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RED FOR EXCAVATIONS OVE)N OR CONSTRUCTION Of*IES IN HEIGHT* AN OSHA PERM'T IS REQU5 0 DEEP AND DEMOLITKSTRUCTURES OVER 3 STO*mg Official under the provisions of thisnull and void If the building Of wornJ within 180 days from Ihe date of suchzed by such permit is suspended ornmenced tor a period of 180 davsn Every permit issued by the Builcexpire by limitation and becomeby such permit is not commencetif the building or work aulhonat any time after Jhe work is conExpiraticCode shalauthorizedpermit orabandonee>• iu j; -rCD I — Z.
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F. CAREFULLY EXAMINED FHE COMPLETED APPLICATION AND PKRMIiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREOARATIONS ARE TRUE AND CORRECT AND 1 FURTHER CERTIFY AND AC10 TO COMPLY WITH, ALL CITY COUNTY AND STATE LAWS GOVERN!< tr o ^X LLJ ;JJ w-O Cl .
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1 for this reasonl_L! 1 hereby affirm that 1 have a certificate o( consent lase'l insure or a certificate of Workers Compensation Insurance or a certified copy thereof (Sec 3800 Labor Code)POLICY NOCOMPANYaiai^gS0^^ So~ E^
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SPECIAL INSTRUCTIONS.
Ready For Inspection LJ Monday
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71 Tuesday Wednesday ^Ohursday L! Friday
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PLAN CHECK NO.
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ADDRESS
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PLANNING
SCHOOL DISTRICT:
SETBACKS: FRONT
TYPE OF PROJECT AND USE:
SAN DIEGUITO ENCINITAS
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CARLSBAD SAN MARCOS
REAR
DISCRETIONARY ACTIONS:
REDEVELOPMENT PERMIT REQUIRED:
LANDSCAPE PLAN COMMENTS:
ENVIRONMENTAL REQUIRED:
COASTAL PERMIT REQUIRED:
ADDITIONAL COMMENTS:
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IMPROVEMENTS:
FIELD CHECK DATE & INITIALS:
PERMITS REQUIRED
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P.F.F.: TRAFFIC IMPACT FEE PER UNIT:
TOTAL FEE:_
TOTAL FEE:
FACILITIES MGMT. FEE:
SEWER FEE (CONNECTION):
BRIDGE & THOROUGHFARE FEE:
SEWER LATERAL:
c ADDITIONAL COMMENTS:
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DPD2:DPD6:10/24/86
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