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Home My WebLink AboutPD 04-15; JAHAN RESIDENCE; Engineering Application,c, PROJECT ADDRESS: :-'."$ ~ 0 4{ DDY\.!IPL alt"• LOT NO(S).: _____ MAP NO.: ______ APN(S).: NUMBER OF LOTS: I NUMBER OF ACRES: OWNER: Mailing Address: · Phone Number: Fax Number: !:-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. APPUCANT: Mailing Address: Phone Number: Fax Number: . E-Mail: Signature: IN\, hlM I\ Date: J · 1·of Signature: Date: 1 --1 ·~ . CML ENGINEER: 5AW\ ~NO'-"L.eS FIRM: . S.:~. KuowU;:$ ~~ & . Mailing Address: 11 'f O 9-\od ...so. ""'-s~<Nl-.1~ ,10)1) SOILS ENG . : -£. tJ ;"j . . FI~: ~~ up Mailing=:1. 0hbfr~. Phone Number: &'if, ,ZS 1,v 5 I i ~ · _si\l\ IV\pc, fC, SJvt• t:f t°" ~ Phone Number: 7/pO "'x~'f · 7 30 '2. Fax Number: E.,.Mail: -· - State Registration Number: Fax ~umber: ~ • "14 ""I~ E-Mail: en ~O ,. CG State Registration Num; k5 j ,Z.'Z, .. ADDITTONAL COMMENTS: IMPROVEMENT VALUATION 1. What water district is ~he proposed project located in? (check one) -~- ~arlsbad Municip~I Water District . Oonvenhain Ovallecitos 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)? $ 0 GRADING QUANTITIES fi!I 0 ot remedial ::0 cy import O cy export 1.S'O cy SEE REVERSE SIDE H:/DEVELOPMENT SERVICES/MASTERS/Appljc~\iqn for·Engineering Plan Check Revised.1/14/02 ",' ,, ::' : / \>• ii'' ,' '' ,', . . CJAOF CAR ... SBAP'." t:NG~NEE~~G DEf~.-. ·MErfF·.· \ •·. ,.:;;,:::·.::,-:.' .. /:::;l,··, :s. i"' . , • · . · · .· , APPUQ4TION . . · . . .. · .· ' :· · · , ,. . ,, :: . ,.' . . . ' ' . .:·. . . . . . E.NGXNEJ:R.ING_ PLA~ ·Ct.t.~_CK : . ' . ', ... ',, ·:-\ ; . ",, '. ': : ' ' ~~inplete, affappropriat,Jnform~tion. ·.write l'Y~:whe,1111ot:~pPH~."!~•:'' .. ;: , .. ;.. ,·,. . ..... < .... APPLICATION FQR ( ./ all that apply) PRO~ECI · DRAWit11.S;.. . D,l;POS:rT[fEES' COMMEl',111'$ · ... , , '···1' " •• · · •. ,;,; , : ·i' • .. . . ll(l!MPER , . l>,AIQ · · . .':·, , ., ·:,· ·, c;.,. , , -· .I.I); D Adjustment Plat {ADJ) D Certificate of Compliance (CE.) D Dedication of Easement (PR) Type_: _____ _ Type_: _______ _ Type: D Encorachment Permit (PR) D Final Map (FM) . ~ Grading Plancheck (DWG) f(jJ d{-t5 W-1/J D Improvement Plancheck (DWG) D Parcel Map (PM) D Quitclaim of Easement (PR) Type: Type: Type: D Reversion to Acreage (RA) D Street Vacation (STV) D Tentative Pgrcel Map (MS) D Certificate of Correction (CCOR) D Covenant of Easement (PR) D Substantial Conformance Exhibit (SCE) D Other I l./nM 11""1 t'"\nlACt.lT CC0\/1 ..... CCIIAACTCDQ:IA""'r-tlnn fnr CnnlnQQrinn Plan ~hArlt P:.nA? f 9'5'~ ·· .;RE .. C·::t",:tVE···.··o· <:·:.~ ·· . :.OJ:' ,' ' .. ' , , ', ' ~· 1, , t '~-i .. '; ', ', •''' ,r''' ' -,, '' ,',,, ... , ' ' ','f,i',,, . ·;,'1·, ,'1' t;NGiNEt;~lN~ · .. ·· : . · . , ·· . ·. oePARtMENi. :.· · · · ,, , _' '• ) ,1 1 • 1 , Revised 1/14/02