Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
1111A (5)
76A642D � CE 808 i RE�; 6.'7�3'�1.79 ����������� � � ����,w �'�" �5 ��B 1 7�YV�� ` r.�GMMT"Bi�G i�6I�TA.S�Y`ii.. CAi�IVTY�F Lt)S AlV�S��.ES B€JILL�ING AND 5�►FET`! _ _. . �a�.._.e.., . POR APFLICAI+NT T� FIlL IIV �;�T���� GR�IiIP �1PP PftOCFS5E7 HY 9K 'G ff EUILDING +' � / t i �( r�� � � Yl: �" '/� ADDRE55 J� ](i+�'5�,��2��,�„{ , i* ti a. p�.e��eC6g•:.^ ♦*p � �G�E'i" ' _j.c �- ^�M1OAA19G�tl�iP� S1iJi LOCALITY --"+-y=��i ���t-�..�=-------- .� NEAREST � - ) STATI6N �_.s- +�a'�g'�°J �EPTH s e• v GRO55 ST. -- - 7 ����� l A MANHOLE P.E�ERENCE ���•' � L'� �OWER O�NNF.S7 ��„� _� ��� -S/�� - 7YPF..OF�CUNN[CTIOIV LENGTH FRbM MAIL � � �)� � M.L.TO P.L. / Y. CUIZ; P.L ADGRr55 /�}� /,� .�F ---- - -�� — �.l�,.f.l...L��_... }.yc__.8yC3+�!��...�.�.,.�C_ 7: P.C.NO � cC.IMP.NL. JOF3 fd0. �, ��'� C�TY TEL.NO- —�-- �����:��.`r'.�'__.��'�._ _y � LEGAL T.w^UNK PERMI?NO. ROAG PERMIT NO. DESCRI?TIOV LOTNC;. ,���� / AFFiDAVI'-T�.t'AI';:.:R f-•�SFYCM1T I RECOR�_INSTR NO. DATE BLC�Ci( TRACT J) I _ �__�"_F'_ NO OF�LOGS '�" "—`—�"'--"' SIZE OF!.OT NOW ON I_OT IiWY.OR 5'.lM1'IDF..IVING USE OF BUILDItJGS 57ATE ENCROACHMEfJT —' " �.;__—_"___ &'+ERMIT NO_ �ONTRACTOR'_" ��'��'�G�._�l'7F,�,.� ' I\DUSTRIAL UlASTF_AP"ROVAL ADDRESS�I`y�^�� ���-��_ L��! �� ___u�. __ CHFRGES .� ��'^ CITV �yj � Tf=L.M1'O. '�� � CONNECTION f.HARGE FEF �— '��'/-- ��_"__�_��—_ _.. —..------ � LICENSENO.��-.\�J _`_ CLASS �._r ���^ �EIMBURSt:M�r-.NTFF_F: � J� l _ _'__ _ NO CT�SCRIPTIONOFWOC�2K FEF AllP6fe�Y'+fAS.s' s""' ___ PeT �QCOCaq3 DATE I 'eGT 'SSIGNATURE ,� HOUSI'SEWER CONNECTING TO P p y� ///��, _PUDLlCSEWFR _ '_'� �!_L' — '--- Iy . E� SEPTICT.".NK.SE[PAGEPITOR " NEYeHOU�.ESEWEF • ✓ j � t Pll'S RND/OR DRAINFIFLD �— � 1 8 r �q __ CONNE�TA7CITIONP.L � I8S NOUSE=SF'NERCONNECTINGTO � BUIi�iNG�R!MOF21t _� (�., PRIVATE DISPOSP.L SVSTF_M _____l__._ -- ----^— - F,t?� �—�-- SE:'PTIC 7AhIK.Sf-'EL'.PITIS) �rv CONNE"CT�CIDITIONALBLDG.OR � qND/OR�F?AIFJFIE!_D VlORK TO NOU5E SEWER ( _...__-- __ �—__- `°� OVERFLOW SEEPAGE PIT.DRAINFIELC i-I - I C:=iSPOOL � DnYWEI_L� �R7fV..GESSPCOI_.DRYWELL,AAANNOLE % �� '-' �ALTER,REPAIW OR ABANDON kOU$E AI_TER.REPAIR.SE�ER OR � � SENV�F?OR OISPOSA�SYSTEM SFVJAGF OiSPOSAL.SYSTEM '_� _ ` I `� pfSf.OMNECTPL.JGltND--- -_ �.a....�..�...w � � Ak3AIVGUN�-10'..ic;c r.:�:R'F..R " __ _-- fiACKFiI..I.SEPT!�.TANK$[_; �-1-...— S�EP.PI'i(S)r_ CESS?OOLS; i �W�EE�'5 Perm�r s; ` ,�'z,�'� _ ..,_ .,. - .. _�.. _ ,. . .. .. . �. . �,ilT�1f3R1�doTi�ld TQTA�FEE �!tl,n.�. ��,�1.. �',���DATtON I NRVE AT Tfi15 bA7E A CONTRACT WITH THE HEREIN NAMED CON- +� TRAC?OR TC CONNECT THE A60VE DF_54R19ED EX;STITJG D\NE.;_I_ING � � � i• � 1�' TOTIIE PUB!.IC SE E —�--- � 5lGf�EDTY.!S� _ UAYOF. __�i�y' ?:�;� � �' �" � .�. ONINER OR � OI/YNERS AGE�Ir `. _,��_�� ,g,�,__ 'I .,... S�, ' /)��} � ' J 'P . . ApDR=55�___�"'_:�h,/rL.