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HomeMy WebLinkAbout1767 BUTTERS RD; ; 63-5249; PermitCITY OF CARLSBAD - BUILDING INSPECTION DIVISION PHONE PArkway 9-1181 - M. 36 a ..... Mailing Address (Please Print) Number Street City Phone ud..m.v Mailing Address ...- Street .! City Phone Contractor -..-..- -- (Plea rint) Number .......... ................. ..... ................................................. ................... To Alter 0 To Repair 0 To Convert 0 To Move From .............................................................. of Foundation .........k .uo. of Stories ....../!..... To Be Used for F noor Space of Proposed Construction (sq. feet) ...#.sq ........ - ....... Const. Valuation $ ....... #.dz+ ....... Floor Space of Garage (rq. feet) ................................................. detached UConst. Valuation $ ............................................................. ....._....... . ._-......-.- -.-... LEGAL DESCRIPTION ................................................................... ................... ...._..............._.______________.___.... ............................................................................. ........._..- .... Lot Block Subdivision ..................................................... attached or ................................................................. ..................... ...................................... Section .................................... Township ............................ Range .......................... Located a) / ......................... 7 k 7 &e. ..//%..Street, Near ............................................................................................. .........._..-... LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE .................................................... [INDICATE SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR ADDITION? YES ................ NO I HEREBY ACKNOWLEDGE THAT I WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. If a check is tendered for payment of the above fee and the check is not honored when presented for payment, your Building Permit will be SIGNATURE OF f7 C1-B immediately revoked. Assigned House Number THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PERMITTEE ,.# ../%.......... .......&.. Front Yard Set Back Side Yard Set Back Rear Yard Set Back Distance Between Bldg. Off Street Parking Spaces .......................................................... Sewage Disposal System .............................................................. Zone . Residential ( ) .......................................................... Zone . Commercial ( ) ......................................................... Variance Eng. Check By i ................................................................................ Driveway Permit Required Yes ( ) NO ( Grading Permit Required Yes ( ) NO ( ) Sewer Disposal Plant Capital Cont. Fee ............. Sewer Pumping Station Capital Cont. fie ........... Sewer Main Line Cost ............................................... Sewer Lateral Connection Charge ................... .-... Water Stocked Lands Charge ................................. Water Main Pipe Line Fee ..................................... Water House Service Charge ................................. Water Meter Charge .......................................................... ............................................. Sub Total ................................................................................... .- 2' I I ......... ................. .......................... Plan Check Fee F"b'.-- - .................................... / Permit Fee ...c ................................................................................... 6-Q Approved by / ................... .................................... Total Charges .s ........................................ ..-