HomeMy WebLinkAbout2285 Highland Dr; ; 62-4225; Permit-----~-----~-~--~---------APPLICATION FOR uuQn1ic PERMIT 4225
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
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;.~:;d:~;j··········•M•iling Address ~~~b~f :/7s11~Zici~~~~
Contractor •-···-~········•-· {Please Print)
To Construct ✓ro Add D To Alter D
-----IMailing AddreH
To Repair D To Convert D
.3.a.-...--A D ----······························ Number Street City Phone
To Move From .
Type of Const. 3~---· Kind of Foundation .. ~ ....... No. of Stories .... / ...... To Be Used for ___ ~ ..................... .
{Frame, Masonry, Etc.) {One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet} ........... /{;!./Q... ....... Const, Yaluaflon $ ...... 0; ................... ••··g··.gP.✓. .. .
Floor Spece of Geroge (sq, feet) l/,$2 ::::~=~ itc::',t. Veluetion $ ( . .?.::-;...'!: . . ..... ··•·-----
LEGAL DESCRIPTION .... t4~
Lot Block Subdivision
or . ·····································---·················Section........... ... . .. Township .. . Range ......................... .
Loceted •t ..... 'E~~~;~-i,~ ... Street, Neer ~.·.· ..
LAND AREA.... . ................ NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE .. ~.. (INDICATE
:~~•IT~~:;ND L~::.~l~~L~~.~~~~).: .. ~ILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION,
If o check is tendered for ~-oyment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
SIGNATURE OF
PERMITTEE
Front Yard Set Back .
Side Yard Set Beck
Rear Yard Set Back ________ /$.! ... ~--~
Distance Between Bldg. ______ r~--~---__
Off Street Parking Spaces .... / ....... .
Sewage Disposal System ..
Zone -Residential { / )
Zone -Commercial
Variance
Eng. Check By ...
. ~
Driveway Permit Required Yes (
Grading Permit Required Yes ( J
No ( t(' Fee
No ( ""(: .
Sewer Disposal Plant Capital Cont. Fee .... .......... so .. ~
Sewer Pumping Station Capital Cont. Fee ......... / .tP 0~
Sewer Mein Line Cost ....
Sewer Lateral Connection Charge ....
Water Sfockod Lend, Cherge .
Water Mein Pipe Line Fee .
Weter House Service Charge .
Weter Meter Charge .
Sub Totel ....
, ~1, -eo / L/(' "'o
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Pl.ns App,oved by ................................. ··········~············Pion Check Fee
Approved by ...... ~ .. £~ ~~--···-----··••mh•h B•1ilding Permit Fee
-,:?.£_ ~/: ....
Date Total Charges
.9 ,,g c,O -~/L/~
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