none, Plans only - Install trellises, Application. e
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City of_ Roiling Hills
IMPORT OF TOP SOIL FOR LANDSCAPING
Soil may be imported for landscaping only without a Construction and Demolition Permit. The hauler must fill out an
exemption form. Staff to beinformed when said activity is taking place, as verification by staff may be necessary
Property Owner(s) (7////5- %//17— � iL2 Z �/U � Cf
Address(es) i/A/E/G� Gi• Gv �S� /��v/1 �(�� /f
Phone No(s).L1/0 / c—f-// -2 7 /
Reason(s) for import soil. Has landscaping commenced? Location on the property?
ADDRESS
Where soil is proposed to be moved FROM
ADDRESS _�`: '� 1� / /e f-/i/�1/�//f�/v 4.z7)C'//
Where soil is to be moved TO
AMOUNT of soil to be moved (cu.yds.): /c
HOW MUCH dirt/top soils was moved onto site previously for similar work (cu.yds.) c-5f e/(. /A S .
AREA of site where the dirt is to be placed (square feet) /,(2 t / � .
//%I�G'420 f� / N .
DEPTH of area to be covered (in inches)
WORKING AT THE JOB SITE: The City Building Inspector/staff may verify the amount of soil to be moved. You must
notify City staff should there be deviations or corrections in the field to modify the approved import/project.
The above import of dirt is for landscaping and backfill of planters and it will in no fashion change the topography or
contours of the area on which it will be placed.
I understand and agree to abide by these requirements.
oily/"7 /Ur'T/�)"/J-����
Date 7 f Owner/Appli�y Date Contractor/Applicant's Agent / License No.
X)/-60 7,/
Import of dirt
2014
• •
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APPROVED:
/-1143-/i/
DATE ` ` I
CONDITIONS:
CITY MANAGER OESIGNEE
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Import of dirt
2014
INSTRUCTIONS FOR REQUEST TO IMPORT OF DIRT FOR LANDSCAPING
• Submit the attached form
• Submit additional sheets if necessary to detail the project
• Staff and/or Building Inspector may verify the amount of dirt requested to be
moved and the location
• Staff may determine that the request constitutes grading and therefore Planning
Commission review may be necessary
• Building and Safety Dept. review and permit may be required
Import of dirt
2014