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HomeMy WebLinkAboutPD 420; STATE FARM INSURANCE; Engineering Applicationc.---: PROJECT NAME: n_. __ ..... l l J~ CITY OF CARLSBAD· ENGINEERING CEPARTMENT APPLICATION FOR ENGINEERING PLANCHECK OR PROCESSING Complet. all appropriate information. Writ. N/A when not applicable. STATE FARM INSURANCE SERVICE CENTER DATE: " 9-22-93 PROJECT DESCRIPTION: INSTAL.L. a" klATEB ~I~ EQ8 EreE eileeQSES ~I SI~IE E"H~t::1 It~ISI12jl~jCe BUILDING " PROJECT ADDRESS: NE ,qol GO ~+ ~-e~ , , CORNER OF PAL O,AKS ROAD AND PAL OM.A.R AIRPORT RO.AD/ ''>" AP~I'2-091-ry LOT NO(S).: 12 MAP NO.: J ] 28Z " OWNER: \!i'\\<\ STATE: P:.6-~ APPl.lCANT: ' ~8!"'({ dl (};JltK Mailing Addr ... : 1 f21-ATF-EA~!:1 f'L....6.Z..6 Mailing Addre .. :-, '5l-0oMIJ-J ~:I0~ I "LL (0110 I I , Phone Numb.r: ,30 5 l :l(Qse -2..'2.7£ Phone Number: ! 1 t certify that I am the 'ega' owner and that all the above Information I certify that I am the agent of the legal own.r and that all Information on I. true and :~o the beat of;r;nowl.~ge., ~ .' thl. 'heat I. true and correct to the beat of my knowledge. .. 'signature AM. _~ AAA/.J O~te if .2,'5.tt ; Signature Date " ( ~ , " '--" CIVIL ENGINEER: WAYNE CHANG SOILS ENGINEER: N/A Firm: to "1 NASLAND ENGINEERING Firm: ' ,- Mailing Addr ... : ~Z~Q IWEEbiEe SIBEEI Mailing Addr ... : SAN DIEGO. CA 92111 Phone Number: , 53 9 1 2Q2.;Z;Z;ZO Phone Num~r: , 1 - LANDSCAPE ARCHITECT: ADDtnONAL COMMENTS; Firm: N/A " Mailing Addr!~:, , I. . ' , " I ->,' I , Phone Number: '.,' I ,t 1 _ .' , , , NO. OF DWELlING UNITS: N/A NO. OF LOTS: 1 NO. OF ACRES:, 3 $, , ' - IMPROVEMENT VALUAitON: :sewer, water & reclaimed water: 25,000 streets and drainage: NA landscape: NA water district: GRAOING QUAf\lTJTll=~~ ~~-Cy cut cy fill cy remedial cy import/export cy PLEASE CHECK OFF APPUCATION TYPES ON REVERSE SIDe P:\OOCS\MISFOflMS\FRMOOO83 REV 12115/i2 ~-----~---------:--~-------~~ • FOR APPLICATION FOR Plancheck Type (CHECK ALL THAT APPLy): Number o Adjustment Plat AOJP o Certificate of Compliance COO 0 Dedication of Easement DOE Type: .. .. Type: .. o Encroachment Permit . ENCROAcH . D Engineering Standards Variance .. ESV o Final Map .. FM:' D Gre'~ '1g GRADING: : ~Im~ ?ment Plancheck ·DW~?~\ !pC .. LPc' . ' D Lanascape Plancheck ' .. ' ... ': .. ': ": :::·>····;.·'·::::~M:;:·::::.::·::.: 0 .. ,', Parcel Map ." :. ". :OUITC .: D Quitclaim of Easement Type: '. Type: 0 Reversion to Acreage RTA o Street Vacation : $TV. :' .. . . o Tentative Parcel Map .. M~ ',:.:' " MASTER PROJECT.ID Pe ?-.Cf?/,DZt; RECEIPT NUMBER ) ~1( PRELIMINARY' SIERRA ·SYSTEM:'fNPUT·INITIAL S0l+ I2thvI- . : :' .. SrERRA SYSTEM INPUT INITIAL._··_· _~ ____ _ R:8ASE INPUT lNITIAL:.....-____ _ Dother: P:\OOCS\MISFORMS\FRMOOO63 CITY USE ONLY '.' Drawing: .. . Project Deposit/Fees .. Number:::.: 1':':::":'.' 10. : '.' Paid .. " ~ ... ~. . . .' : " .... '. ." .: '.' .. .. . .. .. " ',' ... ...... .. . . .. .. . ' '.' .: .. .. . ' .. : 'f .... .. ',' . .. ' .. .. '.' .'. ..... : ' .. '.' ·.p.~':)??-I· J?OLfX> :: :.::' .... . ' .. '" : ... .. ;X:.:::.:;:;;.':·:.:· .. :::':.' ' . ," . .. .... .. : .... ~ . .. . ".' " ~.,., : .... , ~'.' 1:::,:.'':''::::'<' ::.:::(:.:; .. : :i·::·.:. i:<;:'::.<: ':::::.:" : ..... :!,i·;;::;'::/::··:::;·:·:":·;!:::~:·i.::\· .. ··:· .: ,,' '. .. I',' ... . .. .. i:": : .. ' .. :: ... I':::.' .. . . ' . : '. .. : .;. . ':. :.: . .. .. :-::: . .... i·· ... · : .: .. : .... .'. ... '.' h··;·:: .... · ..' '. ~, ~ .,) .~~.a '1993 . .' ' ............. ,',' " '.:-:': .. ::.: on.':ciF.'i·CARtHAO'-:·::: .: .. . e~GI!'I.t;·mmf.~·~··· ::>,:,,: APPLICATION':REbEIVED REV 12/15/92