HomeMy WebLinkAboutPR 04-98; HILTSLY; Engineering Application\
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PR.OJEcr:DESICRIF~ON:,.......c!:~~~~~~_lJJ:_-LL!J.::!:Si:::~~ _______ _
_ ~.J..,;;;.;.....-__ ,APNCs),:
OWNER: Mi ke S· flu] j e Uj J ts l ¢:y
Mailing Address: ... 3702 Longyiew Drive
Phgfl~~~ber! f~§f~3~ 9:~Q8
Fax Number:
.f-Mail:
Signature:
jhiltsley@mda1oan·cgm
CMLENGINEER.: _________ _
~RM; _* ______________________ _
Mailiflg Address:
Phone Number:
r=ax Number:
e-Mail:
State Registration Number:
AoomONAL COMMENTS:
NUMBER OF A~:
APPUCAN1';
Mailing Address:
Phone Number:
Fax Number: •
E-Mail:
Signature:
SOIlS ENGINEER~
FIRM:
M~iling Address:
Phone Number:
Fax Number:
E-Mail:
State RegrstratJon Number:
IMPR.OVEMENT VALUA1l:0N
1. What water distrIct is the proposed projett located Jn1·(check one)
Ocarfsbad Municipal water District DOllvenhafR
2. If in the carlsbad Municipal Water Olstrlct, what is the total cost estimate, includIng the 15%
Date: /(1-
OValledtos
contingency fee, for water and reclaimed water Improvements, sewer (fot Carlsbad MuniCipal
Water DistrIct only), street" pubUc (median) land$cape .,,,d irrigation, and drainage improvements
(If applicable)? $
GRADING QUANTITIES
cut ___ Cf fill ___ Cf remed!al q Import ___ 0{ export ___ cy
SEE REVERSE SIDE
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