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Home My WebLink AboutPD 05-11; WORSCH RESIDENCE; Engineering Application· -,. ··· · -·:<: --., · · --······· · · ch¥:. __ .. G~RLseAr:,~;-~NGIN~~Rf~<tb~~~R>t ,.,. .. :· ... i'.~J\~PU,CA!I~N ·:·,:\:;_;~ \','.' '. ,• '.,,, . . . · · .. · -ENGlNEERIN~ Pi,AN'·CHJ;OK.:. . . ,. ·, :· . ~·:·: {:,,. · -~,¢t>:~~~~t~·:~jf~i>Pre1>-ria~~i ihf9rirt~ti~rt:, ·:w,!.\~::~iA:Wb~~.~-p~:~:ppli?IJI~~ · _'. :. .'.. :· .. , ·. , .;, PROJECT NAME: -1;,,~.,.._.,.._.__.,._.__-+~.....,.~~-----------DATE: t1,4/0.S-: PROJECT DESCRIPTION: _ _,.._~~....._-'-""'".,.....,=::;..... ___________________ _ PROJECT ADDRESS:3&./,3 £i.. C...,1&4 · RJEvfL . LOT NO(S).: __ ;;,,.,_,.-~.,.__ __ MAP NO.: CN6SD,,.,-f¼iJlll,l,N(S).: II> 7-~Q-~--- -NUMBER OF LOTS: NUMBER OF ACRES: l OWNER: Mailing Address: '-«: Jtl)Q14 ,s;Z: Mtfll. t S4 -,ZJO Phone Number: '1,/P -~" .. ~"-4-' Phone Number: Fax Number: Fax Numper: E-Mail: (AJI..Sh.,t. fD~-~--' . . .. ai,!: 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: -~«(2 -r.-o,s:o,., j 4-'i#> lfd., sr: ~ lh.C&i) QC 9z,, - i>I~ -7'#-?78& (-1,f -, ,-,s:--OZ«U , .er a4..s 4g)£@; ~#-.tlte,- S _· NGINEER: ~)A<'> A/,¥2.t2t.lf.T.a ~u....~~M.Mio~~~~cr.tW~W .. : \4""4C. ,j Jrli»d'-6.14<\ £-J6a--J IQ<:} • ~£""' 44:J. N&. a1hng Add~iss: 2'-@ l.u&,,4t«d t4e,1,:1:.. t/4$ r. I Cl, ·7z.as I M~"1ttf4ll{ltt ;I c.. ,a.o ?c-j · Phone Number: 7,1> .. &17_ &-6'8S= Phone Number: "'" -7tf17-t:2.J'/- Fax Number: E-Mail: ,,_, ... ra-,; _ l'il>_! Fax Number: ?Ii"--7J'f _ o~ E-Mail: State Registration Number: . State Re~istration Number: CU ·f8o ADDITTONAL COMMENTS: IMPROVEMENT VALUATION 1. What water district is the proposed project located in? (check one) ~sbad Municipal 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 o·istrict only), street, public (median) landscape and irrigation~ and drainage improvements (if applicable)? • $ GRADING QUANTITIES fill 1, 11 S:-cy • I. remedialelt~ . cy import 'l A.J3Cf export ___ cy · SEE REVERSE SIDE H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check 'PO b'7\\ . 'G\ ~ Revised 1/14/02 ., ,,. . (illY_OF CA~LSBAD;. ENGIN~~~NG D . TMENT. : .'.: ... , · -. ,.,, .. . . .. APPLICATieN·, ,_ · -,,,, 1,, ·· · · · · · · ENGINEERING.'rA.A'ticHecl( ; · .. · : ! , . :. :·. 1 Co~plete ~ll 0 ap~rppfiat~'lnfo~~ation.· W,riitf~/ A when' ~ot a:Pl?Iica.~ .. ~~'. . : . . , .. ,, ARP.t1CAT10·,,1-FoR -. ,, ,,.· ,., • :·.. · •, ! :fOR·OITV.USE ONLY, , ·<.>-·-.. -'. . '. . • .. 't • :i ' ..... ~ ( ./' all that apply) D Adjustment Plat (ADJ) D Certificate of Compliance (CE) ' ~f=iJ;! '• 1 ... . ~ ' ~~J~ .. -; :'-_ D Improvement Plancheck (DWG) D _-Pare~!, Map (PM) -~ •· --.. --·· ,r.:, . ., ., q .: ~.,, 'It~~ .... ~ . -~~~ • -h.. --~ ~"" !,,, --.... , D Qu_itclai'!1 ofE~sement.(P~t. '.1-' __ • _ _,._ ___ ---1,--------1 \• •·~-,.;,; .._ > ti j,.:, ~ .,.,.t -.\._,,.\<!'If' ~"-.t ,f io4.lli' ~-.,,-,.:.~.~i. 1 _ ',.;_4t l .. }"~ ~ -Q :ti"' ;i-ype:· ».i~t • f " ;;,i" ,, ,. , •• -' '· • -· " ... ~ • ~ ~" , ~ ~ ., .. ~-4-.. ~6·~~-~t ... , » ~. · --.... «,. ...... $ ,~ .. 1., ,. :-";,-...... \4 :,,.,... -. .»a~,;-~-:.:.\<,•".,;;, .... "" :.·-· ,..Q1~-it:ti,, ... ,"t..li..\ .• 'I,, ,._~ ... ~ I ~· .... ~1. ~:-rt, ., ,., . •,,. ,, -t"~.. , -,. ' ~ , r.,.., . 't,.. ~. .... • •. • ' ,..,,. 4' ~ • ~-.~:1 yp,!: · ....... ~v~ '+w•l•" .. fl .o .. ~·;~¥ 't', ,..;.._ .t't:·t. ••...a ... _')._.,. .,_ .. .,,,,., " • di•: .. _-.. ~ .. \ L-·.:.:~..:.-r:...yp~e:i":=·.,,;:·=·=~=·=:;::·=~:;:;-·::;:~=\'=-~=t=-d-:-_.,_, .. J"':I=>~::::::. ====F====·=!=;:: .. ~::::;·~·~*=·.·====·=1",.. ... ; ... ~~ "· .. J; .t D Re~eJsid_!1"to Acr~~e,CRA) ~:,~.,-. 'l'.•· '~ •: ."' \ ... ..., ~ \~"i: D Street Vacation (s.ivj;. . ·~ •. . . • .. ;· ; __ -,. ·~·fl .. ·,: t"., L=D=-._Te_n_ta_t;....iv~~~··:...P~ ___ rc_e-',l: ...... ~-"-:P_· c..,,1.r:-,_s_) --1-----4------1----..;"~·~ . D Certificate of Correction • (CCOR) D Covenant of Easement (PR) D Substantial Conformance Exhibit (SCE) D Other ' ' ·,' H:/OEVELOPMENT SERVICES/MASTERS/Appl!callon for EnAlneerinA Plan Check Page 2 ';, ,, I,,,·,' 't,:'t:, Revised 1/14/02 ; ;