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CITY OF SANTA ANA <br />GRADING PERMIT APPLICATION WORKSHEET <br />PLEASE PRINT <br />PROJECT ADDRESS: �(, �iG-zov� (k PERMIT #: <br />LEGAL <br />DESCRIPTION: LOT: <br />JOB DESCRIPTION: <br />PROPOSED USE: <br />TYPE OF PERMIT: <br />ZL BLOCK: TR: I f7v AP#: <br />p.) S L� i��afCe jt;i}`t� �Gi1 C'0� l rit4dcb'v� <br />❑ ROUGH -NO BUILDING PERMITS TO BE ISSUED UNTIL A PRECISE <br />GRADING PERMIT IS ISSUED. <br />❑ PRECISE -BUILDING PERMIT MAYBE ISSUED AFTER ROUGH <br />GRADING HAS BEEN APPROVED. <br />NUMBER OF CUBIC YARDS <br />BORROW FILL: <br />CUT: <br />NATURAL FILL: <br />EXPORT: <br />TOTAL CUBIC YARDS: <br />CONTACT PERSON,: <br />�i��Uw[� <br />PHONE NO.: <br />OWNER: C kAftyI <br />�G �Y� <br />PHONE <br />NO.: <br />ADDRESS: � Z� <br />�rt �i'r� <br />CITY & <br />STATE: S67phfx /kn�; CA lil <br />SOILS ENGINEER: <br />o <br />; ,� S �j�� <br />PHONE <br />NO.: �� LI/� - - �� 3 <br />ADDRESS: �I <br />tl.� PO <br />Ave-, <br />CITY & <br />STATE: <br />CONTRACTOR: <br />PHONE <br />NO.: <br />ADDRESS: <br />CITY & <br />STATE: <br />STATE LICENSE #: <br />LICENSE CLASS: <br />LICENSE #: <br />OFFICE USE ONLY: FLOOD ZONE: YES NO (please circle) <br />ON SITE WATER & SEWER: YES NO (please circle) <br />FLOOR ZONE #: <br />STORM DRAIN: YES NO (please circle) <br />PLANNING APPROVAL: DATE: <br />GRADING APPROVAL: DATE: <br />GRADING FEE: S <br />IMPROVEMENTS <br />SUBTOTAL: <br />ISSUANCE: <br />TOTAL: <br />FEDERAL CLEAN WATER <br />ENTERPRISE FEE (SUBTOTAL X .26) <br />Fund No. 57-01-5499-77 $_ <br />MICROFILM: <br />GRAND TOTAL: <br />App for Grading Permit/Revised 02/23/23 <br />