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CITY OF SANTA ANA <br />Planning'and Building Agency <br />PAN���W M 0 'ROW W <br />', C��L�N1Y FIiZI'. AI I II�)Il� I Y�ORPERMITISSUANCE <br />Plan Referral Form <br />Required for OCFA. to review plane upon the mquestof the Building Department & <br />the answers on the Plan Submittal Criteria Forth (onthereveme)ar9s11,'No,,, <br />Gty � County Official Requesting Review: <br />City I County Reference W. <br />-- <br />City I County: <br />Contact %ameft <br />TAle.. <br />Date: <br />E-Ma,1144 <br />Phone #*. <br />NAaster ID- <br />Date: <br />'• Have the applicant complete and sign the OCFA Plan Submittal Criteria Form on the reverse of this form. " <br />Reason(s) for Review: <br />Please describe why OCFA Plan Review is or may be required by the City/County: <br />/+ - -... &.. a"* At • <br />V � d DQ02/"20 rs <br />