HomeMy WebLinkAboutPR 4.53; STADNYK RESIDENCE; Engineering Application• cnv oF cARLsaAo a 44a3 H; ~k\.J A:v<-. ENGINEERING DEPARTMENT W U ABOVE GROUND ENCROACHMENT PERMIT APPLICATION
PERMIT NO.~~!~;~~~~ I PROJECT NAME LJJ Co12sfrue.ih _ Si tJ,,
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LOCATION oF PROJECT: oN THE I 1JE5r I srDE oF /-J...:r:Gf-/-MND l) .
(NORTH, SOUTH, EAST, WEST)
BETWEEN I Hoova . rl ffDA-t1s
(NAME OF STREET)
(NAME OF STREET)
I AND I.___._H.:.=J>...L..A:u...lV~15:;;_,_..;__,_ _____ ---...J
(NAME OF STREET)
ASSESSOR PARCEL NO(S). )r---,:J..-o-~-/-8._tJ_'t_t/_O_o __________ ---,
BRIEF DESCRIPTION OF ENCROACHMENT:
N:D £X.IST _L// J).J?.rv
,fJ LONG />l<.DPE TY OtJ#TAG -
REASON FOR ENCROACHMENT: I · coMJ> L:rA)lc.£ w.:rTIJ .;2 e0v.r;:1&M£Nrs a y
OWNER APPLICANT
NAME (PRINT OR TYPE) NAME (PRINT OR TYPE)
51+£1-DoAI I f'An .rc..r.A. STA-» >T:AJ> )./Y,
MAILING ADDRESS MAILING ADDRESS
. t/V? f/::rG/-fLlt)ID DA. SAHE"
CITY ANO STATE ZIP TELEPHONE CITY ANO STATE ZIP TELEPHONE
A L..5 ~tJCJff ~ -'69 5' A
FOR CITY USE ONLY
TOTAL FEE .REQURIEDf=r:,... ..... 5 ___ -D-~-0 -0---,
DAT[ FEE PAIDk .!o el q,
RECEIPT NO. I B& ~ f,
RECEIVED BY.:
11 ,.,9.0,, NOV 19 1991
CITY Of CARLSBAD
..._ ___________________________ J
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