HomeMy WebLinkAboutPE 2.92.16; PARIZEAU RESIDENCE; Engineering Application, CITY OF CRLSBAD
ENGINEERING DEPARTMENT
GRADING PERMIT APPLICATION
SITE ADDRESS: .4W LJS. Vl51 -4LJ. C,4fZLD
ASSESSOR'S PARCEL NUMBER(S): 'c9—l0
LEGAL DESCRIPTION: iC-_ ( PbA.
ZONING:
PROJECT NAME: FAUL ZAL1
PROJECT ID:
OWNER: MAUL P4IzAL/
ADDRESS Y'Z E TAS 1 c-,ô 2-OZ3
PHONE NUMBER:
CIVIL ENGINEER: ENGINEER:FF-T'( N1-6. INC.PE NO.: 1,171f
ADDRESS I '1 ' - I3LJ O. t'Jv Dc gzc
PHONE NUMBEt) '1L.
SOILS ENGINEER:r'r-t'( tV1 PE NO.:
ADDRESS (1 's'- 3IVS
PHONE NUMBER: 4frY)
GRADING CONTRACTOR: S STATE LICENSE NO.:
ADDRESS ____CITY BUSINESS LICENSE No./'/9 7/g-7
PHONE NUMBER: 24 HOUR PHONE No.:
PROPOSED USE OF GRADE SITE:
GRADING QUANTITIES: JT (1iiI') ztp 9 IMPORT WASTE__________
PROPOSED START DATE: FINISH DATE:
I hereby acknowledge that I have read the application and state that the information is have provided is correct and agree to comply with all City ordinances and State Laws requiring excavating and grading, and the provisions and conditions of any permit issued pursuant to this application.
Applicant Name p/ju. _IZZ4U Phone N"t')+44'4-
Address t7'• t' 'ZL-3 Z fl, . e 7-
Signature or Applicant _DATE:________________
FOR CITY USE ONLY
Received by
Entered Into Computer by Date 7//bA9_>- JUL 161992
InfilI Permit (YIN): "I Fee IfO?_ Postage:—/3.0 .r :
/CETY Permit No./No//2.6)2-16 Project Engineer: M.LAO G6 OF CARLAD \
: NNEERING COUNTER ENC
Drawing No. 39-A_Plancheck_ Fee Deposit 2 fo_T : DATE STAMP RECEIVED
P:\DOCS\MISFORMS\GradApp.FRM REV 08/14/91 ______ LziI