Is Requestor same person as property owner? YESNO
Proposed Structure Type (click all that apply): Office/CommercialSingle Family Residence(s)IndustrialApartment/CondominiumStreetRetaining WallHousing TractAdditionNew ConstructionOther
Hillside Grading Area: YESNOUNSURE
Known Liquefaction Zone: YESNOUNSURE
Vehicular Access to Lot from Street: YESNOUNSURE
Existing Soil Report: YESNOUNSURE
If Yes, Company and Date of Report:
Notes, Comments, Special Requests: