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STREET ADDRESS SUITE <br />- '0 1:1Fr F11'1- <br />RECEIPT NO. <br />ORV-'0,40 <br />DALE <br />n, . n on <br />PROJECT <br />nn ln'•' T 1 <br />C/ ty STATE <br />I 1 FASA1111'U C1. <br />TRACT NAME <br />USE OF PERMIT /APPLICATION <br />i DAP 1t I(.11l P11 r llp c F!IT I,RC <br />APN BLOCS UNITS STORIES <br />0 '1 0l5M 0°11111 11 011 <br />OCCUPANT NAME <br />p lrlt,F 'r1Fl,l r FRB r 'POW; <br />MAP <br />BLOCK-LO I MOD D 1 b 1' <br />APPLICANT NAME <br />I' f'Frl poi Is! r'r. INCr)RP( rFD <br />APPLICANT PHONE <br />41.c -0 2 1469 <br />CONTRACTOR <br />rr'EN HOu'It1G THEOPrnr <br />STATE LICENSE <br />HIJ I LU r111, I- >.': <br />RIP IOIUI0 P,r <br />' 1 . 1 ,I <br />11.64'.20 <br />STREET ADDRESS SUITE <br />r' ^n 1.l D RI E'11f11 Pr ' <br />CITY LICENSE <br />L 1.1' 1 T18. PF11• ! r <br />El FEIRIC(11 r�.., <br />1 • .' . LIP <br />12eiP. ?; <br />'' <br />CITY STATE ZIP <br />F 1. Fn`il dl r Flll 1 ° 4160 (1 <br />CONTRACTOR PHONE <br />"r • II'L 146' <br />P 1 1 rll if r 1' <br />LI pIPIII!; P: 1 <br />(. <br />12: 2 <br />BLDG OWNER <br />F I 'H1 HrlUdltIS" 1 :1 <br />SE EP r1T , I!P, 7 <br />..1. n. <br />1'.E'L 01' <br />'8 <br />STREET ADDRESS <br />' "941 ( I IIF1'11)11 <br />SUITE <br />51 F' <br />li'o ' III•'I' Ihi 11" <br />011(11E Pr nralrl Pr• -' <br />U1 1r11t8. Iel ,1'1'71 r. c <br />, �9ar 111 <br />4l 61' <br />rt <br />CITY <br />IP / DOT OPP <br />s1All ZIP <br />' n 04 flnnl <br />OWN( 111105! <br />4rE rsly 14' II <br />ZONING <br />1 x1 Olin <br />GEN PLAN <br />IRS <br />PUD <br />LOT SIZE F/A _ <br />I''J. -- Q 'll f,1 <br />CENS TRACT <br />I <br />51C CFIRS <br />GEO REF <br />FSB LSB RS8 656 PLANNING INT ENGINEERING 1NT <br />PLANS RECEIVED 'NT <br />PAID BY FEES <br />TBI CIIARCE <br />".01. <br />Dntr <br />'11 = 11 1.l. 0 111 11, !IIC <br />aw .2_'.., 0 Fi911' r:ITIC- <br />fix. • tlo 1'01 11 1111 <br />aF. '2 ", /'lP P13181)IHI; <br />H"11_UINI.. <br />I'1'11 <br />„nLU011011 <br />I'E- C /GPUIJF "T' /F'1 <br />017 I1-1('1PY STPI II :1 D <br />FI'OITDARY srPr1 O.O/T <br />1 ( \F !HP PAP <br />11 1 SCELLANEOUS CAPITnL <br />f L.FCTRICAI_ <br />MFCHANICAL <br />r9 NME11IS <br />Pr ^U. COMST TY <br />11 f5CELLAHFO1 1 !HEROIN': <br />' FLIEP•CI TY 1 ;1 Jr? <br />- <br />Iry CORP TRII':1 <br />I 1 AKE- RESUN1l. isCELL ESONI <br />1lUAK <br />M !1 ! 1 1 P L E r 1 IT ' , <br />r l 1. 1 1: C T C 1 11 M E -1 T q <br />r 1 ( <br />'3EF Pk SO1.IJ11ON 'I' " ' OR FFF 1,1011 <br />' ? DTI for 0 1tli - CI- PEI I r ',HT! L AI'DI TI1 <br />P I An P <br />Tnl: <br />Ir.pl I' ^r <br />wr.l6 11 11 ' ?912 'In t , 'nt <br />4'91' Como Lilt l'(r 11■11 7. !"f 1 I 51In tinunr <br />'n ' npor rIEHT P1 " IHP <br />n `nunre Fnet 1 '2.40Pct., <br />ELDERLY HOME R1 'I INP <br />7179 .>nuerin Feet 64.941 >ntn <br />4 "ot2 I.In 1unt ion Ircuperr<• <br />11I101. <br />(Wel <br />1 M 11 r29. 00 <br />! , Tn <br />t I j App 1 /Pr <br />`. r. Procene <br />nppl.'PT <br />Procneei:le <br />e• 1 / tfTAL <br />... App l /Pe <br />roceeeIno <br />r <br />Anp1.'Pc <br />13 125.00 <br />T <br />1 . . 1 1 ra.. T ne I 1r9r ' .Irr <br />1 <br />I"( E <br />a 1 -e <br />- <br />, TIC <br />t I r.. <br />r 1 _ I 1.I! <br />r F"nt <br />1 6•. d <br />' r -c. <br />n I i ■ r <br />11 7. c I re <br />L rr, OEF <br />nit ter <br />inn F <br />FEE <br />r ee <br />FEE <br />m , t fee <br />Tee <br />111+1 E LE <br />en it 1 m <br />Mier Inc <br />1T 0! I 11 <br />r:he. <br />11, it 1 11 E <br />' 1 F en <br />11 -c r e e <br />1 le le Fee <br />FIN I !In <br />11.(.'. <br />I6 I' 20 <br />16.. .2„ <br />r. II <br />1 7" - i . 0 l' <br />r, "" _ 0p <br />' 00 <br />1 2 4 ': <br />^ 1 -" <br />1 011 <br />0 '. 2 <br />15 .00 <br />2 • .' T <br />.2' <br />I1,0L <br />162' .OD <br />162'.01' <br />16 ? . 01 1 <br />•A:" . <br />'t.'. .n1 <br />44 0. DO <br />441ln. 01' <br />, 00 <br />44 ! . 60 <br />1.l pp 1 1 <br />01 <br />This 1.18 irrherei Issued under the applicable prQyiBigns Bbl he Ciiy of <br />O P IEds�ahlon M ode and or resolution to do work Indicated below f&PJ41d11 R <br />fees hart' -Be oaid, <br />// Li iE/d r� i <br />By: Data " ' ZJ' <br />PERM(J <br />c Chopler <br />.&X lRf5'1 ,'. fur 110 1 rill r: .. /7.27..: <br />3 U.B.C. or 180 dnys APPLICANT <br />wse � <br />L, WF4 .na c ••••• a • O , AI •aawrvM. ..wnrvncwtin <br />Dam - o.xu.wrw IMIJAA11011 <br />PLANNING STREETS <br />847.8023 84/ -8066 <br />ENGINEERING WATER <br />847.8041 847 -8071 <br />WWW.F.WS COYMNMnM OKYlw11011. <br />Taoism <br />CITY OF PLEASANTON <br />P.O. BOX 520 • PLEASANTON. CALIFORNIA 94566.0802 <br />PUBLIC WORKS BUILDING INSPECTION <br />847-8195 (415) 847.8015 • (415)847-8149 <br />FIRE (Office) (Recorder) <br />847 -8114 <br />