HomeMy WebLinkAboutPE 2.93.16; CMWD GRADING FOR STOCKPILE; Engineering ApplicationCITY OF <lRLSBAD -ENGINEERING D.RTMENT
APPLICATION' "
~ GRADING PERMIT ~i
PROJECT NAME: CARLSBAD MUNICIPAL WATER DISTRICI' SITE GRAJ)ThX7 PERMIT FOR mtx::KPUE PERMIT NUMBER:
PROJECT LOCATION: CARLSBAD MUNICIPAL WATER DISTRICT, 59~0 EL CAMIID REAL
CARLSBAD,' CA 92008
ASSESSOR PARCEL NUMBER(S): 209-050-19
"
PROJECT DESCRIPTION: OOR'IH FAST CORNER OF EL CAM1N) REAL AND 'llJE sERvICE 'ROAD 'ID
SOLID WASTE TRANSPER STATIOO
OWNER: CARLSBAD MUNICIPAT. WATER DISTRICT
ADDRESS: 5950 EL CAMINO REALe CARLSBAD. CA 92008
PHONE NUMBER: (619) 438-3367 EXT. 12,6 , ,
I CERTIFY THAT I AM THE LEGAL OWNER OF THIS PROPERTY AND I AUTHORiZE: THE GRADING ASSOCIATED
WITH THIS PERMIT.
OWNER SIGNATURE DATE:
.,
CIVIL ENGINEER: BOB COATES, DISTRICT ENGINEER -RCE 19,92 8
ADDRESS: 5950 EL CAMINO REAL, CARLSBAD, CA 92008
PHONE NUMBER: (619) 438-3367 EXT. 126
SOILS ENGINEER: 'NONE
, , • ADDRESS: , It
PHONE NUMBER: -
GRADING CONTRACTOR: NONE, ,STATE LICENSE NO.: '
ADDRESS: CITY BUSINESS LICENSE NO: )
PHONE NUMBER:
BASIS OF PERMIT FEES: EXEMPl' ~ FEES cy
GRADING QUANTITIES: l'I:m cy cut ' cy fill
cy remedial cy exporVim,Q,ort
VERIFIED
TOTAL PERMIT FEES: N/A BALANCE DUE: -0-BY:
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 requiring excavating and ~radingJ and'
the provisions and conditions of any permit issued pursuant to this applicatiori.
APPLICANT NAME CARLSBAD MUNICIPAL WATER DISTRICT PHONE NO. 438-3367
ADDRESS: 5950 EL CAM1N) REAL. CARLSBAD CA 92008
APPLICANT'S SIGNATURE: &~. DATI;: A>LJfJjgl
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