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PD 04-07; THOMAS RESIDENCE; Engineering Application
· :· .· ··': ·.: · · · , · ·crra~~RLSJiA~ ... f.N(;~~ij~RI~G;~J;P:i.-U:_~:~!H· . .",_ · : ~ · :.,: ·: _·:-.. ·· -·"::··_: .,, . . ' , •. . " . APPUPATION. .. "· · : -~; ·-· .... , : · ,. .. . ' '·•I '·.·· .• · '· 1 .· ~'!~~!et~an OP,p~pri!~eG~i:::x:.::!iih~;riq: ~~;l1~~x,,£ .z:· .•.. : : :,., PROJECT NAME: .JJ ~ TH o,--/¥ 5 f\ 1~ 'i. DATE: 69 -J I -o J.f PROJECT DESCRIPTION: fl£. t'V' o v ~ ~ ,~ iZ Cot0-1°r:rc T So 1 l f' 5 R. R, G j?Joi17--v p--0 R fV B w .S ,,=-. ft . PROJECT ADDRESS: / J ff O C Y IV Jl..f /4- LOT NO(S).: ...:.------MAP NO.: /£; J 7 A R-IV'e,_ APN(S).: CA-I\ J.. 5 ,3 ~ D t,, Ir 7 J..o D r-,. I 5"& -1 3 J -6-4 NUMBER OF LOTS: / NUMBER OF ACRES: OWNER: Mailing Address: Phone Number: Fax Number: E-Mail: J tHtJ,.,....,f¼."j ,I;, 0 c, . APPLICANT: 7 6..:.. o C o ~ ,,~ M fl-rJt:J li J z;,'Mailing Address: .5/h,v ~P.,i'uJs en--9 9. o~ '7 z, 0 j ... ? 'if'-J")!J"" ;J;J-Phone Number: Fax Number: E-Mail: ~ f P.'i"'-0""-",[) Fo ~ w'r I; ti/ 'iJ .2_ 7_s-.3 .(s, /)r-t., I civA-ilY /jl '/ ·Cf.trf\.h$iJA-l> CA-: 'fJoo ~ [__,?:....:'-~o~J_s-=-:..1~r--..;::;G:,;._i_~_-_J --, {71:,0) 7[3 -o Ht-I/.../ I certify that~a leg/I/owner and that all the above information is u a cc 19 ect to the best of my knowledge. Signature: j Date:3-;,l-ti1 Signature: .h-. ~ Date: &3-'JJ-o~ CIVIL ENGI~EER: ·f)\A, )(It£,(,) L.. //1'0(\I\-~ 5 FIRM: SOILS ENGINEER: J' A Ii\/\ 1; ~ • C. t: 11 ,1 O ~ FIRM:-Cb1:01PCHN/CA-'J... et fJJ..tJP.A-ii~•v Mailing Address: 1, l. I-/ R, TJ[,pZiR,JP,-.'-" S I Mailing Address: 7'1 ;to "r11._A, AG :, ;- ~Cf;.f.rf\/ 1' 1~e CA-, 91 o o_.'t Phone Number: (2 t, O) f' I j'-7 7 3 3 SP.,N O >i.$&,o t,/Jr 90, J 'J..) Phone Number: { 8 s 'z' ) $" JJ 1 .., 7 2. 1.. ?-.... [ g J~9J {'If 2 -It. tJ 4 oo;.. {Pt) 1 Fax Number: Fax Number: E-Mail: E-Mail: State Registration Number: .f l ? .$~ Y State Registration Number: ADbITTONAL COMMENTS: IMPROVEMENT VALUATION 1. What water district is the proposed project located in? (check one) []'tarlsbad Municipal Water District · Oolivenhain Ovallecitos 2. If in the Carlsbad Municipal Water District, what is the total cost estimate, including the 15% contingency fee, for water and reclaimed water improvements, sewer (for Carlsbad Municipal Water District only), street, public (median) landscape and irrigation, and drainage improvements (if applicable)? $ ... GRADING QUANTITIES cut ___ cy fill --,. __ cy remedial ___ cy import ___ cy export ___ cy . SEE REVERSE SIDE R)~~di H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Revised 1/14/02 :Jd:. I f_, (:I.OF CARLS~~D.:. EN~INEE~NG DE'PA.MENT ' ,, : .,:;· ,., . · . , · . : , APPLICATION• . · · . · . '',, ., : · · ·.···:eN~iNEERtNc;,~lANclil'EcK .··· · · ''' ,, ,, : Comp.l~.te aUappr.ppriat~ il)fqrmati~~~-Vl{r~t~ N/~ ·~ben not..~ppli~!)Je •. ', I ,',: ',. ! ,., ' " ,. "' ., ',, '-. ' : 1:FOR' CITY USE :ONLY . ,. " . ' ,, APPLICATION FOR PRO~E¢P ·oRAWING-: : PtPQSJ"t/FEES C:OMM.ENiTS '" .. '" ., ' ' •' ' ' '···, 1,· f ,., ,•,,', '' ( ../ all that apply) ··J.o.'·· ·'NU.MBER·. . . . '\P,Ail) 1 • , ,, ~~ Adjustment Plat (ADJ) ~ Certificate of Compl!ance (CE) ~{'( Dedication of Easement (PR) Type: _,/ Type: Type: ldJ'<-Encorachment Permit (PR) l:J~ Final Map (FM) . Gr Grading Plancheck (DWG) lrD 6't'-iJ7 lf[CJ'-'~ ~ ~ Improvement Plancheck (DWG) I ~~Parcel Map (PM) ~i Quitclaim of Easement (PR) Type: Type: Type: [;!~ Reversion to Acreage (RA) @~Street Vacation (STV) ~~entative Parcel Map (MS) i;1~ Certificate of Correction (C~OR) [d ~Covenant of Easement (PR) · ~~ Substantial Conformance ,.1 Exhibit (SCE) [J"~other .,, ' 1•' ',•, ,, < '·:·.' 1 • ' C.'"Z.., •• ~ .·.~ • ..-.::." ~ "-"" l4-~-. •. ,,, ' . ' RECEIVED :~'.: , ,., APR:)O 1_ 2004:-. · .. ;, t : ;-' ·i;•: · · · · ' ·eNGIN6~-fNG. . " . Ol:PABN~AMP ' ' : . APPL~C.4TQ~;:~~¢~iVE_D i H·/nFVFI OPMFNT SERVICES/MASTERS/Aoollcallon for Enolneerina Plan Check Paae 2 , Revised 1/14/02