none, Remodel & addition to existing, ApplicationCOUNTY OFLOS ANGELES
THE REGIONAL PLANNING COMMISSION
OWNER'S STATEMENT
Tentative ' Map 'No . B1904:5 Date S (1 Z.%i b
The following information is required by the various County Departments.
Failure to furnish required information will delay action.
LEGAL DESCRIPTION (All ownerships comprising the proposed division of land.)
U e e tra het if ne essary.)
�.. eT i ir,o 4�,11s per moa reeo.iiel
ilk ?oI , PA.t a -fro 35 t•k9i.5
AREA: What is the acreage of this division of land? 3, Z 5 •
Number of Lots 2
ZONING: Present: talk-1 Propl1osed:_.-I
DOMESTIC WATER: Source (Water Co.) CcaliC Wa'Ter SerN e. Co.
SEWAGE: Method of Sewage Disposal rr:un.`e_
GRADING: Is any grading of lots contemplated? Yes No ie
.If yes, show the preliminary grading design on tentative map.
STREET IMPROVEMENTS:• Are standard street improvements contemplated?.
Yes No >4 Are private streets. planned? Yes No i44
USE: Indicate lot numbers under proposed use.
Single'Family 11 z Commercial
Multiple Res. Industrial
Other Agricultural
Record Owner(s) Subdivider
(Attach separate sheet if necessary)
Name D.Q. i 8et-irima. G. Tpw.gkir s Name_
Address gr i1 'Sa►ille,L.,1c Rent Address S .3 6-.4_1/
City Ret tflj t1Ws Phone 3 7-01(.z, _ City ,' Phone ti377-o/41
zip code 'ip code
cbc32'74 Subdivider's A,eent
(Engineer, Licensed Surveyor, other)
Name ejovk Se� .E.r periha Cbi
Address 304- T ,p,n Pko z,
Citkos \Itelts £ h'1z Phone 7 7Z-1555
cI m+ zip code
CONSENT (to be gned if owner of record is not subdivider)
I consent to AOmissi Of • e entative map accompanying this.statement.
Signe ` Date CL�/./ //
At leas one recor owner)
CERTIFICATION: I hereby certify that the above information is correct to the
best of my knowledge.
Signed �' Date
(Subdivider or Subdivider's
#I8
76L268 CM) .' !!,
3 ANGELES COUNTY {� ERG. .M
TO
Sublett
Mr. George Barr FROM
Assistant Division Engineer
Mapping Division
Attention Mr. Thomas Green
Subdivision Section Head
APPROVAL OF FINAL MAP WITH SUBDIVISION
SECTION MAPPING DATE
Parcel or Tract Map No. 3/ 9Q 4
Location
x
AGK: 7
Arthur G.•Keene
Date ::Tiny az,,47%No.
This map is approved for filing.
This map has not met the requirements
for filing for the following reasons:
1. Letter from consultant regarding
Restricted Use Area has not been
submitted.
2. Approved Grading Plan is needed.
3. Bonds have not been submitted.
Bonds not required.
Restricted Use Areas are delineated on the Final Map.
The following bonds are required:
Arthur G. Keene
County Geologist