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HomeMy WebLinkAbout1357 MAGNOLIA AVE; ; 62-4199; Permit. . . APPLICATION FOR BUI DING PERMIT 4199 ✓ CITY OF CARLSBAD -BUILDING INSPECTION DIVISION PHONE PArkwey 9•1181 • Ext. 36 Owner Name ..... }.1.e.f.e.4./£.. ......... Gle.1v...1:h .................... Mailing Address ............... C .. &.~.J.:.76./..../✓. ~~# ( Please Print) ( Last) ( First) ( Middle) Number /' Street ~! Phone Contractor ............ D. ... ~ ........................................................ Meiling Address .................... ~ ................................. .. ( Please Print Number Street City Phone To Construct O To Add To Altar O To Repair O To Convert O To Move From ............................................................ .. J\ A<J<Jress / / Type of Const. Kind of Foundation ...... ~.( .... No. of Stories ....... / .... To Ba Used for .~ .. §.!J..Cf. .. L. ........... .. (Fame, Ma o y, .) (One Family Dwelling, Store, Etc.) Floor Spece of Proposed Construction (sq. feet) ...3. ... l?..-7-(.~~~~~~·~··~t, Valuation $ ....... ~ •• f~//3"'~···~··· ........................................... .. Floor Spece of Garage (sq. feet) ................. // .. ~.¥-, ........... detached OConst, Valuation $ .... (.. ..... : ..................................................................................... . LEGAL DESCRIPTION ................................................................................................................................................................................................................................ .. Lot Block Subdivision LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ................................................. (INDICATE :1::•IT~~:;ND L~~;~~L~~.~~~:~.: .. ~ILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION, If a check is tendered for p·ayment of the above fee and the check is not honored when presented for payment, your Building Permit will be immediately revoked. SIGNATURE OF PERMITTEE .............................................................................................. .. / A Front Yard Set Baek .............. ¢,.O ............ f.1JN .............. .. 7 <-/ ,._.,.,-/ Sida Yard Set Baek .............. Lr...!ld ............................................ .. Driveway Permit Required Yes ( ) No (~Fee ..................................... . Grading Permit Required Yes ( ) No ( ~ ............................................... .. Rear Yard Sat Baek ........... .J.3 ... ~ ................... ~ ........... .. Sewer Disposal Plant Capital Cont. Fee ................... .. ............................................ .. /& r <-----Distance Between Bldg. ...... . ................................................... . Sewer Pumping Station Capital Cont. Fee ............................................................... .. Off Street Parking Spaces ........... !. ............................................ .. Sewer Main Line Cost .................................................................................................... .. Sewage Disposal System ......... t!t." ............................................ .. Sewer Lateral Connection Charge .............................................................................. .. Zone • Residential ( / ) .......................................................... .. Water Stocked Lands Charge ...................................................................................... .. Zone • Commercial I ......................................................... . Water Main Pipe Line Fee ........................................................................................ .. Variance Water House Service Charge ...................................................................................... . Eng. Cheek By .............................................................................. .. Water Meter Charge ...................................................................................................... . Sub Total ................................................................................... ..