Job Address:
Legal Description Lot(s ):
Import: cubic yards Export: cubic yards
From: 7R:
Loaded Truck Route:
Empty Truck Route:
Location of Staging Area:
Max Number of Trucks Staged:
Type of Truck: Bottom Dump 10 Wheeler Dump 5-Axle 18-Wheeler Truck and Trailer
Total # of trips per day:
(a)
Total # of hauling days:
MT W T h F
check
Hours: From am To pm
Owner's Name: Phone:
Address:
Applicant's Name: Phone:
Address:
Hauling Contractor's Name: Phone:
Address:
Date
Proposed Hauling Days:
Total Export/Import:
Truck Capacity: Total of cy per day:
street name, onsite, etc
Applicant's Signature Print Name
addressaddress
(a) x (b) = c
City of Lake Elsinore
Department of Public Works
Haul Route Questionnaire
cubic yards (b)
Must be completed for Import/Export over 2,500 cubic yards 130 S Main Street, Lake Elsinore, CA
951-674-3124 fax 951-674-8761
From:
$31
V
7R:
$31
V
29301 Riverside Drive
Tract/Parcel: APN 378-030-035 .
8750
18730 Conard Ave. Lake Elsinore CA 29301 Riverside Drive Lake Elsinore CA see attached map
see attached map
10 20 15 . 300
29301 Riverside Drive Lake Elsinore CA
30 8750 cu yd
84 Ron Kassab
4580 University Ave. San Diego CA 92105
619-654-7534
KARAKI-Western States
4887 E. La Palma Ave. Suite 704 Anaheim CA 92807
714-695-9300
Western States Construction Inc.
4887 E. La Palma Ave. Suite 704 Anaheim CA 92807
02.20.25 714-695-9300
Joseph Karaki
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377-372-040 378-030-007 & 009