HomeMy WebLinkAboutPIP 94-03; AALTO SCIENTIFIC; Engineering ApplicationI CITY OF ALSBAD - ENGINEERING D!ARTMENT
S APPLICATION
I FOR ENGINEERING PLANCHECKOR PROCESSING
Complete all appropriate information. Write N/A when not applicable.
PROJECT NAME: _44L7 7i77' DATE: AAk Z1!5w-
PROJECT DESCRIPTION: &I
PROJECT ADDRESS:
LOT NO(S).: MAP NO.:1/288 APN(S).: Z'2 -092-/a
OWNER: APPLICANT:
Mailing Address: 7JV ,1'Y4t Mailing Address:
EL. s
Phone Number: (_/')4Z40-74Z4- Phone Number: (e/9)4702Sr;z
I certify that I am e legal owner and that all the above information
is true and corr o the best I my knowledge,
Signature pate ,'//g_
I certify that I am agent of the legal owner and that all information on
this sheet Is true correct e best of my knowledge.
Signature _Date__________
CIVIL ENGINEER: /L9e;.i7_'• SOILSENGINEER:4j7'i2../
Firm: ,ffi/,eJ,r,PIL __f,(/ES_/N. Firm:
Mailing Address: 6O)(IZIL Mailing Address: .74/_V4y'
C'I,9/tSA_(2.,'q1 2tJ?
Phone Number: (_659)1&'.f 1f Phone Number: (/'?_)_ '
State Registration Number: •/2CE /1J'147 State Registration Number: ,<h.
LANDSCAPE ARCHITECT: A.IJJ ,t14,t-14y ADDITIONAL COMMENTS:____________________
Firm:
Mailing Address: .IV/I€D./ £ S
Phone Number: Number: (_/? _457.Z9 S
State Registration Number CI4
NO. OF DWELLING UNITS: LFMP ZONE: NO. OF LOTS: / NO. OF ACRES: /S5
IMPROVEMENT VALUATION: sewer, water & reclaimed water:__________________
streets and drainage: landscape: water district:__________________
GRADING QUANTITIES: CV cut /8/0 cy fill /2 a cy
remedial cy import/export Hocy
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE
P:\DOCS\MlSFORMS\FRM00063 REV 12/16/93
APPLICATION FOR
(CHECK ALL THAT APPLY):
e:
O Reversion to Ac
O Street Vacation
0 Tentative Parcel
0 Certificate of Correction
0 Covenant for Easement
0 Substantial Conformance Exhibit
P:\DOCS\MSFORMS\FRM00063 - REV 12/16/93