HomeMy WebLinkAboutSA 98-01; SHUGART; Satellite Antenna Permit (SA)ANTENNA PERMIT
Location (address of Satellite .lA.l'."'"lU/
Assessors Parcel Number:
Zone f)_
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General Plan
f2-L~
Existing Land Use
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Owner MA-TiHEW F SJ..{ (JifAIt:r: Applicant
Name (Print or Type) Name (Print or Type)
Mailing Address 2 f3:J q 5 1'-1 [ (i.. /---/ f-;flY!! () It Mailing Address
City and State
CA t?[58/t-D
Zip
C-4 920cJ(j
Telephone City and State
tf3tf-Z-GfiJ9
Zip Telephone
I CERTIFY THAT I AM THE LEGAL OWNER
AND THAT ALL THE ABOVE INFORMATION
IS TRUE AND CORRECT TO THE BEST OF
MY KNOWLEDGE.
I CERTIFY THAT I AM THE LEGAL OWNER's
REPRESENTATIVE AND THAT ALL THE
ABOVE INFORMATION IS TRUE AND
CORRECT TO THE BEST OF MY
KNOWLEDGE.
DATE
SIGNATURE
ARplication Received By Date St~lfHItlFA"fi1'l'l''''''·-Received
U.
Project Number
JAN n 8 199R
CITY OF CARLSBAD 't8~1 P
Specific Requirements
1. Three (3) copies of site plan showing:
~ross sections showing adjacent properties and streets
vdistances between buildings and/or structures and satellite antenna
building setbacks (front, rear and sides)
location, height, and materials of walls and fences
address and APN
location of existing slopes
location of existing easements, public and private
location of drainage structures
2. Three (3) copies of landscape plan showing:
types of plants, quantity of each species, and their sizes
3. Three (3) copies of elevations showing:
height of satellite antenna, landscaping and/or fence/wall
4. See current fee schedule for amount.
FRM0008 8/92
DATE
Receipt No.
qqL(?~
Fees Received
Page 1 of 4
.. CITY OF CARLSBAD ..
1200 CARLSBAD ~LAGE DRIVE CARLSBAD, C":IFORNIA 92008
434-2867
91ft/'''
\ VI ~t. n" -.4 1)1 --' W ..... REC'OFROM ___ ~'/~JJ~·l_L_-L~"Ld=-~==~ __ ~7_' __ ~_.~Vl_{_,{·~<O~.=/~=-_________ DATE, __ ~~/_-~/=-~_-_·~/=8 __ U -
.
ACCOUNT NO. DESCRIPTION AMOUNT
('I PQh 'nv .. :1 <~A q'¢. Of .... , .' o· . <10 l--
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;!i:JEi~ 01/09/'18 0001 01 t)2 I
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RECEIPT JNO. 4\9~92 NOT VALID UNLESS VALIDATED BY TOTAL (j() 1---* Printed on recycled paper. CASH REGISTER