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HomeMy WebLinkAboutX2020-2991 - Permit Application„7W61rksW& f6f Corn6o,:Bl'j1d n Comm'I Residential City ofVewport Beac NOTE. PLAN CHECK FEES D ;Building i n Grading Drainage. Elec [ Mech Project Address.(Not mailing address) r Flood C_~ �t i3�t owo�� coc Description of Work (�-paAndvk_ Q�-� �,�aCfC 5'1�.iv1.-Q. c�aLYC 'Permrtpp"irt:afion }�� r vision ' ` xZo2o.ZN�l � U SUBMITTAL fd Cut[ ut�. Cu Yd Fill L ' f Landslide ❑N/A Floor Suite No 1' Use ConstType J I # Stories 2-; # Units (ifRes)F ^'7 Owner's+Address .OwhersE=mail•Addre'ss`- ' City State Zip' 5�'P Telephoruii APPLICANT'S NAME Last S FirsT Appllcarifs Address' Applicarit's E-mail Address, City U”-� State �( Zip �� Telephonegl.l< fib. ARCHITECT%bESIGNER'S NAME Lastpp�r, n�nn — First �rTdS� �"'4_. Lic. No. ArchitecUDesigrier's Address ArchitecUDesignpes E-mail Address City Y�/r�.rl State Zipl TelephoneLc410�, ENGINEER'SN%1ME Last First j�IJL a Lic.,No. $�,_� t� nit Engineer sAddress Enginee'r,'s E-mail Address WtTk! zQe } U.rt1T 23>�„� City J State`' Zip � D'' Telephone CONTRACTOR'S NAME/COMPANY L:( � CyI� N q \Lic.No. 5c rO514 1,0assF z ; Contractor's Address Contractor's,E-mailAddress 6A0 S44 Y 11�M � �( �4t . CA, City A ��'��S State Zip(; !, Telephone Q SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NG.-, USE'ZONE DEVELOPMENT NO: PLAN;:CHECK FEES$