HomeMy WebLinkAboutXR2022-2720 - Permit ApplicationI, ,Prlr}tForm Wo rks h eg� V_
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Comm'I Residential City of Newport Beach - Building Division Z'Z`Zl ZD
NOTE: PLAN CHECK FEES DUE AT TIME OF SUB I AL
F-Building F_. Grading f-,Drainage F,-, Elec Mach F- Plum Cu Yd Cut — CuYdF!ll
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Project Address (Not Mailing address) C Flood F_ Fire F_ Liq Landslide - -NIA Floor
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Suite No
Uses ConstType F-7
9 Storiesr_— # Units (if Resf -
Valuation $
New/Add SF Remodel SF Garage/New/Add Material/La
OWNER'S NAME Last 1 :5+v-c vo First
Owner's Address
L_ I Owner's E-mail Address
city iv PJ75 State
ZIPF_____TelephoneF
APPLICANT'S NAME Last If
First
Applicant's Address Applicant's E-mail Address
City State 6�
Zip Telephone
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ARCHITECT/DESIGNER'S NAME Last ------- - First Lic. No. F_
Architect/Designer's Address Architect/Designer's E-mail Address
City F State F77zip F Telephones --
ENGINEER'S NAME Last FFirst � F7777 Lic. No.
Engineer's Address Engineer's E-mail Address
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City State F_ Zip -Telephone-[--
CONTRACTORS NAME/COMPANY -+4 K Lic. No. 2 c- r F�izvslClass
Contractor's Address
-------------------------- Contractor's E-mail Address
city �) �P!3 State Zip '(7 63 Telephoner q Lt 9-4 F%
SETBACKS REAR
SETBACKS LEFT
USE ZONE
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SETBACKS FRONT PE ItIXA I. Q�ZZ -4-7 Z:�p
SETBACKS RIGHT q -XN CHECK N
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DEVELOPMENT NO PLAN