05-0110_BORANIAN, JONI & ERIC_Deposit ReceiptPlan Check Application No.
Permit No. A6q&4_1
CITY OF
SAN JUAN CAPISTRANO
MISCELLANEOUS RECEIPT
Project Name
ProjectAddress X727 /'_ffGAfe' ? s �cGta
Applicant CJF�//2� �✓% OyI' ,otoui4r7 Phone t!� ' S
Address 4g2 laid+ 147-e y 4"X7;1 -34-7 /9Ro
Building Plan Check ......................................................
Grading Plan Check ......................................................
On -Site Plan Check ......................................................
Erosion Control Plan Check ...................................
Special Inspection/Re-Inspection..................................
Geotechnical/Soils Plan Review ....................................
( ) Copies @ 0.20/ each ......................................
......................�...... .! ..............
TOTAL.......................................
$ !O l25—
(01-4411)
(01-4413)
(01-4413)
(01-4413)
(01-4412)
(01-4419)
(01-4521)
(19- 4APz
NOTE: APPLICATIONS FOR WHICH NO PERMIT IS ISSUED WITHIN 180 DAYS FOLLOWING THE
DATE OF APPLICATION/DEPOSIT SHALL EXPIRE BY LIMITATION AND BECOME NULL AND
VOID. UNIFORM BUILDING CODE SECTION 304 (d)
Prepared By
Department
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