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i <br />� <br />�azs� zs�-sa�o <br />Plan Check No.: �0501-025 <br />Applicalion Date: 01/21/2005 <br />7enant: <br />Owner: <br />Job Address: <br />Proposed Use: <br />Description of Work: <br />Plan Check Fee Paid: <br />DICKINSON WILLIAM/ ELIZABETt1 <br />4811 OCEAN AVE <br />SFR <br />ADDITION & REMODEL <br />$418.76 <br />"fhc building pcnni� applicalion (or thc ubo��c-refcrenccd project is bcing condiiionally acccpicd for filinc <br />pcndinc thc dc�crminaiion uf its complctcncss. <br />If Ihc Ci�y rc��ic�v Jcicnnines diat any additional land usc approval or any additional infomiation is <br />rcquireJ lo cum;dc�c your building permi� applica�ion. it ��•ill be ncccssary to suUmit iliis additional <br />informatiun or acquin �hc additional land usc a>>pro�•al prior �o your applica�ion bcing considcred complctc <br />Rn lilinc. If no o�hcr land usc approeal or addilional informa�ion is rcyuircd. tvur building pcmii� <br />applicatiun �aill bc considcrcd tilcd as of this datc. <br />�UfLDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSUED <br />WITHiN 180 DAYS FOLLOWING THE DATE OF APPLICATiON. <br />Signaturc <br />Q1-21-OS 11:44AH <br />a �oiozs <br />-+��-- <br />'�1`AL 418.76 <br />Ct-�EF: 41R.7E� <br />A Otf1368 <br />FILE COPY <br />