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HomeMy WebLinkAboutADJ 501; ISLA MAR; Engineering ApplicationCITY O_ARLSBAD -'ENGINEERINc4EPARTMENT APPLICATION FOR ENGINEERING PLANCHECK OR PROCESSING Complete all appropriate information, Write N{A when not applicable, PROJECT NAME: Isln Mat PROJECT DESCRIPTION:_-'I_O_I'---..::::--7-'"----!..~_'_'_'_¥_...u....::~~--....,..----~,.f_==~--....--- PROJECTADDRESS: ______________________ -,~~~~~~~~~~-~~ LOT NO(S).: ·6) ~ t?£.-. MAP NO.: qD -'V OWNER: ILi If>Je.n Mailing Address: I]'?! 0 IZWlni 11 Av(/,. lrJ!i ):J~ I CA q2TI4 , Phone Number: (]!4 1 J5b-J?J3 I certify that I am the legal owner and that all the above information is true and co e to the best of my knowledge, Signature Date5h .. ~)~1 I I Firm: Mailing Address: Ur Q2.014- Phone Number: ) 0 f '2,-B f$ ~ State Registration Number: -..-.:~:...1....l......!r.o::....q...L.:?~ __________ _ LANDSCAPE ARCHITECT:_'--NI...-'-IA _____ _ Firm: Mailing Address: Phone Number: State Registration Number: __________ _ APPLICANT: 5Qql0 wa4 C,)j) E njlr){(,erjn~ Mailing Address: ~D?:5~rllrlL ~( .. 1t 175 f'YH()~~ qz, I'{ . Phone Number: (11'-1-) B51.-BE? 57- I certify that I am the agent of the legai owner and that all information on this sheet is e and correct to the best of my knowledge, vV. Date?; /1/& 10, 1 N-iA Firm: Mailing Address: Phone Number: State Re!=1istration Number: ______ ....;..,... _____________ __ ADDITIONAL COMMENTS:_-..,.---",..--_________ _ NO. OF DWELLING UNITS:~ LFMP ZONE: ___ _ NO', OF LOT~7t t 5"L NO, OF ACRES:, __ IMPROVEMENT VALUATION: sewer, water & reclaimed water:. _____ _ Water District (Cir~l~l o~~,:: :" Carlsbad Municipal Water District Olivenhain' Vallecitos streets t:ln~t<lirairi'age;~,;_' _' _______ _ landscape: ____ .--:. ______ _ GRADING Q~~~T!.T.I:~~:+-... ~, ___ Cy cut _____ cy fill....;.,.,. _____ _ cy remedial cy import/export cy PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE P:\DOCS\MISFORMS\FRM00063 REV 04/28/95 APPUCATION FOR (CHECK ALL THAT APPLy): Plat o Certificate of Com o Dedication of Easement Plancheck o Street Vacation o Tentative Parcel Map o Certificate of Correction o Covenant for Easement D Substantial Conformance Exhibit P:\DOCS\MISFORMS\FRM00063 REV 04/28/9