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HomeMy WebLinkAboutCUP 01-10; SPRINT VONS 307; Engineering Application: . CIF CARLSBAD ENGINEEAING DEPAW1ENT :; _•__,'t- •— F,- / APPLICATION - - ' , ENGINEERING PLAKCHECK J I Mpjqpq,a!!,@ppropriate information. Write N/A when not applicabIe..:'t:;.?y PROJECT NAME: 1.LS3AP V3J5- SDL4oXC3c7S DATE: PROJECT- DESCRIPTION: - UN (t\A NJ(\1Eb - COv't tl Jt'J1C11TIOPL-5 FAc,L-1YY.. - - -. PROJECT ADDRESS: "7710 EL CMio KEPt L, CAR.L5(3A1) 01 t.Loo: LOT NO(S).: 3. MAP NO.:ID 2€ 3 APN(S).: j I 2f 17 NUMBER OF LOTS: NUMBER OF ACRES: OWNER: UCANT: Mailing Address: 225 S. Mt1AMGC- AVE: g0 Mailing Address: (tjj10 )Fj.. I?D 5rLoUiç 1 MO O5 T)i\J4 iu:y Phone Number: 70- 936 — 5111 PhoneNurnb'er; (/-.o- 76•38 Fax Number: 3 (11 -7277-'3'/ Fax Number: -''793O E-Mail: E-Mail: I certify that I am the legal owner and that all the above information is true and correct to the best of my knowledge. - - Signature: Date: - Signature: - 1't4114P)4(1ate: if 3/02_ CIVIL SOILS, ENGINE : lfr FIRM: jZ5Ll- FIRM: Mailing Address: 355t) r.L350 Mailing Address: 2'O IVEDAL-- 1; 5,0C4 SA r4 V Le 62 ci4 Phone Number: -~'3 — 9S-f5 Phone Number: 6 19 - 20- 43 'i I Fax Number: 6 1 01 — — Lt S t.,- B Fax Number: /; '' — ).. ' 0 — Ld-7 I '7 E-Mail: - E-Mail: . SC.S+: State Registration Number: LJ7 1 3 - State Registration Number: 000808 ADDITIONAL COMMENTS: - Ar S - - - IMPROVEMENT VALUATION What water district is the proposed project located in? (check one) DCar1sbad Municipal Water District DOlivènhain JJVallecitos If in the Carlsbad Municipal Water District, what is the total cost estimate, including the 15% contingency fee, for water and reclaimed water improvements, sewer (for Carlsbad Municipal Water District only), street, public (median) landscape and irrigation, and drainage improvements (if applicable)? $ GRADING QUANTITIES cut _______ cy fill cy remedial cy import cy export cy -4 4 SEE REVERSE SIDE • CIS)P ot -to ccosnrcc;nancrcDcIa-,I;,.oth..., hSr Cnninaarinn Plan ('hark - Revised 1/14102 CI CARLSBAD - ENGINEERING DEPA ENT -APPLICATION ENGINEERING PLAN CHECK Complete all appropriate information Write N/A when not applicable FOR CITY USE ONLY APPLICATION FOR (v' all that apply) j, 1TiÜO3ECT '- LD.; DRAWING 'NUMBER bEPOSIT/FEES ":PA'ID coMMENTs ,• V ' ..• Adjustment Plat (ADJ) LI Certificate of Compliance (CE) O Dedication of Easement (PR) Type:_________________ Type:_________________ Type:_________________ Encorachment Permit (PR) ,20 — LI Final Map (FM) LI Grading Plancheck (DWG) Improvement Plancheck (DWG) Parcel Map (PM) Quitclaim of Easement (PR) Type:_________________ Type:__________________ Type:_________________ Reversion to Acreage (RA) O Street Vacation (STy) LI Tentative Parcel Map (MS) LI Certificate of Correction (CCOR) O Covenant of Easement (PR) LI Substantial Conformance Exhibit (SCE) O Other I I APP LI A ACCEPTED BY: W.tflVI APMIJT cP/Ic lMASTPSlAnI,Ih-tInn f,r Fnninprinn Pllin ('.hRrjc PImp 9 ' Revised 1/14102