HomeMy WebLinkAboutCT 76-17; CANON PARK; Engineering Application (2). v-·. ~ '."'"'''''' .. ',,""'--... ~~ ... : r··~.,,'-.... ~,>""' .. , .. ,'. ' .. : ."co .. _ ....... '_'.,:
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, rl L6' leT ('10'-11 .. A~p I i cat i on for 'Grad i ng Perm i'.' PERMIT NO.~,....-______
(I efter code + nuniben) .. . CITY OF CARLSBAD" L=lot ( ,
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm'Avenue.
729-1181 P 111)
I hereby
ion and state that the information I have provid
is correct and agree to comply with all City
rdinances and State laws regulating excavating a
rading, and the provisions and conditions of any
rniit issued pursuant to this appl icati0,r:l • . ' --f ., /_ ..
ignature o~f Permittee ,.'/.~ 1(,/ /'/""t"r'.· ,<../
Owner' or author i zed agent >J >/·....--::-,·f.e;,,(;1'. },.'
. Grading permit fee $
pe~"d~t~0 J uff ,
by ~h(d (J ~ A I pate_~-';:;;'L---.!..--1
Permit Exp·i ration Date .. 8/16/77
Surety d
ny
Acldress
Date Fi led . Rec d by
deposit Rec'd by Dat~ filed
The fo owing documents are required and shall
become a part of the grading permit when they'
are approved.
XGradi ng plans
)("So i I report
----Drainage structur~s ~Compaction report
. SPEC
Compaction report rec'd.
lanting & drainage
._Sped f i cat,ions
Vicinity map
,-.-.Reta i n i ng wa I Is -. Other
MADE
DATE
rec'd •
TH I S FORM WHEN PROPERLY ViAL I DATED BY SIGNATURE I S A PERM I T TO' DO THE WORK DESCR:I BED
00
,