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<br />• • <br />i <br />I <br />i <br />CITY OF LA PORTS <br />I"IOVING PERMIT APPLICATION <br />T0: Planning t; Zoning Commission Date ~` Q ~~ / / <br />Present Location of House to be Moved 2.3 ( ~ ~ t! t ~I . h(~T , Nc~c-"'~ ~-o ~~T I X. <br />Proposed New Location .9~Q 9 ~~~ ~i[' j ~_ ~i~~ (Street Address ) <br />Proposed Route <br />~ Address of Proposed Licensed ?Rover <br />v <br />List the Name's and Addresses of the Owners of any <br />ts.o hundred (200) feet from any point of the house <br />location: <br />2 % 1~ <br />and all houses within <br />in its proposed new <br />NAME ADDRESS <br />pct ~ e ~~ ~i Pr~ l? e e <br />Size ~ Type of Construction of House ~~~~ X ~ ~~~ ~ l l ~, S~d~ r~(~ ; <br />~,~1 tX'~ ~v'A m P <br />Include along with this application, plans, specifications and profile of <br />the house in the new location as proposed i its completed state and the <br />date of comple ion of construction. ~~3) X171- ~~~~•S' (fl) <br />~ .-CO 713 41 ~ - 5~ Ci~- ~ K <br />' FEE OF ~•~~~; ~~~'~ MUST BE SUBMITTED WITH THIS APPLICATIOII. <br />Name ~ Address of Owner ~O~ r i'c'C~; ~ •~f- ~"1(.kv'~~ ~n (~ t~ ~ `, W ~ 1 501 <br />/U ~ d J l~ o r-P. c~ ~:. i' ~ S l~ uc ~.~'~r1~~~::+~~ ~-c'~ ~/~/ f~ ~~~ 1 ~ <br />_c~t__ o__ ~ate__ ___Signature_~l~.cant_____ <br />-------------------------- ---------------- - - - <br />DOES DOES NOT <br />Meet Building Code Requirements <br />PLAIJPIING ~ ZONING COMMISSION : APPROVED <br />Date: DENIEll <br />Reason for Denial <br />Permit No. Date Issued <br />