HomeMy WebLinkAboutPD 454; BLACKMORE VAN ALLEN GROUP; Engineering Application~% . CITY OF CARLSBAD. ENGINEERING DEPARTMENT
APPUCATION
FOR ENGINEERING PLANCHECI( OR PROCESSING
Compleft all appfopd.te Wonns&n. Wtt. N/A iWian nci applleahM.
PROJECT NAME: LMMD]2& VAN AIWN/ (DIJP DATE: g
PROJECT DESCRIPTION: AI717ZOX i'MATL\(.. 54X fiJA fW1 CcNCEETE
fl LT LAP R~ Q ZO-1 121 ATE f ArfiARTs. E:io!j
PROJECT ADDRESS: )l2- VAN AtAN N CAL6E7AV
LOT NO(S).:12- MAP NO.:
OWNER; f)LACKMDk_AL\)ALUI\J APPLICANT: flIt __DtE(J)M'PA1V(
Wing Addrus: MX 4Z4 M.illng Addr.s.: ______________________________________
co d\rm r LA12Of ANCfO WA, M 6A 6120
Phone Numb IOl12_121 NUflb• 1(919_)1C12112Ii
I o.flify that I am the ,.gai cwn .I)d that .11 th. sbov. Irdoimaon Is u and cor,
I o.rti& that I am th. sg.e* of lb. I.qal n.c and that all k,(onnatlon on
this .h.04 I. tsd p1Ta 1olth. )04 of my kncwt.dg..
/2 7 ç Signature i9//8 __Date &/ L signatun
CIVIL ENGINEER: VvN ,t1LfJ?TL SOIL.$ ENGINEER: mM_i4&fc Lc
Firm: _L1A1 Fhm (OWtL4' _NCI
MaiflngMdw: 'f?D..?(!1 Mgi..s: 4I PALM P V'JA'\JI
VAII (ffileuA 6j2O2 WLS510 M
Phone Number [(Q1 - __- Phons Numb. LPIV _4& _31 S
Stat. R.gIstrstlon Number. JO1 ?4 ut. R.Ql*ttaOn Numbii I (03!)
LANDSCAPE ARCHITECT: 1iM_1T) ADDITIONAL COMMENTS:
Firm; -.
MaiIh,Addrsu:
LAMA MWEL-68cf2foR
Phone Number L 114_ 24 2I1
State Rgl.ustfon Number
NO. 'OF DWELLING uNrr8: LFMP ZONE:_______ NO. OF LOTS NO. OF ACRES:,
IMPROVEMENT VALUATION: sewer. water & reclaimed watac,,
streets and drainage: landscape:, water dlstrkt________________
GRADING QUANTITIES:________ES: -.-- cut cy 1W __________ Cy
rernethaL cy .od/aoit cy
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE
4
APPLICATION FOR .
(CHECK ALL THAT APPLY)
O Boundary Adjustment
DAdjustment Plat
C3 Certificate of Compliance.,
0 Dedication of Easement
Type \
Type
O Encroachment Permit
0 Engineering Standards Variance -
O Final Map
Grading
O improvement Piancheck
0 Landscape Plancheck
I—I
U Parcel Map PM
O Quitclaim of Easement
Type -
Typo: . .::::.:.:.::.::.....: .....:.....
0 Reversion to Acreage - - -
O StFet Vacation
o Tentative Parcel Map
O Certificate of Correction CCQ
-
U Covenant for Easement ......................
.t.:i.
O Substantial Conformance Exhibit /
/
. ..
tJb/UJ/1Jb !ib bif377274 SPEAR & ASSOCIATES PAGE @3