HomeMy WebLinkAboutSA 13; DALPHIN; Satellite Antenna Permit (SA)r;
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SATELLITE ANTENNA PERMIT
ocation (Addres~) of Satellite Antenna
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b -?./5-6 -'38"-00
Assessors Parcel Number
Zone GeneraJ. Plan Existing Land Use
Owner A licant
IName (Print or Type) Name (Print or Type)
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Mailing Address Mailing Address
City and State Zip Telephone City and State Zip Telephon~ a /'77-! Ct4i?l..SBA0 t!A-l..r;::.' /).00') Lf'38-'i3;l CJC€f.H'...lSfD~ '/I 7;20 Cfc.!.if,() l
I CERTIFY TTl AM THE LEGAL OWNER AND I CERTIFY THAT I AM ThE OWNER'S REPRESENTATIVE1
T'F1A'1.' ALL THE ABOVE INFORMATION IS TRUE lAND THAT ALL THE ABOVE INFORMATION IS TRUE ~!.
AND CORRECT TO THE BEST OF' MY I\1'-l'OWLEDGE. AND CORRECT TO THE BES,:!;, OF MY KNOWLEDGE. I
DATE I . DATE
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Date Applicatio Receipt No.
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Staff Assigned Case Number S-A#-I~
Specific Requirements
1. Two (2) copies of site plan 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
e CITY OF CARLSBAD I
t200 ELM AVENUE CARLSBAD, CALIFO. IA 92(;)08
438·5621
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ACCOUNT NO. DESCRIPTION AMOU.NT
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I .. .. ;S ~. 1 ('>0 RECEIPT NO. 681 64 TOTAL 1,.../ I
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