HomeMy WebLinkAboutPE 2.94.02; CIMA TENNIS COURTS; Engineering ApplicationCITY OF CARLSBAD - ENGINEERING P PARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR PROCESSING
Complete all appropriate information Write N/A when not applicable
PROJECT NAME: - 7EJVA//S 4L111P - DATE:____________
PROJECT DESCRIPTION: S 1_r'c7O'Jdi //ez'_7UiJ
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PROJECT ADDRESS 29o'9 'Vo' ,qc-ë
- LOT NO(S) 7 MAP NO.: -APN(S).: - _.35
OWNER: APPLICANT: (//_ 61
Mailing Address C7 g I_i4z _ Mailing Address -
) £,Is Li,,_('4_2co 7 - L
Phone Number: (_) Phone Number (
I certify that I am the legal owner and that all the above information I certify that I am the agent of the legal owner and that all Information on
is true and correct to the best 9 my knowledge. this sheet Is true and correct to the best of my knowledge.
Signature—", Date (Ci'9 Signature—. Date---
CIVIL ENGINEER: ',Ellc SOILS ENGINEER:_________________________
Firm: 41,cex _/(15&& Firm: -
Mailing Address /O5 2M'/A1O _/&5a77/43' Mailing Address
Phone Number: (_)_S Phone Number: C
Sc
LANDSCAPE ARCHITECT: ADDONAL COMMENTS:________________________
Firm: - -
Mailing Address: S -
Phone Number:
NO; OF DWELLING UNITS:*/ NO. OF LOTS: / • NO. OF ACRES:
IMPROVEMENT VALUATION: sewer, water & reclaimed water:_________________
streets and drainage: landscape: water district: ,v',9.
GRADING QUANTmES:'(OCY cut SOW cy fill. 4M,(4-0 cy -
remedial cy import/export C) cy
PLEASE CHECK OFF APPUCATION TYPES ON REVERSE SIDE
0:DOCS\MlSFORMS\FRM00063 - : : REV 12/15/92
P:\DOCS\MiSFORMS71FIM00063 REV 12/15/92
;.. ........ . ........... . :-:-:.......::... . . ....... . ...
A BASE INPUT __________
S • .. 1..
....... ....-., .-:.....
FOR C
APPLICATION
ITY USE ONLY
FOR Pcheck Type Project DeposFees (CHECK ALL THAT APPLY) =
iAdjustmentPlat
ADJP
O certificate of Compliance
O Dedication of Easement DOE
Type
Type
0 Encroachment Permit ENCROAGH
O Engineering Standards Variance ESV
O Final Map FM
O Grading ?1z9ooa GRADING
D Improvement Plancheck IPC
0 Landscape Plancheck LPC
O Parcel Map PM
O Quitclaim of Easement QUITO
0.
Type
Type
0 Reversion to Acreage RTA
; DStreetvacation . ....I............:..... ............
O Tentative Parcel Map . :