HomeMy WebLinkAboutPE 2.94.03; PONTO STORAGE DESILT BASIN; Engineering ApplicationCITY OFCARLSBAD - ENGINEERING QPARTMENT
APPLICATION
FOR ENGINEERING PLANCHECKOR PROCESSING:
Complete au appropriate infonnation. Write N/A when not applicable.
PROJECT NAME: &'4 JI 1V-A _- DATE:________
PROJECT DESCRIPTION r -(_-
PROJECT ADDRESS:
ii LOT NO(S).: MAP NO: APN(S).: •)4,J7//
OWNER: 6 '' APPLICANT: •' _______
S
Mailing Address: 7)9C IA_ )a Mailing Address: I
e6wl is l.•I S
Phone Number: '2I Number:__,1'1O P (_..
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 of my knowledge. this sheet is true and correct to the best of my knowledge.
Signature Date Signature .'0 Date____________
CIVIL ENGINEER: ______e ,(.SJfi'. d SOILS ENGINEER:_________________________
Firm: b-;i €I4 Firm:
Mailing Address: ~~ IAO J'- ' RtJ Mailing Address: . tZZY c
Phone Number: ( - f ' ) 117 Q * b Phone Number: (lo
State Registration Number: / C f98 . State Registration Number: S
LANDSCAPE ARCHITECT: . • 0 ADDITIONAL COMMENTS:
S
Firm: • • S •
Mailing Address: S • __• S • __••
Phone Number: • • S - •
S • •
State Registration Number: • S S •
NO OF DWELLING UNITS. LFMP ZONE: NO OFI..QTS NO OF ACRES
IMPROVEMENT VALUATION: sewer, water & reclaimed water:.'
streets' and drainage: • • • landscape: i)J9__' water district:__________________
GRADING QUANTITIES: ('8~5 zl CV
•
cut cy fill '•'cy
S • •
,' remedial • " •cy import/export iil/i . cy
4 PLEASE CHECKOFF 'APPLICATION TYPES ON REVERSE SIDE •
S •• ••S • . 5 - '5 ••?•
.P:\D0CS\MISF0RMS\FRM00063 • S ' ••' • -' '' • • REV 12/16/93
P:\DOCS\MISFORMS\FRM00063 REV 12/16/93