HomeMy WebLinkAboutCT 89-31; MASADER II; Engineering Application (2)CITY OF CARLSBAD EWIEER1NS
ENGINEERING DEPARTMENT
GRADING PERMIT APPLICATION
SITE ADDRESS: 51
ASSESSORS PARCEL NUMBER(S): 215 33? -
LEGAL DESCRIPTION: 4:2L 422 ,'7,
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PROJECT NAME:
PROJECT ID: //9-?/-O3
OWNER:
ADDRESS -le' 25 // //'7,V/2 'Z /. /iJ &/ 4
PHONE NUMBER: (7/)) I14
CIVIL ENGINEER: 7/,?A//A-/V/ _///( PE NO.: _572
ADDRESS _12 - ,'/4'° (' //Y, ') C
PHONE NUMBER: U2ç-y
SOILS ENGINEER: All %/AEé/*/e PE NO.:4'9 /
ADDRESS / • A4' 'T_ //rI9 /A/,47 c,4
PHONE NUMBER: (71 ) ?3 -
GRADING CONTRACTOR: _STATE LICENSE NO.:_____________
ADDRESS CITY BUSINESS LICENSE NO.___________________
PHONE NUMBER: 24 HOUR PHONE NO.:
PROPOSED USE OF GRADE SITE:,/
GRADING QUANTFTIES:CUT ILL IMPORT ' WASTE '
PROPOSED START DATE: FINISH DATE:
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I hereby acknowledge that I have read the application and state that the information I have provided is correct and agree to comply with all City
ordinances and State Laws regulating excavating and grading, and the provisions and conditions of any permit issued pursuant to this
application.
Signature of Applicant ( DATE: (I - I
FOR CITY USE ONLY' -
Received by:— RECEIVED
Entered Into Cornputerby. C .) Date: 7 I FEB 071991
Permit Ne Z. J.O 'Project Engineer:' I- ..
Drawing No/,R *4 Plancheck Fee Depos(JO(O .°. CITY OF CARLSBAD
ENGINEERING COUNTER
Approved for Issuance: Date: DATESTAMP RECEIVED
07/25/90
7/