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HomeMy WebLinkAboutPR 05-19; SAN MARCOS CREEK STREAM GAUGE; Engineering ApplicationPROJECT I"\VLJ"'L.,~J _~~LJL--1,.;Il.l.J~~LiI~~~...Y!:!..f~~-.J..lL.......-:'_~~,"""",":::: _____ taT MO(~.: PAYl~J S j 41 tl1 ..... 13D APN(S).: NUMBER OF LOTS: tlJ A-u: NUMBER OF ACRES: Mailing Address: Phone Number: Phone Number: Fax Number: Fax Number: E.-Mail: ling Address: Phone Number: Phone Number: Fax Number: Fax Number: E-Mail: E-Mail: State State Registration Number: IMPROVEMENT VALUATION 1. What water district is the proposed project located in? (check one) ~arlsbad Municipal Water District DOlivenhain 2. If in the Carlsbad Municipal Water District, what is the total cost estimate, including the 15% Date; Dvallecitos contingency fee, for water and reclaimed water improvements, sewer (for Calr~~l:!!!!lli~~ ___ Water District only), street, public (median) landscape and irrigation, (if applicable)? fill ---cy GRADING QUANTITIES remedial 0 cy import _O=--_ cy SEE REVERSE SIDE H1DEVELOPMENT SERVICES/MASTERS/Application for Enalneerlna Plan Check export ___ cy Revised 1/14/02 PROJECT NAME: SAN /ll/Aj(~> Ct<ru-K Si/(UA1 6:&"16-tE DATE: '2-/.., /0 s ,~ ; PROJECT DESCRIPTION: J:dS"r1:kk-+T/t2A1 AN£) M,,/IAlrW,mIU ~f Syl61lnel G= ,410111- SAN MAt<CIfP ~ C81Ee J< • ' PROJECT ADDRESS:--=;....:::..J=-,=::....:I1ioiiIi LOT NO(S).: /114 MAP NO.: /J/d APN(S).: 2..23-'1"7&?--Pt) NUMBER OF LOTS: dA NUMBER OF ACRES: /Yet OWNER: vi 7)1 t2,r C/fAkUltf/) Mailing Address: APPliCANT: ~ailing Addres$: (iel2tfG:£ kr)/Id(W( PAC I PI C. /?fLYI,( Phone Number: Fax Number: E-Mail: 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: Date: CIVIL ENGINEER: ___ ....:M~~J.. ____ _ FIRM: Mailing Address: Phone Number: Fax Number: E-Mail: State Registration Number: ADDmONAL COMMENTS: Phone Number: ~)( PJumber: . E-Mail: Signature: SOIL,S ENGINEER: FIRM: Mailing Address: Phone Number: Fax Number: E-Mail: State Registration Number: IMPROVEMENT VALUATION 1. What w~t~r district is the proposed project located in? (check one) Date: DCarlsbad Municipal Water District DOlivenhain . DValiecitos 2. If in the Carlsbad MuniCipal Warer District, what is the Iotal -estimate, induding the 15% ~-:tlJ contingency fee, for water and reclaimed water improvements, sewer (for Carlsbad Municipal ~/VI Water District only), street, public (median) landscape and irrigation, and drainage improveme (if applicable)? $ GRADING QUANTITIES cut-l--Cf fill-!i-Cf remedial + Cf import ~ Cf export4-Cf SEE REVERSE SIDE H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check 'Revised 1114/02 ~:~4'RI,~~4~ ~ ,EN~lN:I:~K.1r,t~'D~P~~" '" ' ' , ' "" . "APPtICATION' "" ,', ',,'::,,' ',i , , .' ,~E~GINE'ERlNG"PLAN,J~ftEcl(', ,,":,,;,:: , Complete an a 1"1"" ~~.:~ .. ~informati~ri .. ' ,~i'it~' NIA When not applicable . ',." ", , , "" . FOR.CITY JLS_~QN~ APPLICATI?p~iv~R ~RqJ~!=T " : DRAWING ~,~r;r'fi:J'" ~ lF~ES~ COMMENTS ( ,( all that a . -': ,','1.0.:' \" :":NuM~ER ':.; 'JPAID,' , ' ," '1\ "'f ':,.t: .",i . .' ~ , 0 Adjustment Plat (AD]) .. ! ! 0 CertifiGate of Compliance (CE) " 0 Dedication of Easement (PR) Type:, Type: I Type: -" , ( -. [2(' Encorachment Permit(PR) , . ~Q'OOJq / ~WGC;\ "/r'O 0 Final Map (~M) . , .' ' , 0 .. .. nch~ck (DWG) , " Grading, 0 Improvement Plancheck (DWG) r 0 Parcel Map (PM) " 0 Quitclaim of Easement (PR) . Type: Type: , ... ,. Type: 0 Reversion to Acreage (RA) 0 Street Vacation (SlV) 0 Tentative Parcel Map (MS) 0 Certificate of Correction -, " .. , \ . '(CCOR) , '" . , , , ' I " , > 0 Cov~nant of Easement (PR) , " , . . , , .. " i . -'0 Substantial Conformance , , • . " . Exhibit (SCE) ., " ': , 0' '.Other '\ '.:. .. , " . . APPLICATION ACCEPTED BY:' H:/DEVELOPMENT SERVICES/MASTERS/AppllcaUon for Engineenng Plan Check Page 2 , : \ -' , . . , ,:RECEIVED FEB 0 '8 2005 ENGINeeRING DEPAf6~AMP' . APPLICATON, RECElVED Revised 1/14/02