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CITY OF SANTA ANA <br />-- GRADING PERMIT APPLICATION WORKSHEET <br />PLEASE PRINT <br />PROJECT ADDRESS: <br />PERMIT #: 5 ok 0 �51 <br />LEGAL <br />DESCRIPTION: LOT: <br />BLOCK: <br />TR: AP#: <br />JOB DESCRIPTION: <br />PROPOSED USE: <br />TYPE OF PERMIT: <br />❑ ROUGH -NO BUILDING PERMITS TO BE ISSUED UNTIL A PRECISE <br />❑ PRECISE -BUILDING PERMIT MAYBE ISSUED AFTER ROUGH <br />GRADING HAS BEEN APPROVED. <br />NUMBER OF CUBIC YARDS: CUT: <br />EXPORT: <br />BORROW FILL: <br />NATURAL FILL: <br />TOTAL CUBIC YARDS: <br />CONTACT PERSON: <br />� C' �" <br />PHONE NO.: 7� 7 �� O M 9 <br />OWNER: <br />PHONE NO.: <br />ADDRESS: <br />CITY & STATE: <br />SOILS ENGINEER: <br />PHONE NO.: <br />ADDRESS: <br />CITY & STATE: <br />CONTRACTOR: <br />PHONE NO.: <br />ADDRESS: <br />CITY & STATE: <br />STATE LICENSE #: <br />LICENSE CLASS: <br />LICENSE #: <br />OFFICE USE ONLY: <br />FLOOD ZONE: YES NO (please circle) FLOOR ZONE #: <br />ON SITE WATER & SEWER: <br />YES NO (please circle) <br />STORM DRAIN: YES NO (please circle) <br />PLANNING APPROVAL: <br />DATE: <br />GRADING APPROVAL: <br />DATE: <br />GRADING FEE: <br />7 <br />$ 73 <br />ib OO <br />FA-LEDERCLEA�1WATER <br />IMPROVEMENTS: <br />$ l . <br />ENTERPRISE FEE (SUBTOTAL X .26) �� I <br />/ <br />zZ <br />Fund No. 57-01-5499-77 $ <br />SUBTOTAL: <br />$ J ` <br />3 � � <br />MICROFILM: $ <br />Q <br />3 —70 <br />ISSUANCE: <br />$ l - <br />TOTAL: <br />$ ( - 4 S <br />G} <br />GRAND TOTAL: $ <br />App for Grading PermiURevised 02/23/23 <br />