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379973 (SATT)t L• h' a� NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY. COUNTY OF RIVERSIDE 1_ry� DISTRICT} Permit No 37 S S ? • Owner {/f' �rf'•�" �iL % Architect Contractor Addres-r"2�7/'G-� K,7 Address Address 1r�: '���-'' ">d' City Z,5, cell, 1 % �, eZ 2.(Y2Z 1 City City Phone Phone W 1 (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and Z Paving, and/or Dedication of right of way is required by the County of Riverside, the Riverside County Department of Building and Safety 3 shall not make a Final Inspection until said requirements have been mei. I am also aware that no work is to be done within the County R/W O without an encroachment permit.t• NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said property o be occupied until I (wed have complied with all laws of the County of Riverside and the State of California governing said property. •� DATE ? �� SIGNATURE OF OWNER AND/OR AGENT Approval by Signature from the Following Departments Listed Below Mus e05tained Prior to the Issuing of a Construction Permit. �I } r I SPACE NO. l t 1 [ USE OF STRUCTURE p,r ISA p. JOB ADDRESS I f 7 1 ® SINGLE FAMILY [] DUPLEX' m 3�_ � LEGAL ESCRIPTIOI4,OF' f a riPROPE•fi Y j /y APARTMENTS AGRIC. 0 H <iCOMMERCIAL INDUSTRIAL LJ A' '^ COMMUNITY NO. OF SUBMITTED PLANS USE PERMIT { �-� -ff� •w^ ALTERATIONS [� Z ---_ ZIF, W Q �+ CASE NO. Z N0. OF PARKING 5PACES REQUIRED ` N0. OF BULLDINGb OW E=XISTING ~FRONT a ZONE SETBACKS- SIDE '—_ �` - PEA m GRADING PERMIT REQUIRED? YES ❑ NO ❑ `LOT SIZE to'la SET BAC ORDIN 'NCE#• n OF FEE1" REQUIRED ON ". �/ �� STREET DATE _ SIGNATURE,OF, LAND USE OFFICIAL + --- -- F . .. -10.-., DEDICATION. REQU'IRED: YES ❑.,,•,,,NO -❑ yNO\'OF"FEET__ ) a�J rzir -- STREET CURB AND GUTTER REQUIRED: YES El NO ❑ W CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ HAS AN ACCEPTABLE APPLICATION BEEN MADE FO�R/ ENCROACHMENT PERMIT FCR DRIVEWAY AND STREET CIMPROVEMENT? 0° YES p—NO El �_ ` k �7 DATE SIGNATURE OF ROAD DEPT. OFFICIAL_ t ' SWIMMING POOLS PUBLIC SEWAGE DISPOSAL /Way' %G�©(' g !'r,,X se "14 0+1 _ W. FOOD/ESTABLISHMENT WATER POLLUTION tREMARKS V FLOOD CONTROL Z AIR POLLUTION r DIV OF HWY o ce a _ YOUR PROPERTY MAY BE SUBJECT TO s c FLOOD. ;RIVER..), COUNTY ASSUMES =� NO RESPONSIBI_ITY IN EVENT OF FLOOD, 284 199 9/74 r ` CANARY—FILE, PINK—APPLICANT'- ..