HomeMy WebLinkAbout3190; RANCHO SANTA FE ROAD/PHASE 1; Engineering ApplicationCITY OIARLSBAD - ENGINEERINcEPARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR PROCESSING
Complete all appropriate information. Write N/A when not appllcable.
PROJECT NAME:-''° °° J?+is IDATE:____________
PROJECT DESCRIPTION: P9- Z t tcrto _.j ,,J c-p ./w E2i -pio..)
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PROJECT ADDRESS i4c crJP F- - 1Q 0M. L*cGc1 A.JE. I4vcr Cp4c ) MA-4 9V__9CV_-r1CT
LOT NO(S).: MAP NO.:APN(S).:
OWNER: fV\46 P°P-T, d4 fl-'rL APPLICANT: L..i4Du-.Ic
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Mailing Address: -€-*I I1S Moiling Address: 1(93 oV.4I4( 4uioi cD &
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Phone Number: ( g I ) 4- -I L-W Phone Number: (40 1q 449 -3 1 9 1—
I certify that I am th. & owner all the above information I certify that I am th.agsr of the legal owner 8nd that all information on is true and corr the of y ledge. - this sheet Is true and correct to the best of my knowledge.
Sign a Dat5#7>9 Signature Date' /95
CIVIL ENGINEER: ,t.tif'.)c, SOILS ENGINEER:________________________
Firm: LitrJ( lP— Firm:
Mailing Address: c £ L IA 1 '200 Mailing Address:
CSf3&r) c4. COc
Phone Number: L C q - Phone Number (
State Registration Number: - CN 2) Stat. Registration Number:________________________
LANDSCAPE ARCHITECT: COMMENTS \rQ 2..
12 2 Lps--J-. C1-412 iç:
Firm: /u - C-4 ,4.sç i ,4TE
Mailing Address:
Phone Number 0
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State Registration Number:
NO. OF DWEWNG UNITS: ZONE: \\ NO. OF LOTS: OF ACRES:_____
IMPROVEMENT VALUATION: sewer, water & reclaimed water:___________
Water District (circle one): Carlsbad Municipal Water District Ofivenhain Vallecitos
streets and drainage: landscape:
GRADING QUANTITIES: cut cy fill cy
remedial cy import/export cy
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDEAr 1'D
von W'tLr'Jc.
P'.\D0cS\MISF0AMS\FRM00063 REV 04/25/95