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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. ~T.5 fe c;;rJ P~rz·/?? --' I /P r c /V c es r //#/lflot'c/he,._,T5 ... t',,, &,2.4,.J //;A-.. tc,4,-.17'(? -PROJECT ADDRESS: 'ZSZ<? c_ 'ZS'/9 5"7, " 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 l4 /Jf'ES/1 . t'4. ?/'141- 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- /' CIVIL ENGINEER: /2. lb, /?/44751:)' SOILS ENGINEER: Firm: 4'trAl/c,,/J/I!~ QJflpcE/ZS /4 e, Firm: p/A ) Mailing Address: /? ~ ;rd )l 5'z¢z. Malling Addreu: /A /.lie.SA a~ f/94~ 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. I Mailing Addreu: 0 Phone Number: ( \ State Registration Number: <· 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 ' . . ...... ' .. -~ -·' ... ~ "' . ·remedial cy import/export cy -. , .. _ . ... ,, . ,· -~~ . " •• • ,.-,>'( t "\l' -". .'• '. '_PCEAs1rcF1ECK OFF APPLICATION TYPES ON REVE~SE SIDE .;.. P:\D0CS\MISFORMS\FRM00083 REV 12/16/93 ~;~-d-ic-at-io_n_o_f _E_as_e_m_e_nt____ l, .. llliltJL 1··.1 ·,···l····:···.···1·11 .. 1, .. ·,i··.·lll.JJ 1·11·n·•.11··_:·. P:\DOCS\MISFORMS\FRM00013 REV 12/11/93