HomeMy WebLinkAboutADJ 456; HUFFMAN, MARTIN; Engineering ApplicationCITY O~ARLSBAD -ENGINEERINAEPARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR PROCESSING
PROJECT NAME:..1:.z::! .. ~6&:~~~::._~~~~e~~~qZ£:!.:::!i~
PROJECT OESCRIP;:.ON:. ~ ~ .. ~·t--,
DATE:___,,.,..lr--ff+-.M'-+-t--
PROJECT ADORESS: ~< .62-4'-L ~ t/~~ di
LOT.Noes>.: r--MAP No.: -~;.; Ho-:} -tJ"~~tz.,, tY-<56
Phone Number: C'o/;S?, l ~ z'} 5 -U 02
I certify that l am the legal' owner and that all f~ ionnatlon
is true and cor to the beet of my _knowledge. '"a! .
Firm:
" Mailing Address: 3 s'. Y3 4f,,te _ ~ RA4--a.
~~-C&
Phone Number: ( <;rl,9) ?: Yo JY
State Registration Number: _________ __
LANDSCAPE ARCHITECT: ·---------
Firm: JSLd!:{ tfw~
Mailing Address:
Phone Number:
State. Registration Number: _________ _
APPLICANT:
Mailing Addr ... :
Phone Number: ( ~~ 3 ) °2-hO 7
. .
I certify that I am the agent of the legal owner and that all Information on
thla sh~ la true and correct to the beet of my knowledge.
Signature. _________ D.ate ____ _
SOILS. ENGINEER: '*2--Cz,L. Sc¼: '£a
Firm:
Mailing Addr ... :
Phone Number:
State Registration Number: __________ _
ADDITIONAL COMMENTS: ________ _
NO. OF DWEWN~ 1~1~ifs;il (~ l ~IF,MP-:ZONE:____ NO. OF LOTS:,____ NO. OF ACRES:
IMPROVEMENT ·~~E~t!b~!;~er .. tJf~!. ': reclaimed water:_ _, _ ·--
streets· and drai~age: ""J f'":1 ! ~ : · landscape: ·. water district: ______ _
GRADING QUANTITIES: . _ i c1 t ] 1 cut ----cy fill'-----cy
' -'A. '• • .. ' i i l' ; ~ 11 . i i;.~;c-;1 L: ,1 L-----·--., ... , .. ...t i remedial cy import/export cy
------·--... -----~ ..... ____ ...,,_
P:\DOCS\MISFOAMS\FRM00063 REV 12/18/93
•'~=========~~::;;:# · ( .,.-... · ....... · .. ··_·,.·. · .. ' .... ·.·.=:: ... / .... .:F.(fA;:::c1ii:JJ$E·:J)NLY:'. ·_·· .....
APPLICATION FOR
(CHECK ALL THAT APPLY}:
D Boundary Adjustment
gJ Adjustment Plat
D Certificate of Compliance
D Dedication of Easement
Type: _________ _
Type:
D encroachment Permit
D Engineering Standards Variance
D Final Map
D Grading
D Improvement Plancheck
D Landscape Plancheck
D Parcel Map
D Quitclaim of Easement
Type: _________ _
Type:
D Reversion to Acreage
D Street Vacation
D Tentative Parcel Map .
D Certificate· of Correction
D Covenant for Easement
D Substantial Conformance Exhibit
P:\00CS\MISFORMS\FRMOOOS3
,:,·:·· ···: '•.'"', •,••, .. '• ,• ,' . ••:·.:··:······· ··:····· ·:···:::·· ... :-:_:_:.: :'..>-.•. : ::::-·· '''', '••,'''', . . ·.:•• .. ,•. ·.
REV 12/11/13