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HomeMy WebLinkAboutPD 05-04; HARTZELL DUPLEX; Engineering Application-• . CITY.OF CARLSBAD -f:NGINEERING .DEPARTMENT .APPLICATION FOR ENGINEERIN.G PLAN CHE;CK OR-PROCESSING Complete all appropriate information. Write:N/Awhen not applicable. ,, PROJECT .r-:JAME: \:x,.~e'-\ DoeW DATE: 8/{fY05 -• (_ PROJECT DESCRIPTION: 12es., o ~M e tl~ L S>ml.l cru t2 a -- ,_ ' -•.' Avo~A110 ltJ.NC PROJECT ADDRESS: 7'55 _8 " . f:Sb 1. .-. Z04-zto~JI LOT NO(S).; MAP NO.: APN(S).: NO.-OF DWELLING UNITS: LFMP ZONE:: # LOTS: I #ACRES:: 0,ll '' OWNER: :~ A~o uom,m APPLICANT: ~4 Mailing Address: Mailing Address: -. . ~ -C:t2i5.>C=~ t PII tUJ,-12 ~r~L . · --'. ~>ZL-~Mo:. Q;\ 9-ioo<a ~1':3'Y<Q f (:A, g~ti Phone Number:" --(7b0 )· 72~---0 70 2., · Phone Number: <1~> ,:;;Ft-o--;a:;;;. I certify that I am the legal owner and that all the above : information is true and correct to the best of my knowledge Signature ~-;kl Signature ~ • Date ~r_g..('h . Date ::)-{Ci::fA"" .. SOILS ENGINEER: 'J)cflAJ I> C 1111Me~M Ii N , CIVIL ENGiNE~R:· Finn: . dQuA.1i:12~A . VVb~ Finn: lv ef.> Piit' tJ $o, t i:i-fi, vAJa1rntJ "' : /Hf3 CAMt'G S>J /YO_ Pi.At~ 4 z3 IJ4i,; A 1a.~J.iv c Malling Address: Malling Address: OC~NS.106~ ~A . 9'2.054-. es. tt>M o ,au) CA 11-fJZ.'j Phone Number: . <760>·+~1-Z~Ol Phone Number: (761) 746~ 3.~SJ . -' l'Zt6 -Z30·9D t 2 bb 7 b . (;z /; 'j_ zt State Registratio_n Number: State ~egistration Number: -,.. ADDITIONAL COMMENTS: ·. -. . . . . ; : IMPROVEME:NT VALUATION '' 1. What water district is the proposed project located in? (circle one) ' ' Carlsbad Municipal Water District Olivenhain Vallecitos 2. If in the Cilrlsbad Municipal.Water District, what is the total cost estimate, including the 15% : contingency fee, for water and reclaimed water improvements (ifapplicable)? .$ .. 3. Wh~t is the total <,0st estimate, including the 15% contingency fee, for sewer (for Carlsbad Municipal Water District c;,nly), street, public (median) landscape ·and irrigation, and drain.age improvements (if applicable)? $·· 4. What istne total cost oflandscape'an~ irrigation improvements on private property (if applicable)? $ - : ' . GRADING QUANTITIES cut cy fill cy remedial cy import/export cy - APPLICATION FOR: (./ all that apply} · Q Adiustment Plat Q Certificate of Comoliance . Q Dedication of Easement Type: .. ,, ,. _ , . . . . · .. _ ·. , Type: _______ _ Q Encroachment Permit Q Enciineerina Standards Variance Q Final Mao 13/4radina Plancheck . Q Gradina Q lmorovement Plancheck Q Parcel. Mab Q Quitclaim of Easement Type: _________ _ Type: _______ _ Q Reversie>n to Acreaoe a Street Vacation Q Tentative Parcel Mao FOR CITY USE ·oNL'Y. Pl_ancbetf< . . .. Number : . . 1:vpe: - Dtawing-. . -Deposit/Fees N.,.rmbe.r · :Pro1ecf'l t, : · · Paid . . ,ADJP_ -. 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