HomeMy WebLinkAboutPR 3.4.162; RANCHO CARRILLO; Engineering Application• CITY OF CARLSBAD - ENGINEERING DPARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR rROCESSING
Complete all appropriate Information. Write N/A when not applicable.
PROJECT NAME:_ (e,2o - DATE: 576
PROJECT DESCRIPTION: Gt or- Lc!i XT1
PROJECT ADDRESS: kLcc Or LArr
El,- fieieJ Srp M LrtJ AI-'E' LOT NO(S).: MAP NO: ___-. ___APN(S).:
APPLICANT: S
MaIflngAddresi: slA
Mailing Address:
çA ')
Phone Number: ( I ) 7
Phone-Number (.
I certify that I-am the legal owner and that all the above Information I certify that I am th., agent of the legal owner and that all information on
is-true and correct o the best of my led this sheet is true and correct -to the best of my knowledge.
Signatur
S Signature Date
CIVIL ENGINEER:tc 64ire,C. SOILS ENGINEER:
Firm: Firm:
Mailing Address: S62.0_1 t?.._AlaS Mailing Address:
g 4tp..2c<0
Phone Number: (6t9 _. _-,0101 Phone-Number
LANDSCAPE ARCHITECT.t') I ADDITIONAL COMMENTS:_________________________
VW Rtr
NO.,t
— f!:j *3J ____
NO, OF ACRES:
streets and drainage: landscape: district:____________________
GRADING QUANTmES:pJ / A CV cut : CY
fill CY
remedial cy- - import/expott
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE
PADOCS\MISFORMS\FRM00063 - REV 12/15/92
. .
PPLICATION FOR
CHECK ALL THAT APPLY):
FOR CITY USE ONLY
Plancheck
Number
Type Drawing
Number
Project
ID. ::.::
Deposit/Fees
.. Paid
O Adjustment Plat ADJP _________
.• :..
.
O Certificate of Compliance COO •0
Eedication of Easement
Type: '
0
ick.
co
Type: C
DOE
piC3qa/ L,. :
O Encroachment Permit ENCROACH 00 :00. 00 :: 0 00 0 0
••0 0
O Engineering Standards Variance ESV
O Final Map FM
O Grading GRADING
0
O Improvement Plancheck PC
O Landscape Plancheck LPC
0 0
•o
.00100
O Parcel Map . PM
0 :.
...J Quitclaim of Easement
Type:________________________
Type:
QUITO 0
0
•.• : .:
0
O Reversion to Acreage RTA 0
•..
O Street Vacation Sw
O Tentative Parcel Map - MS
ocvq39
MASTER PROJECT ID 0
RECEIPT NUMBER / 2cP
PRELIMINARY SIERRA SYSTEM INPUT INITIAL_________
SIERRA SYSTEM INPUT INITIAL__________________
R:BASE INPUT INITIAL
DOther:
P:\DOCS\MISFORMS7RM00063 REV 12/15/2