HomeMy WebLinkAboutPR 05-83; STOTTLEMYRE QUITCLAIM; Engineering ApplicationCARLSBAD -ENGINEERING
APPLICATION
ENGINEERING PLAN CHECK
Complete all ;:In.r\rnnri,::1Ih" information. Write N/ A when not applicable.
PROJECT NAME: J \\ c (..A, M DATE: -------
PROJECT DESCRIPTION:_...;t{=J ,,:,,\~l..:\ L-...;~;;..:..!.;\.:...t\.l..-l1.:.:w.:..;I>;..--.:e):::;; ~A.:..,.r(~J;..--.:@~_t;.;,;c~" A/L.;.l,' _..;;..&Sl.!..~---"/L..A...;'~/..;...' __ ---.. __ _
PROJECT ADDRESS:_---I?1-.:3"-'/--'j~~-"--:7t'""'fA ...... s-=L-o----------______ --,-_
LOT NO(S).: _____ MAP N9.: ___ --; '"'-' __ APN(S).:
NUMBER OF LOTS:
OWNER: :;PltAl STOTT LeAA tff<.1l
Mailing Address: Js/fa /VWSLO LAt.
qf/u'-SlSA-D c,4 9zocJ'l
Phone Number: 2M .42$3 .//1)1 Co(&c~)
Fax Number:
E-Mail: cla.n~ @ rU n &-ox I CO/V'l
Sign
CIVIL ENGINEER:
FIRM:
, Mailing Address:
Phone Number:
Fax Number:
E-Mail:
State Registration Number:
ADDmONAL COMMENTS:
NUMBER OF ACRES:
APPUCANT:
Mailing Address:
-Dk,..no 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)
Date:
DCarlsbad Municipal Water District ~Olivenhain DVa"ecitos
2. If in the Carlsbad Municipal Water District, what is the total cost estimate, includ,ing 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 ___ cy fill ___ CY remedial ___ cy import ___ cy ~xport "","' _~_ cy
SEE REVERSE SIDE H:/DEVE;LOPMENT SERVICES/MASTERS/Application for Engineering Plan Check ' -,
-filY OF CARLSBAD -ENGINEERING TRTMENT
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write NI A when not applicable.
FOR CITY USE ONLY
APPLICATION FOR PROJECT DRAWING DE'POSIT IFEES COMMENTS
( V' all that apply) 1.0. NUMBER PAID
0 Adjustment Plat (AOJ)
0 Certificate of Compliance (CE)
~icat~:rement (PR) f'1(~!"1J ~W . ..,--
Type:
Type:
Type:
D Encorachment Permit (PR) • D Final Map (FM)
D 'Grading Plancheck (OWG)
D Improvement Plancheck (OWG)
D Parcel Map (PM)
D Quitclaim of Easement CPR)
Type:
Type:
Type:
D Reversion to Acreage (RA)
0 Street Vacation (STV)
0 Tentative Parcel Map (MS)
0 Certificate of Correction
. (CCOR)
0 Covenant of Easement (PR)
0 Substantial Conformance
Exhibit (SCE).
0 Other
APPLICATION ACCEPTED BY:
H:JDEVELOPMENT SERVICES/MASTERS/Aoolicalion Inr i=nnin"""nn PI~n ('hn_" c ___ "
• •
DATE STAMP
APPLICATON RECEIVED
.. , .... ' J • ,tU' -, ~I" I" , ' •• ' , '''' ~ , ,. . ~ . " -. ,. "" ".' . -