�-'""�.�L.�_' __— I IiEREF3Y ACKNOWL'cDGE THAT I HAVE READ TPilu APPLICATION • r � �+��� � �- /1ND STATE TIiA7 THE ABOVE IS CORRPCT AND ACiREE TO CORAALV WiTH ALL COl1MTV ORDINANCES AND S?qTE LAWS RF_GUI_pTING PLUMBIiVGANDSEWERS. [; (), , ��` ,'; f,� I HEREBY CER?IFY THAT 1 AM PF.OPERLY REGISTERF_D ANDi'OR LICENSE�AS REQt11REL� 6V I_OS Af�GELES COUNTV AND STATE OG GALIFORNIA CR THhT I AM TIiE LEGAL OVJNER OF,AND!fiTENO TO RE� SIDE IN,THE ABOVE DESCRIBE.7 RESIDENTIALPROPERTY. SIGNATURE � � pFPERMITTEE �_ ,��/y�r . _ . .___ . . .. ... css:_.,.,.. . I^ .....,.....,.,....�...r....... .:.......:.r<....,,,...�......xx;.......�.��.�-..o�.-,,..r�.we......�„�..,._...,.,.r..-r.n.-.:,.,.,...:,....,s..................,_T...,,..,,.�..._..........,..,,....,..,�....�.,..Pn�a..�,-...-........m..��,......._.____._.�-'_'___'�_�.+� r�e;;x��.�.e a�:,�;�'�s'.��� al.�.t.:.�...k$..d++'6CV'3 wv,��',.A�A��n���� -� }; .- I � .�� ,; n ..-._�.._.�._....._��..._.".'__.._'_..r.�"'__._'._�,.._..'_'_'_�._.._..._w. �. �i�:..7��Y��t- �'3:. !.)L�tL'✓�i:�;S GN F�i?1"r'.`:7�7. I 2 \ �� '�i� nir rni :�. C.�1.1f�.� !��}� i� i ! � . �I '�i':�'};, %-�� k:i _.r1��6'..lv��t� a C�t,H'...� •..t� C..��i-1L. � � ;Y1�s'sT�, l•',;;•��.i i!� v;U:Ai',i:.:_., i`:.> ;;.'''.^li��.:4 ; - : � n�,C ��rtir �. • � ,. . •j� � Ft��t :C�, iti li ��..., t - � - . ... -.�.� ,�.,,�.'�».. .. ! � .�i. I:�Vt��i�n�a� ;�1.��C.: �..i� ei_;`:'{l�ji�ii�s:-.��!�i'—'; tir..�� ���1�7_ � " " ' ' � .. , � , ,4.'J�i'I����� ti<<�l��"t.(:�;�i�0..:��'.1�,��. � _ . .. . . - ... , y. -• � ' p� �^•\Y� ,"�f�'Ti�i =:�i- �^`�.,.ir,F;vF7,,� f . '���,, i � .. . .a...�.. ,.. .,.r�.i��� >., ! rt. .f ��l�f']it..���',../4Siif �11.._�...ls�.Jly•. :dit.\.I�. � " � 5. �i��a�.'iC,��;F 1�':?�������'`s�>C;�.�?;i�'.r. . � ,. . � .. ..,ti_ . ., . ..: _ ; , < .. . ..l.i .�, F1j ` 3 » � � t � ' . i � � � � ` � 4'.. .. , � .,. . � ; ' � � .,.. . . .� . � . ' � . .. . , � :, . � . � .w . � '' � .. . ... .. € � • i F.R��-..,�..-.:.......m,,,�...e.-��.....r..�,�...-.-_........�.e..,..« ....�� I. �T.�+.L��i��n'��i� I _...,_._.__._�R...__._.�......._.,_.._.�._....____.�_..�„�..___..._.d_._..._....__.---_____.___.._.�m_=�._._�..._._----.J...As__,__n..�,.,T.-,�,._..r�..,..�...��._�-......._- i ���`�'�;�����.—:.�-__.__...__.-..._.__.�__�.____�__._._..�-_.—.�___...___._....._..� --_____.M,....�.._.........._...._._....A_...__..� _.__e..�._._.p i _-_____.�__.__._..__,,.._.a..�.��._.._.._._........_._...___._.�_.�,.��..__..._.___��.__.._ .-'—' . . 'j, , --— ;�:. . --- �. ;� �a .�..-_...._._..__.�....._......._,�......_._.._.�_.�___��_..�.____�____.._._�_____._.�_._....��_.____.,,_._-----'--__�_..._..,.._.___ _.__ -...._._...__....._ I ____............___�__.....�_..__._.,.._.____......_�...._..�....---�._.._....----�------ b ,. ------�..____._....._..--------..__�.�.____�.__._.,...._..._.__,__.._____.,___..._..�_....._��__ .a r. ' ' I, ,