 . ..Telephone . iy) 7 31, 1453 Z SETBACKS REAR SETBACKS FRONT PERMIT NO. XRZO23- 2. Z,SZ, SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. P52QZ3- IC17q USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ f