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HomeMy WebLinkAboutXR2023-2255 - Permit Application_ "'I cv vn¢VQnRccL IWO vvl l tvv ulA uu 11 I ot e7ulQ1 r-ri 11iii. f'1FJwiLrd Lion (1011" R>mCity of Newport Beach - Building Division � Comm]j Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL o„" Building f7 Grading F-Drainage F_ Elec F_ Mech F- Plum Cu Yd Cut F Cu Yd Fill Project Address (Not mailing address) F_ Flood f- Fire F- Liq r Landslide F_N/A Floor Suite No Description of Work Use F—ConstType f'GDbCe dt �11�JLl�I )l Cited (r1Su��ifi®rl �rOV1 #Stories # Units (if Res)F_ Valuation $ Material/Labor `T J ^ C New/Add SF Remodel SF V 5 Garag e/New/Add� OWNER'S NAME Last 6p First Owner's Address Owner's E-mail Address 115 5_h�t' City P�W Po State C� ( Zip — Telephone t�j Jj j Cis APPLICANT'S NAME Last L,3gfr4v-, First Applicant's Address Applicant's E-mail Address 1 Z21 ©ra�e.wexscl�wacren-®.SlnQl (¢�ftiKtttb�.0 city r-_GfC7II.k'% State C/'C-- Zip q2�-1�_ Telephon l.�_ `3�-IO�Z ARCHITECT/DESIGNER'S NAME Last First F Lic. No.F_ Address Architect/Designer's E-mail Address City State F Zip F TelephoneF— ENGINEER'S NAME Last First F_ Lic. No.F— Engineer's Address Engineer's E-mail Address City ._._ State F® Zip I Telephoned CONTRACTOR'SNAMEICOMPANY 5 jSnQ� R�tb,.� Lic.No. 9�F(493 Class Contractor's Address Contractor's E-mail Address iZL1 COrawle t,5cac� e•—['t�saccen�s' yLQI YE4-brgfj'm31 City &ir'66i Giro Je State G� Zip 9 Zgq Telephone ?0) 1_51 --7G9 Z SETBACKS REAR SETBACKS FRONT PERMIT NO. XR2#L3- ZZSS SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. PCZo? jq79 USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ ,rti