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Home My WebLink AboutPR 00-121; BLASSINGAME RESIDENCE; Engineering Application: PROJECT NAME: --CITY OF CARLSBAD • ENGINEERING DEPARTMENT APPLICATION FOR ENGINEERING PLAN CHECK OR PROCESSING Complete all appropriate information .. Write N/A\vhen not applicable. ~la~s~ Vi1{ ~fb~(e_, DATE: /tJ /?/}/ .. PROJECT DESCRIPTION: _6,.,_,,__,._sfacc.::.·~~"'-'-""""''V\'->--.,-+-~.p;;;~"f--!--"-"'""c)"--'-f_--'~"--r-1---------- .PROJECT ADDRESS:. 't) J.. J? ;x:uJclt:it) ,:;( . ~OT NQ(S).: .. /(!) . MAP NO.: . · /?CJ:). fo-. c+-G:i~I.W1 APN(S).: &lo-(ooo -3 r N0. OF-QWELLING UNITS:~.. LFMP·ZONE: --'----" OWNER: Mailing Address: --Phone Number: I certify that I am the legal owner and that all the above information is true and correct to the best of my knowledge #LOTS: #ACRES: APPLICANT: Mailing Address: Phone Number: Signature Date . /I ,, Signature ________ Date-----'---,------------- CIVIL ENGINEER: SOI.LS ENGINEER: -----------'------~ Firm: Firm: Mailing Address: Mailing Address: Phone Number. Phone Number: _. ___ ( ____ .. _) ________ _ State Registration Number: State Registration Number: --------- ADDITIONAL COMMENTS: IMPROVEMENT VALUATION 1. What water ,oistrict is. the proposed project located in? (circle one) Carlsbad Municipal Water District Olivenhain Vallecitos . 2. If in the Garlsbad M1,micipal Water District, what is the total cost estimate, including the 15% contingency fee, for water and reclaimed water improvements (if applicable)? 3. What is the total cost estimate, including the 15% contjngency fee, tor sewer {for Carlsbad ·Municipal Water District only), street, public {median) landscape'and irrigation, and draina_ge improvements (if applicable}? 4. What is the total cost of landscape and irrigation improvements on private property (if applicable)? GRADING QUANTITiES cut ---'""" cy fill -------cy remedial cy ----import/export cy ---- H:WORD/DOCS/MISFORMS/APPLICATION ENG PLANCHECK OR PROCESSING REV. 10/06/99 -• APPLICATION FOR: (./ all that apply) .. 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PEPARTMl;NT · '' ·. . . ,I,, •' \ t ' I ' !),11' ,,.,_, ,:: ' l t,. :_ D'A:fE· St4;MP' ·, ', ·.,' I ·1 ' ,' , Al?.PUl@~t:!.O.N )iEOBIVl:aO. • ., DOCS/MISFORMS/APPLICATION ENG PLANCHECK OR PROCESSING REV. 10/06/99