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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