HomeMy WebLinkAbout4072 CRESTVIEW DR_ 95-00000088
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City of Lake Elsffiore' ,
130 south main Vim. .
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DATE: zufforl"11,31P5
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MEMUMS
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4072 n'Vl�
FLSIMM� CA 92530
a.P.f . . . . . . 379-.339-FtB & SQUAJtE FOOTAGE
WCUPAWT
CBG Lim CHARGE
EASE FM 45-00
UWILT G �� CHARGE
MIS FEE 35.00
PENUT MvS _
oulwim FZRIU71 4.5.ID39 .00 45.00
own" FEES _
-SEISHLIC tom, R -So .00 .50
'a!C AL 124.25 1241.25
,_. _ .. - '_ 2�•"'�� � - � 7Yr
�. Pk9w teed tte6ltd�s,e
�of t,,eJae --'- �rr�a>ot
�, saetw goon'ttraoep�eva 4 nrr:►ty ���e���t utdr seae
Paz in - s Plain atiosr db uec a d S. Mr
Is toot Intended or
%teed for ode. am +Nils hoeved
cn t� � &i.mia�rnerofUtep�sp?"Y. exrlust�d
yW�jAnjO, PERLVT NUMBER eonuack"to eonstrud the projst_ as eertt34te o(Workers
4.IhWcs TtiAcbteofconsentto&eMnsum
�7ht JOB ADORESS t�"Ch CartspepaSUM lnt�uramv or a r MAW cvq theME
nspedv*bjSPK§on: ( 5.1 shO not employ arty pt:rsrxs to any tnannes so as to become sub)oct
Tom— aatbn l.Aws in toe of the work for
1 °�p�xtrlssued Perio+�attce
Note if you a wuid become subject ro workass ComPr Li-alter
m Attu thta cemamum you must fortlsvAth nxnp�rtth such pet*
v{sms or this permit shall be deemed m%vked-
�e Daft
Xomt&Fac So+<ws
Pas' Sol:1'ar
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eve Sm
Rope
sac- Stk Scow --
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teat t4sa•Aboeas" i 07H M 1Y E .
�' pgparlrts6M/�sjtroval retgtrired prior to the
PtZtQ2 �go*Rt AAq---es balder,Wry n 4OL-Ad vy the City
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130 South'Main Strut
APPFICAT-k®N FOR
BjI LDING PERMIT APPLICATtOII
DATE
VALUATION CALCULATIONS AP
tistFLOOR SF sU0.oeWADPREss `,?�
;
� L
Z-4 FLOOR _SF �kw 7
C
3rd FLOOR SF 3 MAar4r,
O ZMESS
�- SritoE vp
GARAGE SF /� � S/iti a� " r.4' c-
�
STORAGE ---SF moot a o..;�-
ANO C aus T r
Arq Cs
€BECK&BALCONIES SF ° —
PATIO
SF ADM&S
CITY
OTHER:. '� CONTW1CTars S;r.4ATM
/- 1 c -!LLD. SF
VALUATION: 5b6 _ .--_-- NAME
e�uuUUG
ADWSS
FEES < 5TY V.JTF 36
NEW Jle&Alft OCCGfp_. COKST-
BUIL,DING PFRMIT $ avwj" TYtPE
=ADDITION -'MOVE IJuWm OF Ni1Nii t OF
=ALTERATION �DEMOUSN IS103KS_ BEDROOMS. -
8�ii iPECi PLAN CHECKZc*&
`.OTHER
PLANNING REVIEW FEE _ SINGLE fANt� unity AK,AREA? Ym No
ArAxrMENTs v� O
"'O
Ali l.LANEOUS LCONDOMR um; ups YID ._
roWNIeCEAfs u USE OF§MDVIG-
TOTAL �t '••� 1 PRE590USEOFslf11DMG:
JOS DESCRIPTION
I ceesh+mo I two amod this applkotion and state t1Wt the
dye.R:�is r,arract.I agree to comply with oil city
err6 camel erdinorwe/and sto4e laws relating to building
cmgls*W:A" ew t>rnaby outhoom repvesentatives of this
a)ay to eoosr upon*m obove•mentioned property for inspec-
S,Wmm;rs of Applicant or Agent 'bate _
AGENT FOR O CONTRACTOR D OWNER
STREET MY STATE Zap
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