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HomeMy WebLinkAboutADJ 450; JOHNSTON, JANE; Engineering Application·.' _' ., . • ,-I. . CITY OF CARLSBAD • ENGINEERING DEPARTMENT APPLICATION FOR ENGINEERING PLANCHECK OR PROCESSING Cq_mplete all eppropriate information. Write NIA when not applicable. ·,· 'l • 'l •• PROJECT NAME:· '!·,, _::.·. -.· ; .,, ' ' . • ' ,, .• --~-·, DATE: frs( -lf3:: -l PROJECT DESCRIPTIO~: t2...£-~STML\S t+-C)te..(b,._l i0/-Yli lb-,-6 ·ne ~/µ.;een ±1\t.-:±u? o pao p tnui, es . PROJECT ADDRESS: "3tjl{5 (1¥4, ''3tt2S"' . +-li§tt(;ttwj) ~1lJG ( ~ioD i . ' ' .. ,_/ _ _;. 2' -"'2 . ' t & P76-?v~ LOT NO(S).; _____ MAP NO.: 2(NJ . V? APN(S).: . of£ ~ ~ 31:, 3~ ... -b ~ PPUCANT: "J"tA-U\ (? ~ 1h05 7D IV Mailing Addreu: 6'3£1.jc:/ /-hj /2 /w,41) Id-{· es~,) ~-tf/UJ?Jf . ,;f"' owNeR: ~\-\:N STorJ) -3~ e G. ec . · 11 I rd . btLC)JjJ (\--. Mailing Address: 31:itf ~f\ l(l.'ltd k • . . eMkblCO (1. · Phone Number: (~ /~ ) t/31 ~7l/ I_/ · Phone Number: c{t It/ ) '/~ o/-7 </ // I certify that I am the agent 9f the leg~ owner an th all Information on this sheet ls true an e b f m I ge . .::;..,.:i::....:::::&!"'=:1,,,.--;.."ll!'j_,":.~~ ... .., ..... ~::..i.c,-at"1:--)-9''3 Signature~=-¥-~~~~=~~ CIVIL ENGINEE~=-------,------------ Firm: . Mailing Address:· Phone Number: Firm: Mailing Addre,~, 'f , ,- ,'f. ,I •.• ~ ;. .~ '..,!!: •• ' •• ~~~ ~ -~ ... _i. ,_ Phone Number: Firm: ,Ma!ling Address: Phone Number: NO. OF D~~1t{~~ ._u~ry-~:. , ,_ ~ ; NO. OF LOTS:.-'-fr-.,_._ ____ _ IMPROVEMEm'~LtJAl)ON/:::~;,1'.t':'ater · & reclai~ed water: /J. · (~-- streets and_ drainage: tJ _ f+-landscape: rJ / Pr-water district: fl}/ /I- -GRADl~G QUANTITIES: /J} J /\---· CY cut fl} Q,---cy 1 11_., remedial -r fill ;J/1-r ~cy cy import/export /J / fr ) •'· . PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE P:\D0CS\MISFORMS\FRM00083 cy REV 12/15/92 .. APPLICATION FOR (CHECK ALL THAT APPLY): at(djustment Plat D Certificate_ of Compliance D Dedication of Easement Type: __________ _ ,.Jype: D Encroachment Permit D Engineering Standards Variance D Final Map , .. . . '. . . . ~ .FOR .c1.TY··cJSE:' ONLY.· ····· '.•·.·· ' .... ,, . . . ...... . :: Pl_artcheck. . : .... · Typ~·,. · :·:·. ( ,:·:,prawth~i/ ;:-,' j:,f9,lf:!.6t___ .. ::-· beposiVFees :::, · Number:--... :._. .. : .. · : ·,. :/ NWtrl~;~r::> t;.-.,.,: .. JOi;:i: ::i:--i \ .. : ,_:_~:~:,:·Paid ._ ..... ' '•' " coc ;-: ooe .-· : '. :. ; ... :,t ' .. :-:. ' :: .•. ·,;,,. ··.:·:::_: __ ; \:r-:·····t··.:·,:--: ._: .. _:·.·::. ::.·:-. _·/ •' .. : : i; •. .,·· ····.;· .. ' ... ,' • .. , ,. . • .... •,., ,.,•, . -:··-.::,.,•·· ,·.-;:::··.:·. ::·· :,,: D Gm . ,...;.g_· _______ --:-------11--------+-··· _. a ...... ~_.:,_Q, __ NG __ .,_ .. +-:: ___ · _.....__ .. +-..... · -;--...,..;;..~-·:+.:(..;._,"·:_,..-<,...::,-·· .... ·i .... ·. _ ........ --11 : .. ·· ::-.· •' .. D Im~ :?ment Planqheck .. _..... tP~_: ... ·, \., ... · ,·. . :·· i_ .. ·, .,_\: ... :.: .:.·._._. i::,,,.\:·:'::;:;_,:;:: ... i:-·,_. D Lanascape Plancheck D Parcel Map D Quitclaim of Easement . · -:oufyo:::' \: I:". ,'_ · . ,······ :::-. Type: _________ _ ', '!:, . ·· .. ~ /'. :::. ·:.: .. Type: D Reversion to Acreage RTA:· . ...... :. :· .... , .. : .. :: ........ : ........... : ...... ::.:·.! 1\ .......... ·.::-·:. ·-:: .. ······· . D Street Vacation . . . ' . . . ,,, . '. ,•, :,:, ': . . ''. ,: : · , .· .. · ..... · .-. ·· _···_. :_: :::), .. :· . '~\::;;/,::::} Ii:\<':_:,: -::'.i.;:,L;;:,:::.:: :i ii:,:::,:.,,::-,t~\-:i).::;,'t'.'J :i:.:i:ii?.i:.,/: :::i':r:;;;.:.=:::,,,._, . . . : d Tentative Parcel Map ·.·,: .. , .. ·· \?;· : ·::' ·:·::=::;:-?:_:: :.,.::·:·. :·· ·;.::: ::;:·: ?/.' :::.:·:::::·::;.(: ?::.:::.::: :. : ::::;··: }::··;.::·\:: ·]·:, . ::. '••'•. •:·· ... · .... :· ... ,' '' . .. -~ ........ :::.:::: ., •,. t-· ·_ -nm~-,-~::~•~:.:/i:.:-::_-,'/::,,_:i :.·:: _. ,:. . , ":c;\,·t:: 't?:·-~:.-.::·,,::,:·::· ./:' ·. ', ' Dother: ·::·.:,, :, ,, . ~·· . . . . ,' •' ·' •.• .. ••'•.• . • .. · .• ·"··· .. -. . ,,,,,,,,' •, . , P:\DOCS\MISFORMS\FRMOOOS3 i,i''~ REV 12/15/12