HomeMy WebLinkAboutSA 20; RALPH & EDDIES; Satellite Antenna Permit (SA)SATELLITE ANTENNA PERMIT
ocation (Address) of Satellite Antenna
Assessors Parcel Number
JR cBD
Existing Land Use
1(c1 ~ A fcJdre.s
Zone General Plan
Owner A licant
Name (Print or Type) Name (Print or Type)
Mail ing Address
Ci ty and State Zip Telephone Zip
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 ~OWLEDGE. AND CORRECT TO THE BEST OF MY KNOWLEDGE.
SIGNATURE DATE
. Date Application Rec'd Received By
:2-AcZ!t7 /3)1 7:<7 g-o
Date Application Rec'd Staff Assigned Case Number a A :/1==.;>. 0
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
------
CITY OF CARLSBAD
1200 I:LM AVENUE CARLSBAD, CALIFORNIA 92008
438·5621
ACCOUNT NO.
.RECEIPT NO. 7:2 780
DESCRIPTION
W I
........-' I. ,il). /i.'1 "
TOTAL
AMOUNT
I . . I .' Lo' r;.1 I_~ . -'-;;; t