HomeMy WebLinkAboutPD 05-18; HINCKLEY RESIDENCE; Engineering Application (2))
CIIOF CARLSB~~ • -~NGINE~RING D~P,\ilMENT
· APPLICATION ·. · . .•
ENGINEERING PLAN.· CHECK
PROJECT ADDRESS: ~--L.---..."---#,-Ji...:..::_..:.;...:..w:~---~~:x.;:::;;.._ __ ~~-~-:------:-:=i:----
L OT NO(S).: f 7 OJ .
NUMBER OF LOTS: .NUMBER OF ACRES:·
owNER: sosA!J :t:SJEPHe:LJ HIIJCKLe APPLICANT:
Maiiiilg'ildilresso '11,Z !1' L.-c; ~ .. Mailing Address:
· _ CAR~E~._C-Aqz_oo"
Phone Number: ------------------. Phone Number:
Fax Number: ·
E-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;
Signature: Date:
CIVIL ENGINEER: 13o:G Su Kvf
FIRM: -rtte. SM~\ Gjff ·Ci}M~Y
Malling Address: -#i -C s·EA 'BR1£HfjL..
· Fax Number:
. ·E-Mail: ---
Signature: ,
'.
Phone Number: ftt'j/:J';{t_g'1200& Phone Number:
Fax Number: 1fC>-1ZO-<Xf)8 . Fax Number:
· E-Mail: E-Mail:
State Registration Number: 1<C,E. 'Z,f33 0 °Z. State Registration Number:
. ADDffiONAL COMMENTS:
IMPROVEMENT VALUATION
1. What water district Is the proposed project located in? (check one)
tcarlsbad Municipal Water District Oonvenhain
2. If in the Carlsbad Municipal Water Di$1:rict, what is the total cost estimate, including the 15%
lsCE 6407/
Ovallecitos
..... --.. ~o.ntinggncy fee, for water anc:L~claimed W!IJer irnprov~m~n~,--s~.w.~r __ (f~~-~~r.l!!?.~4.M!Jri.icipc!IL ____ ... _
Water District only), street, public (median) landscape and irrigation, and drainage improvements
(if applicable)? $
GRADING QUANTITIES
cut ~o ct . fill 2.0 cy remedial 13'\0 cy import __ _ export __ cy
. . · SEE REVERSE SIDE H:IDEVELOPMENT SERVICESIMASTERS/Applcatlcn for EnginNrinl! Plan Check .
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