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HomeMy WebLinkAbout2462 LORNA LN; ; 63-5382; PermitAPPLICATION FOR B lfii DING PERMIT CITY OF CARLSBAD -BUILDING INSPECTION DIVISION PHONE PArkway 9-1181 -Erl. 36 Owner Name .11..E..&tr,-J..rr:_ ~~- (Please Pdnt) (Lest) (Fi,st) (Middle) Mailing Address Contractor ...................... ~:...,£..4il". ---=------------Mailing Address -,, 5382 .:2 ,-, t...? ...... Xv..-u "--.. X 4:.,~ ~ - Number Street City Phone s ,,,J!!.-:': .... '?.~--".~------ Number Street City Phone I Pleas To Con,truct Jli'.: To Add D To Alter D To Repair D To Convert D To Move From .. /&. ... £..t. ... /.0 ................ • -Address Type of Co:st.±~Kind of Foundation ..... ~.-~No. of Stories ..... / ...... To Be Usad for······----------- ( Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc.) ~ . Floor Space of Proposed Construction {sq, feet) ............ ~--~'----'Const. Valuation $ ... 1...-i:.=t:J _______ _ attached O Floor Space of Garage {sq, feet) ................. ______ detached □Const. Valuation S-------- LEGAL DESCRIPTION Lot Block Subdivision or ---------------·-------------5,ection ........ . ____ Township ______ Rang._ ___ _ Located at .. .:2 .. /c .. L..Z. ....... .,.i:: .' ~ · .~ ...... 7-,~ ... , .. Street, Near ...... .;2. .... ~ --<Z.....,e:/=:..,__J ____ _ Assigned H~ LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ··············-------(INDICATE SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR ADDITION? YES ..... ,.. ..... NO __ _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ' V,lf.J"'..,l'"I/ 1f ei check is tendered for p-ayment of the above fee eind the check is not honored when presented for payment, your Building Permit will be immediately revoked. Front Yard Set Back / Driveway Side Yard Set Back ( Grading SIGNATURE PERMITTE Permit Required Permit Required Yes Yes I I I Rear Yard Set Back \ ... Sewer Disposal Plant Capital Cont. I No Fee Distance Between Bldg. ·····•· ········•········7····················· ·····•·•• Sewer Pumping Station Capital Cont. Fee Off Street Parking Spaces Sewer Main Line Cost ........ ·········•-•·········· Sewage Disposal System Sewer Lateral Connection Charge .. Zono -Residential I I ) Water Stocked Lands Charge ....... ······•·· Zone -Commercial ( I Water Main Pipe Line Fee ...... Variance ~:, Water House Service Charge Eng, Check By Water Meter Charge __________ Sub Total No ( I Fee ( I r ························ ' I \ . . . ~p > Plans Approved by ________________________ Pfan Check Fee--------·----·-······-·-~~--- ~:• ~J~i}z'£~-....-)--...BB••''din: 0 :::~:h:.::,·· .. :~'---~-/""_·_···_····_·····_····_····_--···_···· ____ _