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HomeMy WebLinkAboutCT 96-02; Terraces at Sunny Creek; Engineering ApplicationCITY OF !RLSBAD -, ENGINEERING' DtARTMENT APPLICATION BLASTING PERMIT APPLICATION PROJECT NO. ,~"\ <=t ~-D ~ PROJECT NAME~~ \~~<::.e'51 £\\~~-.......... ( Q.~e:.~K NAME OF APPLICANT: ,<::> "'-~ 't:,,~j\< .. ~\)«.. ~~',,"~'-r ~\.""'''' .... ~ ~ , BUSINESS ADDRESS: ~ \. \S \. P\'-.H~ R ~ ~~ \~(~~ f C. (:\ \. ~~ "- BUSINESS PHONE NO.: S\9. .... ~'*S .~d-{6 EMERGENCY PHONE NO.: c\q -~~S ·~31-22.... VERIFIED BY: BLASTERS LICENSE NO.: '~5~ VERIFIED BY: INSURANCE RATING \' '\\ (\ -3 -\ "5 -a C AND EXPIRATION DATE: VERIFIED BY: DESCRIBE BLASTING OPERATION BELOW GIVING DISTANCE TO NEAREST'STRUCTURE, APPROXIMATE YARDAGE TO BE BLASTED, ANTICIPATED NUMBER OF SHOTS, MAXIMUM NUMBER OF HOLES AND TOTAL MAXIMUM WEIGHT OF CHARGE PER SHOT; AND DATES OF BLASTING OPERATION. \)~\.l\ ~ "-J ~ bl~~-\-~D~ s,\\c.:.. j\l\~~s E~~~\'..~~ \J~S-\~""c.c- , J Cc.Do' --\-~ ~~ ~ PI-~~t:.x lDJ 6e:.c ~ + -'7 ~ s "' .... ~~ ~ '7 =+t: . \r\~l"-e-~t:::>D ?~.11-S\....,c.~ &e~~~ C~t:\.4.~e... ~ c..~ ~"" ~ ,~~ ~'-... t...\c..c..e.e.~ ~~ 35 SC-.A\e.c:l c\...'\s-\.\f'<.'''',-",--DAr~~ f:-JL4 --\-\.-."'-- '%-3D-O<..:> I HAVE READ AND UNDERSTAND THE CITY OF CARLSBAD ENGINEERING DEPARTMENT'S BLASTING POLICY AND AGREE TO ABIDE BY ITS PROVISIONS. ~~~~ ~l"~~~\z<rJ\ ~-\q-c::::>~ SIGNATURE OF APPLICANT DATE P:\DOCS\MISFORMS\FRM00066 REV 01104/93