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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PU BLIC
GRADINGIFILL
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SEPARATE PERMHSSION�
URCHARGE
PERMIT APPUCATI N: 180 DAYS
PERMIT LIMIT. I YEAR � PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
F HEIRS. ASSIGNS AND SUCCESORS
ON SEPAL OF HIS 014 HER SPOUSE,
ENG, INSPECTION FEE
;APPLICANT,
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LANDSCAPING
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FFLtLOM THE ISSUA CE OF THIS PERMIT.
GEEMED TO MODIFY WAIVE 08 RIEDU EANYREOUIREMENT OF ANY CITY ORDINANC
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TOTAL AMOUNT DUE
RECEIPT
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I HEREBY ACKNOWLEDGE T.ATI HAVE READ THISAPPUCATION: THAT THE INFORMAIR N
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNEFL OR THE DULY AUTHORIZED AGENT OF
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11 LA ION OF THE LABOR CODE 01 THE STATE
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771-0220
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ITIS UNLAWFULTOUSEOR OCCUPYABUILDING OR STRUCTURELINTIL 771-0221
HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE YELLOW � INSPECTOR
A FINAL INSPECTION
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK - OWNER GOLD - ASSESSOR
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