HomeMy WebLinkAboutMS 95-04; LAGOON WATERFRONT LLC; Engineering ApplicationCITY OFcARLSBAD - ENGINEERING RIPARTIVIENT
APPLICATION
FOR ENGINEERING PINCHECK OR PROCESSING
Complete all appropriate Information. Write N/A when not applicable.
PROJECT NAME: 04 .V)ATFRO LLC- DATE: •tS.
LSTNUp1 CPOM(NWM PROJECT DESCRIPTION: _ .UJTh .
4'; -7 ( 475co'/e-brZ. Coi/3L _Cp _ PROJECT ADDRESS:..
LOT NO(S).: MAP NO.:.1°..APN(S).:
: OWNER: LAM'ON
Mailing Addreew R 0 __(13t'lC 2.1 1 Mailing Addriss:
o410 c{ _Ckb° h I
Phone Number: ( 1 Phone Number:
I certify that I am the legal owner that all the above Information U certify that I am the agent at the legal , owner arid-that all information on
Is true and correct best at knowledge. this sheet is true, and correct to the best at my knowledge.
Signature. _Dateji)i Signature bate___________
CIVIL ENGINEER: _R. cJL-D SOILS ENGINEER: L ECJk.
Firm: '- Firm:
Mailing Address: C) 42 4/'4/)s Mailing Address:
Phone Number: _0 SO .. PhOnSNumbir: C_)
State Registration Number:. _. _. _, St$e Registration Number:
LANDSCAPE ARCHITECT: Nwa- ADDITIONAL COMMENTS:
Firm:
Mailing Address: '
lot ....... :.::" Phone Number: . . ,
State Registration Number: . _.
'NO. OF DWEWNG UNITS: __?- LFMP ZONE: OF LOTS:". 1' NO. OF ,ACRES:
4' IMPROVEMEN$1ALUATION:SeWer water & reclaimed water:
Water District (circle one): ' Olivenhain ValIectàs
' streets and drainage: ." 'an scape:
el 6,t i, , LI I
GRADING UANTITIES:" ik cy cut "I k cy iiii' cy
remedial . ,, , cy import/export . -' - cy
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE
pAD0ce\MISF0RM5\FRM00063 REV 04/28/95
FOR CITY USE ONLY
APPLICATION FOR Piancheck Type Drawing Project Deposit/Fees
(CHECK ALL THAT APPLY): Number Number ID. Paid
Adjustment Plat AaW
O Certificate of Compliance CCC
O Dedication of Easement DOE
Type:__________________________
Type:
O Encroachment Permit
O Engineering Standards Variance ESV
O Final Map FM 11 DGrading Plancheck Wvlc
0 Grading G4DING
O Improvement Plancheck
El Landscape Plancheck (-PC
El Parcel Map PM
O Quitclaim of Easement Ct_ITO
Type:_________________________
Type:
O Reversion to Acreage
O Street Vacation sy
Tentative Parcel Map we i1€z ///7
o Certificate of Correction ___
O Covenant for Easement It COVE
O Substantial Conformance Exhibit
APPLICATION ACCEPTED BY 0 0
RECEIPT NUMBER _______/
PRELIMINARY SIERRA SYSTEM INPUT INITIAL
P:\D0cS\UISFORMS\FflM00063 REV 04/28/95