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HomeMy WebLinkAboutPR 03-41; KANTOWITZ; Engineering ApplicationPROJECT NAME: __ ~~~~~ __ ~ ______ ~ ______________ __ PROJECT DESCRIPTION: tt\~I?-~~"hf'">M..f (t.()C2..I')" reMouq Dt-"-lt... cep\ciL,e.c9~\..~ 'cntA.-~l;t .. .vMS PROJECT A~DRESS:~~;...P{/..:.1_3_ ..... BioI::.\.;..;:v;..;;e.--Jo,jo~fj...:.oh~~;.:.;d.::....--=~=. ~e.-..;-> .....;Ca-~ .. c...:..\s"-b=(,_Ld..::..-_.:..:;Cf\~_q~, W;;;;' ;;..;0_'1.&...-. _____ LOT NO(S).: 1.'2-MAP NO.: \ '-~5 t;' APN(S).: -2.. 15 -IA-~ \ -lu-06 ------- NUMBER OF LOTS: NUMBER OF' ACRES: OWNER: ~lt KMIOW{{Z:. M "I" Add ~ ~ P\liN\"OW\fz. APPUCANT: 5,p~~ p~"\f\~:rtJ "-" al mg ress:?9 18 l? D-b . ~ ;;;] l:l C O€ c:::Rt::R 1:0 N • Mailing Address: .,,, 2..$' S I \ "e~-IDN A..seMe.. S~\-le 50 I;) 50 ~ q?..l2... (.,L CARlS BN» M q;a.oc:> q Phone Number: C. 'T(Po) boa": 82. '+4 Phone Number: $58 .. 54'1-.'"{~t.. "1 .... Fax Number: Fax Number: ~S5 ... ·'5\.(1~ '11...,q . E-Mail: E-Mail: \A)':'....,'S;!i~:..P"'="~(I.". <!Ph.. I certify that I am the legal owner and that all the above and ' knowledge. ~--... t$'Z~'()S Signature: ~9.;f . Qo-zi. Ie' Date: SOILS ENGINEER: FIRM: '. / MailingAd~~ Mailing. Address: ___ ....... ___ --,...::..-__ _ Phone Num~:S;:= . Phone Number: Fax Number: . E-Mail: State Registration Number: . ADDmONAL COMMENTS: Fax Number: E-Mail: State Registration Number: IMPROVEMENT VALUATION 1. What water district is the proposed project located in? (check one) Dcarlsbad Municipal Water District . DOlivenhain 2. If in the Carlsbad Municipal Water Distri~, what is the total cost estimate, including the 15% o Vallecitos contingency fee, for water and reclaimed water improvements, sewer (for Carlsbad Municipal' Water District only), street, public (median) landscape and irrigation, and drainage improvements (if applicable)? $ GRADING QUANTITIES cut ___ cy fill ___ CY remedial ___ cy import _. ___ cy export __ _ .jt-i' SEE REVERSE SIDE u·/nt:\/J:1 npU&:NT ~I=R\./Ir.:I=FUMA~n:R~/Annlil'~djnn fnr Fncinp.p.rlna Plan Check Revised 1/14/02 \- ~ ,