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CE8047' RFV 2.80) APPLICATION FOR GRADING PERMIT
COUNTY OF LOS ANBELES
FOR APPLICANT TO FILL IN SITE
-DDR FSS •_
ApIiRCSS l,f/, �,y, LOCALITY_
LOT
TIME LIMIT:
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THIS IS A LIMITED TIME PERMIT
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PROPOSED USE OF GRADED SITES)
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I CASH RFC'D DATE
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I ULPOSI I S - HY FILED
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THIS IS A LIMITED TIME PERMIT
C[IACI�
At L. WORK AUTHORIZED h1UST 8E COMPLETED BY
TIME LIMIT:
CX TENDED TO.
BY.
L_XTENOED TO:
BY.
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