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HomeMy WebLinkAboutPR 4.42; PONTO BEACH ENCROACHMENT; Engineering Application~..,., ' ---- CITY OF CARLSBAD A ENG I-NEERING DEPARTMENT 6 All'JE GROUND ENCROACHMENT PERMIT IWLICATION ,., .. _.,-.--------------:------------------- PERM IT NO· ...... I _f'---'"---· _4 ....... ,4.......;-Z..~___, PROJECT NAME I PONTO BE.ACH OF s. CARLSBAD STATE BE4CH LOCATION OF PROJECT: ON THE WEST (NORTH, SOUTH, EAST, WEST) BETWEEN I LA COSTA AVENUE (NAME OF STREET) I SIDE OF I CARLSBAD BOULEVARD (NAME OF STREET) I AND I POINSETTIA LANE (NAME OF STREET) ASSESSOR PARCEL NO(S).,216.,..041-23'ana 216-041-25 BRIEF DESCRIPTION OF ENCROACHMENT: I ENTRANCE_ AND EGRE~S CONNECTION TO CARLSBAD BOULEVARD AND PROVIDE PLANTING OF NATIVE ~LANTS ALONG wtsT SID~:. OF CARLSBAD BOULEVARD REASON FOR ENCROACHMENT: I TO PROVIDE' ACC~S~ Tb NEW _PARKING LOT AT PONTO BEACg, SOUTH CARLSBAD STATE BEACH OWNER APPLICANT · NAME (PRINT OR TYPE) .NAME (PRINT OR TYPE) CA DEP~RTMENT OF PARKS & RECREATION GRANT JENSEN MAILING ADDRESS MAILING ADDRESS P. O. BOX 942896 P. O. BOt 942896 CITY AND STATE ZIP SACRAMENTO, CA 94296-0001 TELEPHONE CITY ANO STATE ZIP TELEPHONE (916) 324-21 4 SACRAMENTO, CA 94296-0001 I CERTIFY THAT I AM THE LEGAL OWNER ANO THAT I CERTIFY THAT I AM THE OWNER'S REPRE-ALL THE ABOVE INFORMATION IS TRUE ANO CORRECT SENTATIVE ANO THAT ALL THE ABOVE TO THE BEST OF MY KNOWLEDGE. . INFORMATION IS TRUE ANO CORRECT TO SIGNATURE DATE THE BEST·OF MY KNOWLEDGE. SIGNATURE DATE ~ 3/28/91 FOR CITY USE ONLY TOTAL FEE REQURIEDj Lmi'ted. ?j CXLvtfl-tkuJ~r . DATE PEE PAIDI -0 I RECEIPT NO. I -9-I RECEIVED BY: Page: 6