HomeMy WebLinkAboutPD 03-05; HIGHLAND DRIVE SEWER EXTENSION; Engineering ApplicationPROJECT NAME: DATE: 71 z ' iz.00
PROJECT- DESCRIPTION: iE e-.— 4S*o% (r f.SL..F)
To ?iir -jCcJiCJ 10-. L,?T og I Q1'FA P. 1 1982
PROJECT ADDRESS: Z-i H-t t a i Q_4
LOT NO(S).: 1. MAP NO.: PrI _1942_- _APN(S).:
NUMBER OF LOTS: NUMBER OFACRES:_.J /..
OWNER: _______________
Mailing Address: 12 '14
Phone Number: '7t
Fax Number: (i,b) :
E-Mail: -
I certifythat I am the legal owner and that all the above
information is true and corect to the best of my -knowledge.
Signature:
CIVIL ENGINEER:
FIRM:
Mailing. Address: . 1 -c cr.
c wfl
Phone Number: L
Fax Number: (Tho) 49 0&1c,
APPLICANT:
Mailing Address: ,
Phone Number: 1)qllow Ig ($3
Fax Number: -(T) 43cjo-(d1.'
E-Mail: Ctht
rt€k
Date:? -k 103
SOILS ENGINEER: - -
FIRM:. .-1.
Mailing Address: I
Phone Number:
Fax Number: . .
Date: I I Signature:
E-Mail:E-Mail:
State Registration Number: C.5z.o- S I '1 State Registration Number:
ADDITIONAL COMMENTS: . . .
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one)
Orlsbad Municipal Water District DOlivenhain . flVallecitos
2. 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 export cy
RIFF REVERSE STDE - kZ7
HJIJEVELOPMENT sERVICESIMASTERS/Application for Engineering Plan Check Revised 1/14/02