HomeMy WebLinkAboutPD 03-14; FISSELL PROPERTY; Engineering ApplicationCARLSBAD -ENGINEERING· DE
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriat~ information. Write N/ A when not applicable.
PROJECT ADDRESS: . d(}t-W/s
LOT NOeS).: I,f I/' Blk G"MAP No.:ZI"SZ . APN(S).: 2(Jh" I fZ -~.t5
NUMBER OF LOTS: I NUMBER OF ACRES: t>. Bt) A-c;,l"e~
OWNER: APPLICANT: 5a-1'If~ flI.J ~",,/)'r.
Mailing Address:
~~"n lie 8S?IS
Phone Number: ($t.o) 1t>l# -80"
Fax Number: (~Z.t:» ..... ''ZIf()-l,Z4Z
E-Mail: -,,"~JA~ _________ _
I certify that I am the legal owner and that all the above
of my knowledge.
PhOne Number:
Mailing Address:
Phone Number:
Fax Number:
E-Mail:
Signature: Date:
Phone Number: (7/,0) 74'''''41''S5
Fax Number: (7IJ;) "55,, &1831
E-Mail: /I1IJc~f1.J1sJf) @ s'!' tffJ.Z lief
State Registration Number: C 4/(Yz z..
Fax Number: (7/'0)74' -18 f) l, . .
E-Mail: .cllA~ #)e-k-il1& ,J1ef
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one)
~spad Municipa; Water District DOliver)hain Dvallecitos
2. If in the Carlsbad Municipal Water District, what is the total cost estimate, including the 15%
contingen~. fee, for water and reclaimed water improvements, sewer (for Carlsbad Munic:::ipal
Water DistJ-jct ollly), street, public (median) landscape and irrigation, and drainage improvements
(if applicable)? '. $
GRADING QUANTITIES
cut !J4/ cy fill 2~/ cy remedial 0 cy import D cy () -r-""'--cy
SEE REVERSE SIDE
H IOEVELOPMENT SERVICESIMASTERSIApphcation for Engineering Plan Check
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APPUCATION FOR
( ." all that apply)
Adjustment Plat (ADJ)
Certificate of Compliance (CE) '.
Dedication of Easement (PR)
Type: ,
Type:
Type:
Encorachment Permit (PR)
Final Map (FM)
~ Grading Plancheck (DWG)
0 Improvement Plancheck (OWG)
0 Parcel Map (PM)
0 Quitclaim of Easement (PR)
Type:,
Type:
Type:
0 Reversion to Acreage (RA)
0 Street Vacation eSiV)
0 Tentative PClrcel Map eMS)
0 Certificate of Correction
(CCOR)
0 Covenant of Easement (PR)
'0: Substantial Conformance
exhibit (SCE)
0 Other
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RECEIVED"
,i" l'ioW' '1''8 '2003
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,ENGINEERING' 1;:;
DEPARTMENt '
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