HomeMy WebLinkAboutPR 03-122; SMITH; Engineering ApplicationOct 04 03 07:5310
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PROJECT NAME: 5t~i ~\... DATE: i"2./"-.7/r;3
PROJECT DESCRIPTION: ~')(Oy~~~~. c:J O"."'e....;;f,"':)
PROJECT ADDRESS: '. 2fX:>\ E5 \..'-'.r'Q"~
LOT NOeS).: _____ MAP NO.: ______ APN(S).:
NUMBER OF LOTS: NUMBER OF ACRES:
~::n~~ddress: 2fg; f~l~rteQf-APPlICANT:
Mailing Address:
~5\eM5 . ?,-:.......;'~~.j ;'is--~:·\vu\-a.,,,, l\v(..
p. 1
'CNhs04d elt Q200Q
Phone Number: 1fpO-8DLI-M4g Phone Number:
~-.... ;\e.. £0\ §s. .. , \),".!.~:. ·c.4 emU
8:rS' ... ')4:7 Lr"l..7'
Fax Number: 1ld') ~ i? f)t.j -CJ IJ.:Z r;
E-Mail: RfSfa W,i IlJ i) o.&t?/.Dt)itJ . J'1e t
I certify that I am the legal owner anMhat all tile ~bove
information is. ttye and corr?f to ~~ best of my knDt,edge.
Signawre:..s4mu R-~7-t,1.. Date: i;oltJ3
OVIl ENGINEER!' _________ _
fIRM:
Mailing Address:
PhOne Number:
fax Number:
E-Mail:
State Registration Number:
ADomONAL COMMENTS;
Fax Number:
E-Mail:
Signature: ~iIII:T
sons ENGINEER:
FIRM:
Mailing Address:
Phone Number:
Fax Number:
E-Mail~
State Registration Number:
----------------------~----------------------------------~-------,
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? . (check one)
Ocarlsbad Municipal Water District DOlivenhain DvalleCims
2. If in the Carls~d Municipal Water District, what Is the total cost estimate, including the 150/0
contingency fee, for water and reclaimed water improvements, sewer (for Carlsbad Munidpal
Water District only}, street, public (median) landscape and irrigation, and drainage improvements
(if applicable)? $
GRADING QUAN1l11ES
cut ___ Cf fill ___ CY remedial ___ cy import ___ cy
SEE REVERSE SIDE H:~ELOP~lEtlT SERVlCe$IrMSTERSlAP!)Ilof,wn lot e"uin .. /ing Plan 011_
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export ___ Of
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