HomeMy WebLinkAbout1250 TAMARACK AVE; ; 63-5238; PermitAPPLICATION FOR BUli1DING PERMIT
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ed. lb
5238
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Contractor
Floor Space of Proposed Construction (sq. feet)
Floor Space of Garage (sq, feet)
LEGAL DESCRIPTION
Lot
or .....
----···············Mailing Address
attached D
.detached OConst. Valuation $
Block
------~eetion.
Number Street City Phone
Number Street City Phone
···································--------
Subdivision
...... Township ........ . . ..... Range .... ···----···
Located at /~~~~~;,,f~~~ ...... Sfreol, Noac .
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
~:~:~:::CKNO:::i··~·~AT IN=~;~··~~=·D THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
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E,:Ut~:T:::k Bi~ILDING CONSTRUCTION~.~~/
."°' h~oo,ed whoa pcesoatod for paymeat, yo,c Buildiag Pe,mit will be SIGNATURE OF . ./ 7,,-7 / ~-_
,mmed,etoly ,evoked. PERMITTEE /:; ·r··/.'-·(··f-•:.7 .. .,._,..,-.,~
Front Yard Set Back .
Side Yard Set Baek ...
Rear Yard Set Back
Distance Between Bldg.
Off Street Parking Spaces ...
Sewage Disposal System ....
Zone -Residential (
Zone -Commercial ) ·······---+---
Variance
Eng. Check By .
Driveway Permit Required Yes (
Grading Permit Required Yes ( ) No I ..... .
Sewer Disposal Plant Capital Cont, Fee .
Sewer Pumping Station Capital Cont. Fee ................................. .
Sewer Main line Cost ...
Sewer Lateral Connection Charge ··········································f-------
Water Stocked Lands Charge .
Water Main Pipe line Fee ........... .
Water House Service Charge .
Water Meter Charge ..... i------···················
Sub Total ....... .
A
Plpaap,,oAvepdp,obyved····~······ 1·.·······~······.·· . ./7··············.··.·.·.·.···.·.•·· ./··········:· -·.·.·.··· ✓··.·.·.::,· .. ··.····--···------Plan Check Fee / _,,,,, ···p;········
.,PL ~-------"uilding Permit Fee /·~·····~p:r·····
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