HomeMy WebLinkAboutADJ 15-03; PROPOSED BOUNDRY ADJUSTMENT AND CERTIFICATE OF COMPLIANCE; Engineering Application(city of
Carlsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www .carlsbadca.gov
Complete all appropriate information. Write N/A when not applicable.
Project Name: tlte:
Project Description: P~t:'5cD 1::,DO\..)f)~lL\.\ tlO"J~c)V\~\ C'€'--'1\Ftc~11E OF
COM R.., l A~fc. .
Project Address: 4'Z..\'5 "·H\~12..lSoN s-r~., c~~~s ~n I c.,,~ , qi.,Cl)<c, ,
Lot No(s).: fbCZ.1\c.N LoT \'?. Map No.: "Z.. \o?> APN(s):'C-DE:,-1"2~-Z,\ '4 v,
Number of Lots: '2. Number of Acres: Miles of Trails: t-.l {A
Owner: S"-1\J~ lrl~e66~ E\-Sf~PR.\~ Applicant:
Mailing Address: Q "2. \ ~ H~RR-\'S~ S.T l,U:. Mailing Address:
CA~LS '&~D iG~, 92005
Phone Number: \6~-4~4-3.o~ Phone Number:
Fax Number: Fax Number:
E-mail: E-mail:
I certify that I am the legal owner and that all the above
information is true and correct to the best of my knowledge.
Signature: Date: Signature: Date:
Civil Engineer: 'Pf.CTIZ\Gt. \}\) \ H~\"2.l~'z,~ Soils Engineer: ~{p.
Firm: Firm: \
Mailing Address: rz.o~t> C~E'S\ Rb~u Mailing Address: \
ft) u-.:> n"·'t CA 91..0b4-\
Phone Number: B 5 'o -~-v=i-~ <a Phone Number: \
Fax Number: 8 S8 -6 "lC\ -<o<ob<e Fax Number: \
E-mail: HP.Ric.\ So },.)~C.e.G~c:(..u:>M E-mail: \
0°JZA \ ,
State Registration Number: State Registration Number:
Additional Comments:
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one)
i<1" Carlsbad Municipal Water District D Olivenhain D Vallecitos
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 Carlsbad Municipal Water District only), street, p&lic
(median) landscape and irrigation, and drainage improvements (if applicable)? $
GRADING QUANTITIES
cut C) cy fill 0 cy remedial 0 cy import 0 cy export 0 cy
E-23 Page 1 of 2 REV 07/14
-. ----------~-( --------------trt::4'11111(-----------,
(city of
Carlsbad
APPLICATION
ENGINEERING
PLAN CHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www .carlsbadca.gov
Complete all appropriate information Write N/A when not aoolicable . .
APPLICATION FOR
( check all that apply)
Adjustment Plat (ADJ)
Im Certificate of Compliance (CE)
D Dedication of Easement (PR)
Type:
Type:
D Encroachment Permit (PR)
0 Final Map (FM)
0 Grading Plancheck (DWG)
D Improvement Plancheck (DWG)
D Parcel Map (PM)
D Quitclaim of Easement (PR)
Type:
D Reversion to Acreage (RA)
D Street Vacation (STV)
D Tentative Parcel Map (MS)
D Certificate of Correction (CCOR)
D Covenant of Easement (PR)
D Substantial Conformance
Exhibit (SCE)
D Trails D < mile D > mile
D Other I APPLICATION ACCEPTEO BY:
E-23
Project Drawing
1.0. Number
AOcr-15 oo,
Page 2 of2
FOR CITY USE ONLY
Deposit /Fees
Paid
Comments
JUN 2 3 20'.5
LAND DEVELOPMENT
ENGINEERING
REV 07/14