HomeMy WebLinkAboutSA 12; CROWLEY; Satellite Antenna Permit (SA)• •
SATELLITE ANTENNA PERMIT
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~ocation (Address) of Satellite Antenna
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Assessors Parcel Number
20:i 3 ~-Lf 6 j-no
Zone Gener al Plan Existing Land Use
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Owner APplicant
Nmqe (Print or Type) Name (Print or Type)
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Mailing Address Mailing Address
'2.'1.2. S' J £ FFEf'250 f.J ,T, '1-9'2..~ \ J {i. r n~ 12.S 0 N' 5! .
City and State Zip Telephone city and State Zip Telephone
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(,/+~L..s fJAP GA. 72. D 08""
72-9
'7"'2. ~ CARLS 8/fO eli. 'J')..DOrr . <t'6 "'2_ r
I CERTIFY THAT I AM THE LEGAL OWNER AND I CERTIFY THAT I AM THE OWNER'S REPRESENTATIVE
THAT ALL THE ABOVE INFORMATION IS TRUE AND THAT ALL. THE ABOVE INFORMATION IS TRUE
AND CORRECT TO THE BFST OF MY RNOWLEDGE. AND <X>RRECT TO THE BEST OF MY KNOWLEDGE.
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SIGNATURE DATE SIGNATURE DATE
:77~ -e)"t0-W~ 0/$/07 ~ rK' .4l.~ L;/1/f7
'Date APPlratiOn Rec'd I" Received By [VFees Received Receipt No.
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~ate Application R6C'd Staff Assigned Case Ntunber '1(-::'/[-7 ..Dc...-~/<f#/c;L
Specific Requirements
1. Two (2) copies of site p+an showing:
cross sections showing adjacent properties and streets
~ distances between buildings and/or structures and satellite antenna
building setbacks (front, rear and sides)
location, height, and materials of walls and fences
2. Two (2) copies of landscape plan showing:
types of plants and their sizes
3. Two (2) copies of elevations showing:
height of satellite antenna, landscaping and/or fence/wall
4 • $ 2 5 • 00 Fee
(t-1);
I CITY OF CARLSBAD •
1200 ELM ENUE CARLSBAD, CALIFORNIA 92008
438·5621
ACCOUNT NO. DESCRIPTION AMOUNT
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RECEIPT NO. 68076
1/,
TOTAL
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1