HomeMy WebLinkAboutSA 25; WILSON; Satellite Antenna Permit (SA)-,... • ......
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SATELLITE ANTENNA PERMIT
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Assessors Parcel
Zone General plan Existing Land Use
owner A licant
Name (Print or Type) Name (Print or Type)
Ci ty and State Zip Telephone Cit~ and State Zip
I CERTIFY THAT I AM THE LEGAL OWNER AND I CERTIFY TPAT I AM THE OWNER'S REPRESENTATIVE
THAT ALL THE ABOVE INFORMATION IS TRUE AND THAT ALL THE ABOVE INFORMATION IS TRUE
AND CORRECT TO ~~E BFST OF MY mO~DGE. AND CORRECT TO THE BEST OF MY KNOWLEDGE. -a.~ J,vrJl..",,-7 &-..P-1-
SYGNATURE .-DAJE. 7 A1~ .
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SIGNATURE
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DATE 7Atr~
Received By Fees Received Receipt No.
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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
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e CITY OF CARLSBAD __
1200 ELM AVENUE CARLSBAD, CALIFORNIA 92008
438·5621
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REC'DFROM _______ /_'~ __ =~~,/~/~/ __ {_,~I-~-(~j_:~ ___________________ DATE __ ~-~--___ ! __ ,_' ~-~/~)_
ACCOUNT NO. DESCRIPTION AMOUNT
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'RECEIPT NO. 82503 . '~9G' v~ <;1-TOTAL I (/'";~ 0'~) I ... "