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HomeMy WebLinkAboutPR 05-04; VINEY RESIDENCE; Engineering ApplicationPROJECT NAME: t!?v f fcfc£1m DATE: ad. <7-, leas PROJECT DESCRIPTION: G"'iJli'c;Jq-/~' cF'f,·s;,Oo,p;f O't:,_.eo_OdH,,_,e~6hc-1'ldrQIYJq'le 7 PROJECT ADDRESS:_L!:L~~QLl~::""-:::L£la2~...IL.ill~'€-~~~#~~::::E!:~~~ __ LOT NOeS).: _~/ __ _ NUMBER OF LOTS: NUMBER OF ,...L ... ,L.:::J. OWNER: ~Ctr k/1e 1/,/lC'fj' Mailing Address: ? OfZ-e-. .6:;(0/1 Place ((icu-lJbatfJ Of CZbJop ; Phone Number: 4]& -8 B Z£ Fax Number: • E-Mail: .. I certify .that I am the legal owner and that all the above . information is true and correct to the of my knowledge. Signature' APPUCANT: Mailing Address: Phone Number: Fax Number: E-Mail: SOILS FIRM: tu,-/Ir"ctm E . .8/I//-"1"'J S S'(Jr""f!J' ~q FIRM: Mailing Address: PD /,fox =r:z ~ I Mailing Address: C4d40bqlf c4 9U>tg ; Phone Number: ¢--3ti..-:41--4-z.. Phone Number: Fax Number: Fax Number: E-Mail: ZlIC zA8NEt5. fA-oL. COM E-Mail: > .. State Registration Number: LS 33311 State Registration Number: ADDmONAL COMMENTS: IMPROVEMENT VALUATION 1. What water district is the proposed project located in? (check one) [3e:arlsbad Municipal Water District DOlivenhain 2. If in the Carlsbad Municipal Water District, what is the total cost estimate, including the 15% Dvallecitos 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 ___ cy SEE REVERSE SIDE H:/DEVElOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Revised·11141Q2· rAil) ca.An, _ ... _ ..... __ ""'.JG.!I)~P ... . , ,,', '., ,." APPLICATION" ",~' ", , , ',' ,ENGINEE,~'N.G'PLANCHECK ' <;:omplete ~II appr~priatelnformai:ion~ Wdte!'l/~ when not _ ....... . APPLICATION FOR ( ~ all that apply) TI Adjustment Plat (ADJ) D Certificate of Compliance (CE) o Dedication of Easement (PR) Type;...: _____ _ Type;...: _____ _ Type: D Encorachment Permit (PR) D Final Map (FM) D Grading Plancheck (DWG) D Improvement Plancheck (DWG) D Parcel Map (PM) Quitclaim of Easement (PR) Type: '" \cJ:S (I v Type;...: _____ _ Type: D Reversion to Acreage (RA) D Street Vacation (STV) o Tentative Parcel Map (MS) o Certificate of Correction (CCOR) o Covenant of Easement (PR) '0 Substantial Conformance Exhibit (SCE) D Other PROJECT U);' APPLICATION ACCEPTED BY: '. Lf ~~ :FOR CITY OS~ON[Y - '" "i' .. '. j'-' ',:' " • Revised 1/14102