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HomeMy WebLinkAboutADJ 454; GAITAUD, RENEE; Engineering Application-·- Cltv OF !ARLSBAD .; ENGINEERING IPARTMENT APPLICATION FOR E·NGINEERING PLANCHECK OR PROCESSING Complete all appropriate information. Write NIA wt,en not applicable. -G. '4 iT'A\ib . . l • \L11-[oi4 PROJECT NAME: Lo, Co h tzioC r6'Ail O\...J DATE: ', PROJECT DESCRIPTION: Lcrr ~ • l L,Ov\'$OL\ 'OA-:r\ Otv PROJECT ADDRESS: \4 <'\ \NP.Lt-JV"\ A..JE- \~ ~ \4 \74'7 'Z.OL\-\ -i \ ... ' \4 LOT NO(S).: MAP NO.: .APN{S).: \~ t • . OWNER: ~ APPLICANT: ':5' frr,'\G /).";) owv.ee-n.. Mailing Address: M~iling Address: .C~d~ Phone Number: < lo t9 > :Z~t;>..., Q;~ G ~ Phone Number: ( l I certify that I am the legal owner and that all the above Information I certify that I am the agent of the legal owner and that all Information on is true and correct to the best of my knowledge. · this sheet is true and correct to the best of my knowledge. . Signature QOA.l ono {j). {l. ~ ... d Date !-IY-~Y Signature Date "' . ' CIVIL ENGINEER: . Jot\-tJ U)Y\1./\N\-(" SOILS ENGINEER: rv/A • Firm: u,I\~ ~ k:-20'-~~ Firm: U\J~e¢oL o,~~ A . Mailing Address: \ '5 t5 Mailing ,Address: {)A-(tO ~ .-~ q7.,oo, I Phone Number: ( 4:,\°11 r-tS-s -tL\S.:3-Phone Number: ( l LANDSCAPE ARCHITECT: .,JI A ADDITIONAL COMMENTS: Firm: ...... ' -.. . ... ' \ Mailing Address: ... ·, ' -.. ) Phone Number: ( I NO. OF DW,EL~ING L!NITS: NO. OF LOTS: 2... NO. OF ACRES: IMPROVEMENT VALUATION: sewer, water & reclaimed water: streets and drainage: landscape: water district: GRADING QUANTITIES: CY cut cy fill cy remedial cy import/export cy PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE P:\DOCS\MISFORMS\FRM~ REV 12/15/92· APPLICATION FOR (CHECK ALL THAT APPLY): lia"Adjustment ~lat • _:j~i$.st,~:::; t;::·::::'.'.'.:::::¢~~~:::::::;:::,:=:::: :::tx~~:e,~ ~J;r.;::;::~:::,~'.::;~:;:::tt;,::::~:t ::~'.<:: ·, ... :·:=·:::::s:~::r:·.·::.,·=. ' ; D Certificate of Compliance ~-4.:G:: './jj/ptJ.·: ./ ::·· .... ·i··:····??9.:.:::=.::.·,.:=:::': ::·=:.·:.=·:;:.··: ' .. ::::::·:· ... · ···.·=.:·.:: .. ': :':.'··:=.::·.·::··=::-:'.'.:::.::\:;::~'>} ::::;:::::'.".;'.'.''t:::Ac~:;;:::::::;;=:::.:=.::::::::::::=: 11--D_1m....;.p_ro_v_e_m_e_nt_P_l_an_c_h_ec_k ____ ,1;;i:::_t.:;;;,;.-i.;,,;,,/·,,,,;,::.-:::,...·::·:.,,,,..,.:.:.~;··'::.:::: .. :::.::::,,.::,:::i·::::.:::1B~i::'.·i;!;'::::::!;::::: ::::::::'.·t·.i:::.,;;::··::;,::::.;;::::;:;::::::: :::::/::.::::··~::::::,;::::::(::::m:::i::[:iiil :i::!:,'.:t:·::::::::'.:fil::::=;:f;\:t:::::::::,,:::::::::::::::::: ,. ' D Landscape Plancheck ,.,/'.,::-<···=···::<:···.:./ .. ::: .... , ..... :., .. w .. ,.,.\ .. ~~P.: .. :'·,w,:.: ..... ,/· .. :.:::=='.\..'.:····:··=··:·/:.:.:.:; .... ; ... L.::.·.: ... : .. :::\\.: .. ;:.:..+:: ...... :.::;.:.;:::,::· .. :i:f·:.::-: .. :·:'·:·:.)),.:.::.,:: .. : P:\DOCS\MISFQRMS\FRM00063 REV 12/15/92 ADJ 455 (Muhe/Mahy) ~ ~L,'6() "Pe-le, ?J-:J- P12-&-ll B ~f' Cf<-l-Ol/ ~ q'-/-05 (fi (lf;J;;(J1~ (pf, t6 ~'