HomeMy WebLinkAboutSA 89-04; LEVENE; Satellite Antenna Permit (SA)-'j. ,I :!o; -;
I •• • $25,.00
SATELLITE ANTENNA PERMIT
ocation. (Address) of t-
Zone General Plan
. '-'Owm:~r
Name (Print or Type) Name (Priht or Ty~e)
S(C\~
Mailing Address Mailing Address
Zip
43-1.3 3 --~~--~--~~----~~------~--~~ Telephone City and State Zip Telephon City and state
~~ .i1'-t 11) CARLS·e:, A"() C. ~ ~o A
I CERTIFY jtHAT I AM THE LEGAL OWNER AND
TfiA'I' ALL THE ABOVE INFORMATION IS TRUE
I CERTIFY THAT I AM THE OWNER'S REPRESENTATIVE
AND THAT ALL TFF. ABOVE INFORMATION IS TRUE
AND CORREC~ TO THE BEST OF MY KNOWLEDGE. AND CORRECT TO THE BEST OF MY KNOWLEDGE.
SIGNATURE ~ ~~~.
SIGNATURE DATE
I
Date Application Rec'd
~ -~~g:i Rece~ Fees 'Received Receipt No.
9/6d&
Date Application Rec'd Staff Assigned Case Number .
Sffc?9-c/
Specific Requirements
1. Two (2) copies of site plan showing:
cross sections showing adjacent properties and streets
distances between buildings and/or structures and satellite antenna
building setbacks (front, rear and sides)
location, height, and materials of "Talls and fences
2. Two (2) copies of landscape plan showing:
types of plants and their sizes
3. Two (2) copies of elevations showing:.
height of satellite antenna, landscaping and/or fence/wall
4. $25.00 Fee
5. Homeowners Association Approval
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:CI'TVOF CARLSBAD .' ,
1200 ELM NLJE" CARLSBAD, CALIFOA92008
438~5621
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REC'D FROM 7iEu)a 2di>N uL/ .
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ACCOUNT NO. DESCRIPTION AMOUNT
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91626 I
RECEIPT NO. TOTAL :J51{:l"'