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HomeMy WebLinkAboutX2019-3886 - Permit Applicationgilding & Solar Permit Application rt Beach - Building Division FEES DUE AT TIME OF SUBMITTAL o<;Eoars n r Plum Cu Yd CuI I Cu Yd Fill id r f7I'Liq Landslide [J -N/A Floor Suite No Fire Owner's E-mail Address . r; Use ConstType I c N rv) � P-- r- OWNER'S;NAIVIE. Last' Owner's Address Owner's E-mail Address . r; City;State Zip , Telephone ., 17 pPP,LICANT'SNAME Last 6.Z� First, 4) A,pplicantsAddress Applicant's E-mail Add _ _ City State LCJ� (�jCS,� lC_ Zi Telephone , 1 CCC��nss a p p :j ARCHITECT/DESIGNER'S NAME ` Last .ice First �. ✓ J) Lic. No. -b Architect/pesigner's Address Architect/llesigner's E-mail Address . " , Zip l Telephoner- City - — `State F7 ENGINEER'S NAME Last, � First Lic. No J Ehgineers Atltlress Engineer's E-mail Address —; CityQ CL - State Zip. r Cl Telephone 4�) i�b CONTRACTbR'5 NAME/COMPANY ��1 °Gd LIC. No. ClassFIE GontractoYs Address - Contractor's E-mail Address State Zip r Telephone Q4( SETBACKS REAR SETBACKS FRONT' PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NW USE ZONEi' DEVELOPMENT NO PLAN CHECKFEI=S\ --