HomeMy WebLinkAboutMS 793; LASATER, JIM; Engineering Application'~
CiTY OF CARlSEN)
2075 !AS PAIMAs IR.
CARISEN), CA 92009
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ENGINEERING DEPARlMENr
TENrATIVE PARCEL MAP
(4 OR U;Ss PARCEIS OR ~ UNITS)
lCIE: '!BE AP.I?IiICANr IS RI!QJIRI!D 'ID
APP.I:H Em ~ aHUSSICfi AP.I:RWAL
IF roc:;A'1E) IN iJHE 'cms'l2\L zam
REX::EIPI' NO.
FEE $400.00
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(NORIH, saim, .EAST, WEsT)' (NAME OF' S'IREEr) . '-----'
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(NAME 010" S'IREEl').. lw (NAME OF S'lm:Er) .
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£9£ +~ (0. tRcoJ.)er ot Sa.y\ 'Dl~O. (}f).~ ttt>'tC\ 2L .1911 .' ...J • .
NO. OF EXISTING IDI'S IDrAL ArnFAGE NO. OF :morosED IDI'S AssESSORS PARCEL NO. ',~ ( ,/U,lo Ik. . :2 . '1JC:;-?/Lo-o4
PROJEC1.' AlXEESS (IF AVAIIABIE)'
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'l'YPE OF SUBOIVI$IOO (CIRCIE ONE) ,~ ,. .)
INIlJSIRIAL'~L RFSIDEN!1AL
ZONE NO •
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NAME (IRINr OF TYPE) NAME (PRINr OR 'l'YPE) ~\WJ L~s~+e.y ~MA ·LA..sCLk-r
ZIP TEI.EFHoNE
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I CERI'IFY '!HAT I AM '!HE .I.E:;AL aolNER,
AND '!HAT ALL '!HE AOOVE INFORMATIOO
I$ '.IRJE AND CDRRroI' 'ID '!HE BEST OF
MY I<NCMIEOOE. A ./
'SIGNAWRE ~~o;-Zf-JY,.
MAtLtNG .ADIJREsS
(O,tLt C.~{tJ .Sf'.
c:r:tY AND STATE ZIP . TEIEmONE C(/.J-(~~d) .' Q20t),<1 tf~ 'l-:57" 4
I CERrIFY '!HAT I AM '!HE' av.NER' S
~ENI'ATIVE AND '!HAT ALL '!HE
AOOVE INFORMATION IS 'lmE~
.CX>RR;ECr 'ID '!HE BEST OF MY ~I.EOOE'.
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.SUBDIVISION lOG
ST~Ff ENGINEERI ___ ~ ........ ___ ....-. .............. ...;...;., __
SUBDIVISION NO.1 I~~ SUBDIVISION NAMEs LA5A.,--EE;.
OWNER/DEVELOPER: '\JIM' LJ}.6A"T'E:.J2..,.. .
ADDRESS: .(0"141. CA~Tlk ;,\.
__ C~A":";:&-..I.:U:;.::~~fD~A;..o;:. o:IoI;D~J~CA;;;....;:..._9...:.ZDo==B~ _________ .-.......-.PHONE:
ENGINEE,R Of WORK: Qf)ffa i2HIEL.l:AJ f1.RMI~ ,
. ADDRESS: BCol'aS 1-012.0 CEGlL "PI: "
__ ....;·.-..:.6....:;..:..;· p::;;.:.:...j:~c..o::;;;b.~._c:t..l.'L..=. :.1.1 ~2:..::'2-~ __ :........ ___ ......o-___ .PHONE :474-BCe~ \'
TENTATIVE, MAP APPROV·AL: .... ___ ___ 1ST EXTENSIONI ____ _ 2ND EXTENSiON, -_ ............. ...-
, IMPROVEMENT PLAN NO. : _____ _ GRADING PLAN NO.' .... _ .......... ______ -----_-......
"AS BUILTS" APPROVEDs_ ..... ___ _ GRADING PERMIT NO.t.,..-_ ........ _____ --
E~OSION CONTRDL PLAN: ----~---------
BONDS AND AGREEMENTS
fAITHfUL LABOR 4: 'HONUHEN-SECUR.l TY
AGREEMENT rITLE EXP IRA TION PERfORMANCE MATERIALS TAUON TYPE (CASH, COHMENTS
DATE BOND AMT. BOND AHT. BOND AMJ. SURETY. LOC)
.'.
,,' .
SURETY COHPANY: _________________________________________________________ ~----------
AODRESS' ____ ----------------------------------------------_----.-_--------CONT AC T , _______________________________ -__ -----PHONE : ___________ ....... _
EASEMENTS
USE LOCA TlON RECORD NO.
,.
,
REPORTS
..-::::::
, "'" ~
TYPE Of REPORT STATUS (IN, N/A) /" CHECKED BY \. r\ T HIe Report v .-
L'"_f...
!SuDCll v 1 s 10n liua.r an tee /' /'\ // // I 1.
Traverse Calcs / L. /J1lf.K 1/
H'ldraulic Calcs . I // 'I, I' V H'/ d r 0 I 0 Q Y (a I c s .-V J\J I . I .
Sewer Cales, 1 ' // I , I i
Water Syste,m Calc,s ,~~\ In hIlA! _ .. '::A~ ......,... :'. -.... : "'r' .. ,. .. SOll s Reoort ' '\. r / I I I
"" .. I . r L ----~
WA T ER 0 IS TR I C T 1 ____ --._.....-___ _._------SE WE R 0 1ST RIC T I _____ ~ _____ --------
SCHOOL DISTRICTs _____________ _ PL ANN I NG AR E A 1 ______________ --. ___ ....;.._
DR A I NAGE AREA 1 _______________ _ SPECIAL lONESltASSESSMENT, THOROUGHfARE,
PLANNING ACTIONI _____________ _ BRIDGE DISTRICTS 1_. ____ ----------__
tOHHENTSs _____________________________________________________________ ~ __ -