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GRADING PERMIT APPLICATION
Application Date __________________
1. Site Address:
OR
Lot & Subdivision:
2. Applicant:
Address:
City: State Zip
Work Phone: Home Phone:
3. Contractor:
Address:
City: State Zip
Work Phone: Home Phone:
4. Project Description:
5. Does this project involve grading of 500 cubic yards or more? _____Y _____ N
Grading of 500 cubic yards or more requires an engineered grading plan, prepared and certified by
a civil engineer. At the completion of grading, the civil engineer preparing the plan must inspect
and certify that the project is completed according to the grading plan.
Contact Person:
hisbldg/applicgrd.doc