HomeMy WebLinkAboutPR 05-151; TICO RESIDENCE; Engineering Application' .. . -'.,
PROJECT ADDRESS: \C01 t> ,>Qj5tAr/)Cj~ A~~
LOT NO(S).: MAP NO.: _-______ APN(S).:
NUMBER OF LOTS:
OWNER: .5~£.::!"-!..:.:..7-=-:.:..:J.~~[JIi:I.,t.~.LLS.P
Mailing Address: L~9~,:c2..E:.~~:M:.~1!:L4~::-]
Ld t-)~bd ! Ca.-)
Phone Number: Z4? 0 27-c'( !6r:r:4.. ~
Fax Number:
;E-r.~1
-I certify that I am the legal owner and that all the above
Information is true and correct to the best of my knowledge.
Signature:
CIVIL ENGINEER: __________ -:--
FIRM:
Mailing Address:
Phone Number:
Fax Number:
-E-Mail:
State Registration Number:
ADDmONAL COMMENTS:
NUMBER OF ACRES:
APPUCANT:
Mailing Address:
Phone Number:
Fax Number:
E-Mail:
Signature:
SOILS 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)
DCarJSbad 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 ___ Of fill ___ Of remedial, ___ Of import ___ Of export ~ __ cy
SEE REVERSE SIDE
H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Revised-1I14102