HomeMy WebLinkAboutPR 4.70; MICHAEL ENCROACHMENT; Engineering ApplicationCITY J'.!IRLSBAD -ENGINEERING &ARTMENT
APPLICATION . .
FOR ENGINEERING PLANCHECK OR PROCESSING
Complete all appropriate information. Write NIA when not applicable .
. PROJECT NAME: Mifetlt:-t-L-. ~~t?Nt . DATE: \1,;-0l ..v\5
PROJECT DEscR1PT10N: WC&W~WC .,ce uk~te0~ -lA\'Th p.; fAti
P?Mf1(ae-~
PROJECT ADDRESS: ~ 9<:J Eh C?r boL Or. Cq;-/shqJ.
LOT NO(S).:_._.;)._.·,2=.5=·· ___ MAP NO.:ct:> lzJ.L/ 7 APN(S).: ,;;_; o-J~o --,-2 ~
; r . ; ~J
OWNER:
Mailing Address:
mjc1 a-el ';zcrJnlly ,-11.sf-
~1,z, if 1/-30-9'~
~;i. 90 £L Cl r)x11!.. Dr.
APPLICANT: /-J?ul!,V-'t{ C. 221,:w(a "-L--
Mamr.;.Address: ~-:.2 9o P~-t?r/2r2£ dJr .
C-cqriShqd / ~ 9'a;cpr .,
Phone Number: cb/9 i 9.3/-93~0
I certify that I am the legal owner and that all·the above information
· is true and correct to the best of my knowledge. ·
Signat1:1~~ate __ _
CIVI
Mailing Address:
Cqr4'~erd' Cq ~(fcff
Phone Number: (0/f ) 9"3/---9::?~0
I certify thatl am t_he agent of the legal owner and that all Information on
this sheet is true and correct to the best of my· knowledge.
Signatur~~~-----
ADDITIONAL COMMENTS: ___________ _
. ., ' I.:
_____ cy
remedial cy import/export _ cy
PLEASE CHECK OFF APPLICATION r:'(PES QN REVERSE SIDE
P:\DOCS\MISFORMS\FRM00063 REV 12/15/92
APPLICATION FOR
(CHECK ALL THAT APPLY):
D Adjustment Plat
D Certificate of Comp-liance
0 Dedication of Easement
•
Type: __________ _
Type:
JZ(' Encroachment Permit
D: Engineering Standards Var,iance
D Grading
D Improvement Plancheck
D Landscape Plancheck
D Parcel Map
D Quitclaim of Easement
Type: _________ -=-_
Type:
0 'Reversion to Acreage
D Street Vacation
D Tentativ~ Parcel Map
P:\DOCS\MISFORMS\FRM00063
'
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REV 12/15/92