HomeMy WebLinkAboutSA 15; ECONOMY INNS; Satellite Antenna Permit (SA)'. '
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SATELLITE ANTENNA PERMIT
lLocation (Address) of Satellite Ant'enna 70'/ fi/A/7fEE £/,@j//
Asses'sors Parcel Number
&/4-L/~o -c:J:1
Zone Gener al Plan Existing Land Use
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Owner Applicant
Name (Print or Type) Name (Print or Type)
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Mail ing Address Mailing Address
;77/;3 J4f L// /4 M-d'/£ ;# .;7?J.L/ -:?"d/W"E
ci ty and State Zip Tele~hone __ City and State Zip Telephone &:/9," ."y~ -777 ~ --54,#'E £?EL~£I 04. 9~t?C:;;7
I CERTIFY THAT I AM THE LEGAL OWNER AND I CERTIFY THAT I AM THE OWNER'S REPRESENTATIV~
THAT ALL THE ABOVE INFORMATION IS TRUE AND THAT ALL THE ABOVE INFORMATION IS TROE
AND CORRECT TO THE BFST OF MY mOWLEDGE. AND OJRRECT TO THE BEST OF MY KNOWLEDGE.
S~ DATE SIG~ DATE
v./? f-If-87 v. --~tR'1' ) &? Wteh~ 5-/$-87
Date Applipation Rec'd Received By Fees Rece~/ ~eceipt No.
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pat'e Application Rec' d Staf'f Assigned Case Number
CZJ Afflt!J
Specific Requirements
1. Two '(2) copies of site plan showing:
cross sections showing adjacent properties and streets
distances between buildings and/or structures ana 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, l,andscaping and/or fence/wall
4. $25.00 Fee
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,,_ CITY OF CARLSBAD ..
1200 ELM AVENUE CARLSBAD, CALlFOR~ 92008
438.5621
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RECf~D FROM '::-'(11'} ( t~, ltV-. . ...
ACCOUNT NO. DESCRIPTION 0021 05/3.4
.. ~-... • ~ $"'.:'!<.--• --.'" . -
SID -(.;,-,I~{) 'J-',~ -t< 'f (tit I, , ~. .t_ .. _ . 1._ ,-,
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RECEIPT NO. 7271 0 TOTAL
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