HomeMy WebLinkAbout69-16; EL CAMINO MESA UNIT 5 LOT J; Engineering Application-
FOR APPLICANT TO FILL IN .
PR SEN T ZONE TYPE
. .
SITE ADDRESS . . - REMARKS (IDENTIFY SPECIAL USE PERMIT OR OTHER SPECIAL
el •. .
It
ZONING REQUIREMENTS AFFECTING THIS WORK.)
LEGAL DESCRIPTION MAP NO.
SUBDIVISIO, . E .
.
INE [OW
I . NE SURETY SOND . . BOND NO.
'S ADDRESS . 7 rc cIcb4 SURET.Y COMPANY
.
PLANS BY CIVIL ENGINEER . R.C.E. SURETY AOORESS
ADDRESS PHONE DATE FILED . RECD BY
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SOIL ENGINEER R.C.E. PHONE CASH DEPOSIT RECO BY "DATE FILED
746.77. $
GRADING CONTRACTOR STATE LICENSE PHONE . THE FOLLCWING COCUMENTS ARE REQUIRED AND SHALL SECO.IE I._.
PART OF THE GRADING PERMIT I;HEN THEY ARE APPROVED. THE:R SUBMISSION IS WAIVED IF THE ITEM IS CHECKED. _.
ADDRESS .CHECK IF . . . .
SUPERVISED
GRADING . -GRADING PLANS VICINITY MAP
ENGINEER RESPONSISLE FOR OVERALL SUPERVISION R.C.E. _SOIL REPORT . RETAINING WALLS
R L - DRAIN AGE STRUCTURES. E C
PROPOSED USE OF GRADEO SITE . I _COMPACTION REPORT
_SPECIFICATIC%S OTHER' 5LdS ar M#y
NUMBER OF CUBIC YARDS
ON IMPORTED TOTAL SPECIAL.CONDITIOSW(-fICHARE MADE A PART OF TSPER:.iT SITE FILL FILL WASTE CUT FILL
I
coal - .
TED FILLS
YES_L/t -NO
rPROPOSEO SCHEDULE OF-. START • FINISH . . .
ONSDA
Y ACKNOWLEDAE THAT I HAVE READ THE ARRLICAIEN AND STATE T-AT T'E .FOR.IAT:QN I AVE PR VIDEO iS CORRECT
10 SAT=
.- LAWS INC €XCAVAT!NG 3.ADI OTSS AND CONCITIONS OF ANY PERMIT ISSUED PLRSUAN 5 APPLI- CATION.
INSPECTION INSPECTOR'S 5I
:
PLAN CHECK FE! GCRETT
. I
PLAN c:c O'ThIS F-02'.1 OPE_Y A'D TE.) s'C'1 \TJ
Approvcd by _...JbA' IS A P'T TO D. TIE O7-,1)CI.3ED.
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