HomeMy WebLinkAboutSA 21; TREVASKIS; Satellite Antenna Permit (SA)SATELLITE ANTENNA PERMIT
~ocation (Address) of Satellite Antenna
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,} Assessors Parcel Number
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Zone General Plan Existing Land Use
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Owner Applicant
Name \(print or Type) I Name (Print or Type)
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Mailing Address Mailing Address
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City and State Zip Telephone City and State Zip TeleI?hone
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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 BEST OF MY KNOWLEDGE. AND CORRECT TO THE BEST OF MY KNOWLEDGE.
SIGNATURE DATE SIGNATURE DATE
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Date Application Rec'd Rece'iveC1 By Fees Received Receipt No.
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Date Application Rec'd Staff Assigned Case Number
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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 • $ 25 .00 Fee
e CITY OF CARLSBAD e:
1200 ELM AVENUE CARLSBAD, CALIFORNIA 92008
438·5621
ACCOUNT NO. DESCRIPTION
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RECEIPT NO. 72-348 TOTAL
AMOUNT
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