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FOR APPLICANT TO FILL IN
LD
DIDRRESS
BUILDING
ADDRESS
LOCALITY
Diamnd Bar
NEAREST
CITY ZIP
CROSS ST.
NO. OF BLDGS,
ASSESSOR
SIZE OF LOT NOW ON LOT None
MAP BOOK
PAGE
PARCEL
TRACT 31152-A BLOCK LOT NO. 36
DISTRICT GROUP ITY11
FIRE
CONST. ZONE
PROCESSED BY
OWNER PRESLEY OF SO. CALIF. No. 540-0500
STATISTICAL CLASSIFICATION
SEWER MAP
ADDRESSP • O• BOX 2200
CLASS NO.
DWELL, UNITS
BK PG
CITY Newport Beach, CA. ZIP 92663
USE ZONE MAP
ARCHITECT QR TEL.
ENGINEER HrchitectUral COncerno. 979-0451
NO.
SPECIAL
CONDITIONS
ADDRESS 77 Brookhollow Dr., Santa Ana,
ROAD DEPARTMENT APPROVAL REQUIRED
YES ❑ NO ❑
Same as Owner TEL.
CONTRACTOR NO.
BLDG. SETBACK FROM
LIC.
FRONT PROP. LINE OF
(STREET)
ADDRESS NO. 289274
-
TOTAL SETBACK FROM
TYPE OF EXISTING
LIC.
HIGHWAY + YARD
FRONT PROP. LINE
HIGHWAY WIDTH
CITY CLASS B-1
CONSTRUCTION LENDER
Unknown
_
+
NAME AND BRANCH
BLDG. SETBACK FROM
SIDE PROP. LINE OF
(STREET)
ADDRESS CITY
SQ. FT127o NO. OF NO OF CHECK
HIGHWAY + YARD
TOTAL SETBACK FROM
SIDE PROP. LINE
TYPE OF EXISTING
HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE
DESCRIPTION OF WORK Plan 99-C NEW ®
+
Single Family Dwelling ADD ❑
CORNER CUTOFF
YES ❑
NO ❑
Gar. - 451 sq. ft. ALTER ❑
❑
IN OPEN SPACE
YES ❑
NO ❑
REPAIR
USE OF
❑
IN COASTAL PERMIT ZONE
YES ❑
OEXISTIN❑
BLDG. DEMOL
APPLICANT Kenneth D. Stark TEL 540-0500
(PRINT)
BY (SIGNATURE)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
WORK
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM.
r
y ti
PENSATION INSURANCE.
SIGNATURE OFF
''
FINAL
BY
PERMITTEE
DATE
C us Drive
TEL.
Beach, CA. 540-0500Issuance
P.C. Fee $
Permit Fee
� ., 1ort
Fee
LADDRESS00
No
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?
< '
Total Fee
€,_
PLAN CHECK VALIDATION
uC�S 3 A%A,YCE Ne2Aasg-77 23
CK. M.O. CASH
1 4 8.8 0
PERMIT VALIDATION CK. M.O. CASH