16045 SW QUEEN VICTORIA PL CITY OF
- !...DI 11 Pr1"-I IiT APP 'ATIO T4 R DATE , 19 Nr°
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROV 8 IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. WNER PHON
OWNER ' ', 1 4- f ADDRESS /60 4(5- S 6/ QL ,e I ERP 042--i
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ENGINEER
n;a11_,D pi3 Ifs a -- ARCHITECT DESIGNER
STRUCTURE ^NEW 7 R_MODEL 0ADDITION REPAIR DRENEWAL DFIRE DAMAGE ODEMOLITION
SIDENCE "COMM "EDUCATIONAL "GOV'T ERELIGIOUS OPATIO OCAR PORT ❑GARAGE 0 STORAGE OSLAB ❑FENCE
❑BOND LJ MOVING "CONDITIONAL USE ❑DESIGN REVIEW OCOUNCIL APPROVED ESIGNS
OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE— PLAN CHECK BY HEAT ,
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OCC. LOAD FLOOR LOAD HEIGHT NO. STORIES AREA VALUE 1070 '
BUILDING DEPARTMENT C
Ir._— SET BACKS FRONT REAR LEFT SIDERIGHT SIDE
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Permit °"-. .
1° j THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check I REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording , ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
+' RESTRICTIVE COVENANTS. CONTRACTOR A . .'13 CONTRACTORS TO HAVE CURRENT CITY BUSINESS
I loState ,:! If LICENSE. SEPARATE PERMITS REQUIRED FOIL '<ER, PLUMBING AND HEATING.
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I Approved Receipt No. yyyy /
At: NEADDRESS PHO