HomeMy WebLinkAboutADJ 01-06; BOUNDARY ADJUSTMENT; Engineering ApplicationS
CITY OF CARLSBAD - ENGINEERING DEPARTMENT
APPLICATION
FOR ENGINEERING PLAN CHECK OR PROCESSING
Complete all appropriate information. Write N/A when not applicable.
PROJECT NAME: A9tA,.'i, j-vA- o4-,2' , rIi I46ATE: q. 1(9 .o
PROJECT DESCRIPTION: 840 p/7IaelLs
PROJECTADDRESS: 4t.4,i,rj, i24i I Z-oö
13a
-
LOT NO(S).: MAP NO.: 002jeq APN(S).:
NO. OF DWELLING UNITS: z- LFMP ZONE: # LOTS: 3 # ACRES: I
OWNER: APPLICANT: "e;-'
Mailing Address: Z7t{ ,qeL ov> Mailing Address: 7,7z f
,46S zrA$ o
Phone Number: (7t'.() ) $ - 2- ? 2- Phone Number: (76d ) - 2. 3 2—
I certify that I am the legal owner and that all the above
information is true and coK ct to the best of my knowledge
Signature Date
______
Date Signature
&9;9
5'-,V (o /a 1>&ejL .fl,7 Xv SOILS ENGINEER:
Firm: 4,u o g,1,vLeM4 Firm:
Mailing Address: 44p '17 r'?,p,1.'. S',i2.. /4/i ''D5 Mailing Address:
Phone Number: (760) 7,.0 - Phone Number: (
State Registration Number: 4$ 4306 State Registration Number:
ADDITIONAL COMMENTS: 3,rzi )s6 1-7 I-i"-
IMPROVEMENT VALUATION
What wat ose roject located in? (circle one)
Carlsbad Municipal Water Distric Olivenhain Vallecitos
If in the Carlsbad Municipal Water District, what is the total cost estimate, including the 15%
contingency fee, for water and reclaimed water improvements (if applicable)? $
What is the total cost estimate, including the 15% contingency fee, for sewer (for Carlsbad
Municipal Water District only), street, public (median) landscape and irrigation, and
drainage improvements (if applicable)? $
What is the total cost of landscape and irrigation improvements on private property (if applicable)? $ q'
GRADING QUANTITIES
cut cy fill j cy remedial -ô cy import/export ,.D' cy
H:WOROIDOCS/MISFORMSIAPPLICATION ENG PLANCHECK OR PROCESSING b" C I - REV. 10106199
S
APPLICATION FOR
(/ all that apply)
FOR CITY USE ONLY
Plancheck
Number e L Ty
j
P
Drawing
Number Project I.D.
Deposit/Fees
Paid
Ia'$justment Plat ADJP
U Certificate of Compliance COO
U Dedication of Easement DOE
Type:
Type:
U Encroachment Permit ENCROACH
U Engineering Standards Variance ESV
U Final Map FM
U Grading Plancheck GRPC
U Grading GRADING
U Improvement Plancheck iPC
U Parcel Map PM
U Quitclaim of Easement QUITO
Type:
Type:
U Reversion to Acreage RTA
U Street Vacation SW
U Tentative Parcel Map MS
U Certificate of Correction CCOR
U Covenant for Easement COVE
U Substantial Conformance Exhibit SCE
APPLICATION
MASTER PROJECT ID
RECEIPT NUMBER
PRELIMINARY SIERRA SYSTEM INPUT INITIAL
SIERRA SYSTEM INPUT INITIAL
R BASE INPUT INITIAL
MASTER FILE NUMBER F
U OTHER:
RECEIVED
APR 252001
ENGINEERING
DEPARTMENT
DATE STAMP.
APPLICATION RECEIVED
DOCS/MISFORMS/APPLICATION ENG PLANCHECK OR PROCESSING REV. 10/06/99