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HomeMy WebLinkAboutPD 04-14; MIER RESIDENCE; Engineering Application\ CARL:S,BAD ~ 1:NG'iff.~~.RJNti D~PJt, APPLICATION'. · ',,:,.. ·. ·ENG:t.NEERlNG~LAtHJHECK:; ,,. ' ,',:' ' C(!)lllP,i~l:~~11 appro,pr~~te ·i-~totmit.t•~~~ ,Wf.!~tf ~,i'w!i~f)-;.10~ ~-pplJ~J?!~:, . . 1 ,' .••. ·. ·:":. PROJECT NAME: HIBIL ite~IPft.JC~ DATE: ------- PROJECT DESCRIPTION: ------------------,------------ PROJECT ADDRESS: :2>'::i ':-\'Co ('v)o. cl~ s~n ±:>±reg+. &cb 'o2ol) CA . ) LOTNO(S).: 7 MAP NO.: . APN(S).: 2oLJ---\( 1-)(a · NUMBER OF LOTS: OWNER: {Y}µY'.)C L~ {VJ l-e.,.r-. Mailing Address: ·-' '\'.-O., t?p')t. Lf J; t> l . Q4r\s~c.J, <!_,P · 9'c.()l Y · P.hone Number:(? 6 ~ 7 2-0 -CJ Cb 3 Fax Number: E-Mail: I certify that.I am the legal ·owner and that all the abov~ to the best of my knowledge. Signature: Date: cIVIL ENGINEER: E c~ o (L,; ~+ FIRM: EO~; ~1l'/'1'-~~;ff ~f _ Mailing Addre : 2 \ rC; ½o/7 0:zw:eos . Cfl 9 ;)e)l;fl < ' • Phone Number: t(Q'l:>_g-1:? 9.-7Z;p'2- Fax Number: 7cd)--Y80-)'17l E-Mail: e-1,11 en~d5@ ,;\,c f()\e11,.--1. .-u,t State Registration Number: ttC& !o51V2. ADDIDONAL COMMENTS: NUMBER OF ACRES: APPUCANT: Cf\o Y\\ C.0.... YY\ \ --e..,r Mailing Address: \', b . 1?:,o'X Lf:3:?v I (' CA r I s bt11 ~ C, A ~ qiz, ( f( Phone Number: (7 b ?) ) 3o -q ::,..C:. 3 Fax Number: E-Mail: Signature: ~ Date: SOILS ENGINEER: . D93 V i 2 (l <?@ \ : FIRM: 00C-:tl, ~> ffiu Co~cli "'2 l!.qJ , c. 'MailingAddress: ,oS b~~~n~ £;':.iepoeft-i'c?o &ft 9 2cJ7 Phone Number: 7 <oo-Ll2'~-1 l I {o Fax Number: E-Mail: State Registration Number: \ 9J =-,°I 3 IMPROVEMENT VALUATION ·1. What water district is the proposed project located in? (check one) (Eearlsbad Municipal Water District Oolivenhain Ovallecitos 2. If in the Carlsbad Municipal Water District, what is the t9tal 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)? $ S T7 ~ . ~ S q cut--'-__ cy fi!I i(, .5 cy GRADING QUANTITIES remedial l i.:. 1 cy import · 2.,, S cy SEE .REVERSE SIDE H:/DEVELOPMENT SERVICES/MASTERS/AppliqatiPP for Engine~rjng Plan Check