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HomeMy WebLinkAboutPV2024-0042 - Permit ApplicationIYV IL. . V .Y li11 L, VVL, (Building r Grading I —Drainage r Elec r Mech r plum Cu Yd CutF— Cu Yd Fill Project Address (Not mailing address) 17 Flood r Fire r Liq r Landslide rN/A Floor Suite No Description of Work �? Use R3 ConstType iL3 I- lar o nlr�a ;�m1,,, i� IM7.roiln�r er5 + / I@ �II W Il }3KWH 5wvotLAjj (ZSr) � lJ�t17t�G 5 W� #Stories #Units(ifRes)F Valustn Material/Labor1�1l,000 New/Add SFF—� y. Remodel SF�—Garage/New/Add OWNER'S NAME Last V116" �J First Owner's Address -1 �V!flnl Owner's E-mail Address - t/- �. Q �as5 V�l?� � Cc� �e • , City WL'i _r 11(�. State �— Zip �1Z% O Telephone 7iG1 APPLICANT'S NAME Last � 1 fAA_�h First U"V'i Applicant's Address Uu Pat /���_ Q Applicant's E-mail Address . - -- G� �jG h 1"o- 5Utng50[1 rt) L- Cal, � City ��" , (i�--, State YM�;Me g�/kldv zip "l1, DU� TelP ehon ARCHITECT/DESIGNER'S NAME Last First F_ Lic. No. Arch itect/Designer's Address ArchitecVDesigner's E-mail Address City �— State F_ Zip ------ Telephoned ENGINEER'S NAME Last First �.------' Lic. No.F Engineer's Address Engineer's E-mail Address City F— State (- -- Zip Telephoned—, CONTRACTOR'S NAMEICOMPANY Qo Contractor's Address Lic. No. ►o333KQ Class C(Q -iO�Ipppp� Alma Ave_ 13 Contractor's E-mail Address v — City Z 4c (Pmul rWOr 5ah6o iAroo Co m 1'kgh�� State I � Zip g29F Telephone SETBACKS REAR SETBACKS FRONT C CTI]Tl�I/n ��r PERMIT NO, PUZO2y. 004 2