HomeMy WebLinkAboutADJ 02-01; MARRON ADJUSTMENT; Engineering ApplicationdITY0 CARLSBAD - ENGINEERING DEPAINTMENT
APPLICATION
FOR ENGINEERING PLAN CHECK OR PROCESSING
Complete all appropriate information. Write N/A when not applicable.
PROJECT NAME: DATE: PROJECT DESCRIPTION: L-cc A\—çt"Ac3-r
PROJECT ADDRESS:
LOT NO(S).: ' MAP NO.: I ¶13 APN(S).: 7 NO. OF DWELLING UNITS: LFMP ZONE: # LOTS: ' # ACRES:
OWNER: APPLICANT: cs€ Mailing Address: Mailing Address:
Phone Number: ( ) - Phone Number:
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 EF4GJNECR: zsctO. SOILS ENGINEER:
Firm: Firm:
Mailing Address: 'o'- S, Mailing Address:
cc c. zo5 Phone Number: (((,,o ) 1Z.Z.—\c*' Phone Number: State Registration Number: '_ State Registration Number:
LANDSCAPE ARCHITECT:
__________ ADDITIONAL COMMENTS:
Firm:
Mailing Address:
Phone Number:
State Registration Number:
IMPROVEMENT VALUATION
What water district roject located in (circle one)?
arlsbad Municipal Water District Olivenhain Vallecitos If in the Carlsbad Municipa a er istrict, what is the total cost estimate, including the 15%
/ contingency fee, for water and reclaimed water improvements (if applicable)? $ fp... What is-the total cost estimate, including the 15% contingency fee, for sewer (for Carlsbad
Municipal Water District only), street, public (median) landscape and irrigation, and, drainage improvements (if applicable)?
$ What is the total cost of landscape and irrigation improvements on private property (if $ applicable)?
GRADING QUANTITIES -
cut cy fill cy remedial cy import/export ' cy
DOCS/MISFORMS/APPLICATION ENG PLANCHECK OR PROCESSING
' REV. 6/10/97 A toZ-
APPLICATION FOR:
(/ all that apply)
[. FOR CITY USE ONLY
Plancheck
Number Type
Drawing
Number Project I.D.
Deposit/Fees
Paid
"Adjustment Plat ADJP
Certificate of Compliance COC
Dedication of Easement DOE
Type:
Type:
0 Encroachment Permit ENCROACH
I• Engineering Standards Variance ESV
L Final Map FM
C Grading Plancheck
• Grading GRADING
Improvement Plancheck [PC
El Landscape Plancheck LPC
Parcel Map PM
Quitclaim of Easement QUITC
Type:
Type:
I Reversion to Acreage RTA
Street Vacation SW
Tentative Parcel Map MS
IZI Certificate of Correction CCOR
0 Covenant for Easement COVE
El Substantial Conformance Exhibit SCE
APPLICATION ACCEPTED BY:
MASTER PROJECT ID:
RECEIPT NUMBER:
PRELIMINARY SIERRA SYSTEM INPUT INITIAL:
SIERRA SYSTEM INPUT INITIAL:
R:BASE INPUT INITIAL:
MASTER FILE NUMBER: F
OTHER:
RECEIVED
JAN 08 22
ENGINEERING
DEPARTMENT
DATE STAMP
APPLICATION RECEIVED
DOCSIMISFORMS/APPLICATION ENG PLANCHECK OR PROCESSING
REV 610/97