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Get CA LADBS Request for Modification of Building Ordinances 2013-2024

ION (SUBMIT PLANS OR ADDITIONAL SHEETS AS NECESSARY) Owner/Petitioner Name (Print) (Signature) Position FOR CITY DEPARTMENT’S USE ONLY BELOW THIS LINE Concurrences required from the following Department(s) Los Angeles Fire Department Approved Print Name Sign Public Works Bureau of Engineering Print Name Sign Department of City Planning Print Name Sign Department of County Health Print Name Sign Other ________________________ Print Name Sign DEPARTMENT ACTION GRANTED Denied .

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