HomeMy WebLinkAboutPR 05-04; MNIEHAN; Engineering Application.. . •... ~~~i~
'.,'" , .. ' _, -', ' 'ENGINEERlNG'RtAN'iGHECK-.:";"c-""",,,,:,,:.,',>t,> ... :::F",_, \; ':,: ,"1"', -:':'_~;_ ,~,':'-)o";',
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PROJECT NAME: Vh Nf.HA~ DATE: Ol/oplolf
PROJECT DESCRIPTION: :::t9-l\ P'fD'-'6..-w"N'\ p-f-~(\Vec...) A"
PROJECT ADDRESS: t.J 9(plb \6fi-\\'i J)C\\le <t'LDO~
LOT NOeS).: _____ MAP NO.: ______ APN(S).:
NUMBER OF LOTS: NUMBER OF ACRES:
APPLICANT:
Mailing Address:
III ::~eu~:;,er: ~C1~~7 41 ~ ~
fE-Mail: s~o.r\n~I.1k..Q.di &:lb?+mQ!1'<:'8YY\
\ I certify that I am the legal owner and that all the above ..---1 ~ "! ~n~i n i~:~ ~~~~~ect to the best of my knowl~~. '
Phone Number:
Fax Number:
E-Mail: · . n Signature~.J;.M '~~sr(nature~~ _ Date:f)//ob/bs Date: Q tlti310Y . -
CIVIL ENGINEER: __________ _ SOILS ENGINEER:
FIRM: FIRM:
Mailing Address: Mailing Address:
Phone Number: Phone Number:
Fax Number: Fax Number:
E-Mail: E-Mail:
State Registration Number: State Registration Number:
ADDmONAL COMMENTS:
--------.... _. -'--
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one)
Dcarlsbad Municipal Water District DOlivenhain Dvallecitos
2. If in the Carlsbad Municipal Water District, what is the total cost estimate, including the 15%
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 ___ C'f fill ___ C'f remedial ___ C'f import ___ C'f export --'-__ C'f
SEE REVERSE SIDE
H:/DEVELOPMENT SERVICES/MASTERS! Application for Engineering Plan Check Revised 1114102
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