HomeMy WebLinkAboutPR 07-130; DONALD & FRANCES; Engineering ApplicationCARLSBAD -ENGINEERING
APPLICATION
ENGINEERING PLAN CHECK
nn."nnl"l::IIll'"" information. Write",,1 A whel1 not
PROJECT NAME:
PROJECT V&;.,;J .... f;\.Lr
o
NUMBER OF LOTS: NUMBER OF ACRES:
OWNER: ~""-I-I~~--..lI~!LLM~-C~':"1 APPUCANT:
Mailing Address:
Phone Number: l7 6 o~ 7~ 3 -.2 5" , b .
Fax Number:
E-Mail:
I certify that I am the legal owner and that aU the above
Information Is true and correct to the best of my knowledge.
Mailing Address:
Phone Number:
Fax Number:
E-Mail:
Signature~&..Jl S~~te:l.L-[l)\ [b7 Signature:
OVIL ENGINEER: _________ _ SOILS ENGINEER:
FIRM: FIRM:
Mailing Address: Mailing Address:
Phone Number: Phone Number:
Fax Number: Fax Number:
E-Mail: E-Mail:
State Registration Number: State Registration Number:
ADDmONAL COMMENTS:
IMPROVEMENT-VALUATION
1. What water district is the proposed project located in? (check one)
Date:
Dcarlsbad Municipal Water District DO/ivenhain Dvallecitos
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 Carlsbaci ,Municipal
Water District only), street, public (median) landscape and irrigation, and drainage improvements
(if applicable)? $
GRADING QUANTITIES
cut ___ Ot fill, ___ Cf remedial ___ Cf import ___ Cf export __ _
SEE REVERSE SII)E
H:/OEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check o~ .. : .... ~·, .. -;,,..,..