HomeMy WebLinkAboutSA 23; DOW STEREO; Satellite Antenna Permit (SA)}
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SATELLITE ANTENNA PERMIT
~ocation (Address) of Satellite Antenna
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~(P{1f E L C'AtiLt!JO £€J+L C tPne.LS BfI-{) ) elf 9.?.t)og'
Assessors Parcel Number
Zone General Plan Existing Land Use
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Owner J . A!>!'.iicant -.
Name (Print or Type) Name (Print or Type)
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Mail ing Ad,dress Mail ing Address
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Ci ty and State Zip Telephorie City and State Zip Telephone,
SfttJ DI[~D CA-19;;//S d2f3~b36f
t CERTIFY THAT I AM THE LEGAL OWNER AND I CERTIFY THAT I AM THE ~R'S REPRESENTATIVE
THAT ALL THE ABOVE INFORMATION IS TRUE AND THAT ALL THE ABOVE INFORMATION IS TRUE
AND CORRECT TO THE BFST OF MY' mOWLEDGE. AND OJRRECT TO THE BEST OF MY KNOWLEDGE.
7h7f~ DA~~A SIGNATURE DATE
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bate APP7~~? lfeceived By JO~ Fees R.:;?Ed Receipt No.
~ate Application Rec'd Staff Assigned I Case Number ~ ~ -S4#.-»d
Specific Requirements
1. Two (2) copies of ~ite plan showing:
cross sections showing adjacent properties and. streets
~ distances between buildings and/or structures and satellite antenna
building setbac'ks (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
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• CITY OF CARLSBAD ..
1200 ELM AVENUE CARLSBAD, CALIFORmA 92008
438·5621
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ACCOUNT NO. ) DESCRIPTION AMOUNT
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RECEIPT NO. 82401 TOTAL I I
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