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HomeMy WebLinkAboutM2021-0016 - Permit Application (3)Ix Comm'I r Residential .,.y ��wvvP�i i ocauu - ouumny vivison tv i GUG1 ' W `I�/ NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL JX—Building rGrading IXXDrainage rX`Elec rMech FX plum CuvdCut r_ Cu YdFill F_ `I Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No 111-117 -s,d- 'rot Description of Work p Use � Const Type F _�-- m IGt. 8� rw� ��n /�`i%u� �� c�oc��s # Stories # Units (if Res)s New/Add SF�-- Remodel SF Valuation $ r---•-- Garage/New/Add r_--- Material/Labor®�®�® OWNER'S NAME Last First Owner's Address Owner's E-mail Address ys®y) line, GO City State r--` - ZAP F--- Telephoner FFAomo E Last 61u FN First Applicant's E-mail Address µbcrccc CQeio City @Q sS©cta.PedQC State r CA Zip ?3'fq? Telephone jQ 5 ARCHITECT/DESIGNER'S NAME Last • First - Lic. No. Architect/Designees Address Architect/Designer's E-mail Address City State r---- Zip �.--- Telephoner ---- ENGINEER'S NAME Last r®� t2� ¢� First �®�6t9� Lic. No. Engineer's Address Engineer's E-mail Address 23_ o�.c, St�,T�. ai�b_ v�, .:�s�,�,CD�, City r�/ /? rPS L State CJS Zip dr_— O Telephone gl/ CONTRACTOR'S NAME/COMPANY 55®Cl 1,0tp //`� _Lic. No./f -Tq 1 f.� _1 CtGI tZC fv �'• � t� CassjF11 Contractor's Address Contractor's E-mail Address cl��ppt(( �. r � p ro �assoc� C� c - cs�— City V o d 0 State CA Zip 9g �F-1�J � Telephone � 0r- �` j f 5,055 j SETBACKS REAR SETBACKS FRONT PERMIT NO. - 0 0 l u SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $