none, Lot line adjustment, Application•
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INCORPORATED JANUARY 24, 1957
LOT LINE ADJUSTMENT APPLICATION
ZONING CASE NO.
NO. 2 PORTUGUESE BEND ROAD
ROLLING HILLS, CALIF. 90274
(310) 377-1521
FAX: (310) 377-7288
E-maik cityofrh@aol.com
The following information is necessary for the review of ALL applications. Failure to furnish information will
delay action. Attach extra sheets if necessary.
APPLICANT'S AGENT:
RECORD OWNER(S): APPLICANT: (Engineer, Licensed
Surveyor, Other)
Lay I3.4l4<<'(Ub 1, v'
Nafne
Address
City
/OA7y (3/0 )521t-716
Zip Phone
Name
Address
�p 11��514 //s , ei4
City
9a71(3/6) 3,yl--77£/
Zip Phone
( [/: Pt \te
N t+k i3A.3p eu
3 0q'7 1 c) \ 21_-t-
Address
�41exs to
City
/oz7V (3/6) 37c5 75/6
Zip Phone
(Attach a separate sheet if necessary, including names and addresses. of,members .of partnerships, joint ventures and
directors of corporations.)
CONSENT: I cont to the submissi
SIGNED
(Property Owner)
/V
SIGNED es --v r `
(Property Owner)
CERTIFICATION:
SIGNED
n of the application accompanying this request.
DATE 8AO
DATE 94 7c,
a
I hereby certify under penalty of perjury that the information herein provided is
correct to the be s; of my knowledge.
pplicant or Applic sent)
DATE: g/ DC7
LEGAL DESCRIPTION: LOT NO. I
ASSESSOR'S BOOK NO 7“ ? PAGE d (c PARCEL c71 c7
CITY OF ROLLING HILLS
LOCATION: % C Lz fie et9S ,&Oct J
(Street address or distance from nearest cross street)
Between:
and
®Printed on Recycled Paper.