HomeMy WebLinkAboutMS 06-06; ROZANSKY TPM; Engineering ApplicationI
CITY OF CARLSBAD - ENGINEERING DEPARTMENT
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable.
PROJECT NAME: J?,zQ.,J5k)/ 7P/1 DATE:
PROJECT DESCRIPTION:7Pt01 tv' i;i. poss
PROJECT ADDRESS: 2.72--,r> dAr15d e/i
LOT NO(S).: Zf4' MAP NO.: _____APN(S).: 2.15 3c7 -7
NUMBER OF LOTS: j NUMBER OF-A€RS JO 347 5P
OWNER: I2ozia/JsIy APPLICANT: t4D,?'rAu ROziIkj
Mailing Address: p. . L3X 27 Z Mailing Address: p. . 9. 2-'7
DL 1'S,4/t rQ9/J'/g DEL. ,L44tt e
Phone Number: ?(- 9c1_777( Phone Number: 7 7197-71 (
Fax Number: 7(s - 1/3 L/_ 3L) 2.2.. Fax Number: ?ht'- Y31 —36) 2-2-
E-Mail: c7Co,Jo€, 4,iflJ/. E-Mail: CwjwcrnJo E4,2.y,ahJI..
I certify that I am the legal owner and that all the above AlAt (7
information is true and correct to the best of my knowledge.
Signature// /-7 Date: i. Signature: Date: /. 010
CIVIL ENGINEER: ,p.rNCE W JeH SOILS ENGINEER:
1FIRM: Wi$frk -;&5wv;yiii FIRM:
Mailing Address: /7o C9b -.__' jy Mailing Address:
2 CA Jg a e,4 12 020
Phone Number: (/c) 58g4797 Phone Number:
Fax Number: f/) H18- 7/3 2. Fax Number:
E-Mail: E-Mail:
State Registration Number: State Registration Number:
ADDITIONAL COMMENTS:
IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one)
Carlsbad Municipal Water District DOlivenhain Vallecitos
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 0 cy fill Q cy remedial C cy import (5 cy export cy
SEE REVERSE SIDE
H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Revised 1114102
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CLiWF CARLSBAD - ENGINEERING DEPARMW
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable.
APPLICATION FOR
(v' all that apply)
FOR CITY USE ONLY
PROJECT
I.D.
DRAWING
NUMBER
DEPOSIT/FEES
PAID
COMMENTS
Adjustment Plat (AD))
;~:;,(.
J& . .
.. - .•.
Certificate of Compliance (CE)
Type:t '.\\
Type:
Dedication of Easement (PR)
Type:__________________
*•t;;
'
J EnoachntP it'(R)'
1 4 •
, Final Map
I . • '
U
Improvement Plancheck (DWG) '
Parcel Map (PM)
Quitclaim of Easement (PR)
Type:____________
Type:_________________
Type:__________________
El Reversion to Acreage (RA)
El Street Vacation (SN)
Jr Tentative Parcel Map (MS) "h. So'-o 1 9C), 3
El Certificate of Correction
(CCOR)
U Covenant of Easement (PR)
El Substantial Conformance
Exhibit (SCE)
U Other
APPLICATION ACCEPTED BY: N.6"
4'&Q DATE STAMP
APPUCATON RECEIVED
11:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Page 2 Revised 1/14/02