HomeMy WebLinkAboutADJ 458; LA COSTA MEADOWS UNIT 2; Engineering ApplicationCITY OF ctLs-eAo -ENGINEERING olARTMENT
' APPLICATION
FOR ENGINEERING PLANCHECK OR PROCESSING
Complete all appropriate information. Write NIA when not applicable.
PROJECT NAME: -/loOG"en.s. ~.:,e~IVQ;(ltz~ ./1?J~sz:.meµT DATE: 1_0~ 11-9¢
.PROJECT DESCRIPTION: ./1£Uu..sr e(t?, (,i.;e ~c7tueE,-J z.
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tc,4,-.17'(? -PROJECT ADDRESS: 'ZSZ<? c_ 'ZS'/9 5"7,
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LOT NO(S).: /of / 4tf3 C/n a~od-J
MAP NO.: APN(S).: Zlb· ZS'o-&75 F Z.t'/-r-7
OWNER: APPLICANT: .Q:Juµ t_.c,, Pd L,. • E..091Pee12s /4.lc.~
Mailing Address: Mailing Addreu: /?.<;?. ~.,,x '524Z
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Phone Number: ( \ Phone Number: , t///7 l 41/5' ... ffo,$'6
i certify that I am the legal owner and that all the above information I certify that I am, tt,e agent of the legal owner and that all information on
is true ~nd correct to the best of my knowledge. thla aheet la true and corr~to the best of my knowledge.
Signature Date Signature d /ti, d~~~ /1tcr: Date /.::7·/I~ 1d-
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CIVIL ENGINEER: /2. lb, /?/44751:)' SOILS ENGINEER:
Firm: 4'trAl/c,,/J/I!~ QJflpcE/ZS /4 e, Firm: p/A
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Mailing Address: /? ~ ;rd )l 5'z¢z. Malling Addreu:
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Phone Number: ,~11 l 4£ _3'., ffof ~ Phone Number: ( \
State Registration Number: ~ c'~ /L'I'~ ¢.¥ State Registration Number:
LANDSCAPE ARCHITECT: ADDITIONAL COMMENTS:
Firm: /.//A-/41&._d.
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Mailing Addreu:
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Phone Number: ( \
State Registration Number:
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NO. OF OWE~§ µ,N~§:£-. ---. ,.-,,LFMP ZONE: NO. OF'LOTS: NO. OF ACRES:
IMPROVEMENT..,VALU.4J t GN:~seweri, water & reclaimed water: .
streets. ~nd drainage: landscape: water district:
GRADING QUANTll-lES: CY cut cy fill . cy
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. . ...... ' .. -~ -·' ... ~ "' . ·remedial cy import/export cy -.
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P:\D0CS\MISFORMS\FRM00083 REV 12/16/93
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P:\DOCS\MISFORMS\FRM00013 REV 12/11/93