HomeMy WebLinkAboutADJ 499; JCM TOM CO; Engineering ApplicationCITY O~ARLSBAD -ENGINEERINGJilEPARTMENT
,., APPLICATION"
FOR ENGINEERING PLANCHECK OR PROCESSING
Complete all accrooriate information Writ& N/A who" not A~~lieable
PROJECT NAME; L 0" L ,....., e A.!?J'-'&"'''''1~~'''' PATE: 2/Z4/,.,.
PROJECT DESCRIPTION: Lei" I..."ue ~1>J~T_efo.:)"1"" SerC ...... ee~ 'f'ArlC6'1... ~_~~ F"IVI \4'5" t
P M~.c.18L 'Z. C> F f' 1'-1 t -Z ~ 6--z. \\",
PR~ECTADDRESS: ______________________________ ~~t?=+Y'~~ ______ __
LOT NO(S).: 'P,o.,cz,c.e,:=.L.. '3 MAP NO.: PfVl \C)S APN(S).: ~ -OSc:,v-O'=:> '\
PA (i.e. Gi! I... -z.. .f\V\ \"154'Z.. --l )
OWNER:
Mailing Address: \5 2A. PO!2.C0~ S-C.
S~ \)Ug~O I CA: "''Z.\lO
Phone Number: ('=-\.::» 215 -4Ce ~5
I certify that I Il.tn the fegftl owner and that iii! tho ~e information
Is true and correct to me best O! my knowledge.
Signature Date ___ _
CIVIL ENGINEER: ru sc.Ots' e~1/0eel!tlto..':lG
APPUCANT: . J.c.. \..~~i>O"")"-~,.)"""'-. -~-""
Mailing Address: 54hS Mo~ H"'-"5e Pit.. li-\ t..:S"
5~ l),e.::;.o CAr ~Z.I 2.1
Phong Number: l b \"'1 ) 554-1S'DO
I certify thllt ! em the ~_ at the legal owner end that ~I infOrmation on
~ sheet is we 77IJ'T' to the best of my knowledge.
Signature ~_" • DateZ/UltPJ1 /1'. .'
SOILS ENGINEER: __________ _
Firm: EV-2-Ic.. ~ A~5-r.ecu; Firm:
MeJllng Address: $'"4(':''> V\O\'2..eH\OY\5e. D~. ~ \ b5"" Mailing Address;
:
Phone Number: L (.. \ "1 ) S'Sl\--ISOO Phone Number: .1-( ___ ,"-___ ......,.... ______ _
SUlIe Registration Number: 12. c...e 3c::.oe>~ State Registration Number. ___________ _
LANDSCAPE ARCHITECT: ________ _ ADDITIONAL COMMENTS:, ______ -'--__
Firm:
MAiling Address:
Phone Number: .... L __ -" __________ _
6ttlle Regi3treltion Number: __________ _
NO. OF OWEWNG UNITS: __ LFMP ZONE:, ___ _ NO. OF LOTS: ___ _ NO. OF ACRES:, __
IMPROVEMENT VALUATION: sewer, water & reclaimed water: _____ _
Water District (circle one): Carlsbad Municipal Water District Olivenhain Vallecitos
streets ~nd drainage;, _______ _ landscape: ______ ~
GRADING QUANTITIES: ____ CY cut _____ cy fill ______ oy
r~medial ey import/~xport cy
PLEASE CHECK OFF APPUCATION TYPES ON REVERSE SIDE
P:\OOCS\MISFORMs\FRM00063 REV 04128195