HomeMy WebLinkAboutSA 26; SOTO; Satellite Antenna Permit (SA)•
SATELLITE ANTENNA PERMIT
of Satellite Antenna ~ocation (Address) 6~oC:> AVENI Oft EAt C IIVA, S'
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......., . Assessors Parcel Number .
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Zone General Plan Existing Land Use ~/-Il1 PI
Owner Applicant
Name (Print or Type) Name (Print or Type)
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Mailing Address ~'-"'~'-'-JiU =,.." .... r Mailing Address
l\'t2'1 VOSE, 57 q/G()'l
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7G'l76(0 44 fVI CNcl LL ENCjtvl+~ s
City and State Zip Telephone City and State Zip Telephone
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I CERTIFY THAT "t 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 mOWLEDGE. AND CORRECT TO THE BEST OF MY KNOWLEDGE.
SIGNATURE DATE SIGNATURE DATE
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Date Application Rec'd Received By Fees Received ~ Receipt No.
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Date Application Rec'd Staff Assigned Case Number /~/P7 ~ SA ~
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
Co
• CITY OF CARLSBAD .'" 1200 ELM AYrNUE CARLSBAD, CALIFOR 92008
438·5621
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!_-_____ -.,-_~~ __ DATE ,/_,J:/ :. I v I , -7 I " ,. j
ACCOUNT NO. OESCRIPTION AMOUNT
1)00;'.: 12101 ( .". -I f"T-' I. ---
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RECEIPT NO. 82377 TOTAL -)' I,C.'C)