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_i2i>REFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBYJNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THEFIONS ARE TRUE AND CORRECT AND 1 FURTHER CERTIFY AND AGREE IF A PERMIT ISO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-Pf!f
n. Every permit issued by the Building Official under theexpire by Hmitatipn and become null and void. If theby such permit is not commenced within 180 days fromif the buildina or work authorized by such permit iat any time after the work is commenced for a periodDrovisionsofthisauilding or workthe date of suchs suspended orol 180 davs.* AN OSHA PERMIT5' 0" DEEP AND DESTRUCTURES OVES REQUIRED RMOUTION OR (R 3 STORIES IN3R EXCAVATIONS OVECONSTRUCTION OFHEIGHTX
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INTERDEPARTMENTAL INFORMATION SHEJUECEIVlgP
BUILDING DEPARTMENT
BUILDING ADDRESS: 1^85
A.P.N:
CITY Off CftHiJB
C.T:Building
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PLANNING DEPARTMENT
ZONE: A^/ SCHOOL FEES: SAN DIEGUITO__ SAN MARCOS_
CARLSBADENCINITAS
UNITS REQ'D:PROVIDED:
COVERAGE ALLOWED:
PARKING SPACES REQ'D:_
BUILDING HEIGHT REQ'D:
FRONT SETBACK
ALLOWED:
_. PROVIDED:
PROVIDED:
PROVIDED:
SIDE SETBACK 'REAR SETBACK
PROVIDED:
INTRUSIONS:
/is:
RE-DEVELOPMENT APPROVAL REQ'D:
LANDSCAPE $ IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ
ADDITIONAL COMMENTS:
OK TO ISSUE:DATE:OK TO FINAL:DATE:
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ENGINEERING DEPARTMENT
R.O.W: IMPROVEMENTS:
PUBLIC FACILITIES FEE:SEWER CONNECTION
DRIVEWAY LOCATION(S):
GRADING PERMIT:
EASEMENTS:DRAINAGE:
LEGAL DESCRIPTION:
ADDITIONAL COMMENTS:
REQ'D. ON FINAL:
OK TO FINAL:
*CHECK IF ENGINEERING INS
OK TO ISSUE:
DATE:
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FINAL INSPECTION.