HomeMy WebLinkAbout2735 CAZADERO DR; ; RW000151; Permit1• NR-O8-2OOQTNON 1Q:54.AM CITY OF CARLSBAD FAX NO. •76O6O2 8558 P".,05 0 -
CITY OFCARLSBAD - ENGINEERING DEPARTMENT
APPLICATION
:.RIGHT-CF- . AY PER iO M1TAPcT.N -
JOB ADDRESS: 27 75 4 qSeo
NEAREST CROSS-STREET. r,'a
- ASSOCIATED PROJECT-NO.
ASSESSOR PARCEL NO(S
DRAWING NO (if "applicable):
BRIEF DESCRIPTiON O WORK #.7,Y
PROPOSED START DATE ESTIMATED COPLETION DATE
—R
M
CgNT ACTjcPeee
NAME (Print or.Type) i5'e?Z
CONtACT,,PERSON.
MAILING ADDRESS:Trr .
HONE NUMBER;
24 HOUR 8q3
STATE CONTRACTOR'S LICENSE NUMBER:
STATE CONTRACTOR'S LICENSE TYPE —
CITY OF CARLSBAD BUSINESS UCENSE NUMBER 3 ?
By its signature beIOW, permittee agrees to indemnify hold harm1e55, and df end the City of Carlsbad or
its officers or employees from all claims, damage or liability to persons or property ansing from or
caused by ari activity or work done pursuant to this permit uniess'4the damage Of liability was caused by
the sole active negligence of the City or .its officers or employees This agreement is a condition of the
issuance of a -rlght-of-y permit.. .-
DATE
rim must aóear. on this application, the Cash Security Agrerr%eflt and th e requóst for
us . . .
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rr '-- rtd as the PeTTThtt r fu -s
- MAR 3 1 2000 .
ENG1NEING -
DEPARTMENT••
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