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HomeMy WebLinkAboutPR 06-120; CRISTALLA PALERMI DRAINGE REPAIR; Engineering Application' .. ". PROJECT DESCRIPTION:'_~~~~l..:.:.=-_-=-I_---':L.._~~.!2..."""":::::::::::::::::::::"-'~~=':=-- 'tv ..stovvv\" dv-~ PROJECT ADDRESS: Au. ... Qt;> ~v.-.... , :":1:1 Pt"..lw~· PI-c-c- . LOT NO(S).: 25"' MAP NO.: APN(S).: NUMBER OF LOTS: NUMBER OF ACRES: OWN!;R: APPUCANT: Mailing Address: w"==fl (.b S+. " " ' . f\ q . ..scm--v" "=, Q 1 U> 2J L/ orv . \ Phone NumJje~: -, QM'''' 650-'t"lOO :t!Zlf Mailing Address: Phone Number: , Fax Number: Kg: -5$0 po ?-9u Fax Number: E-Mail: . . J~V:>I' be.. D n~ a CoQ \:!\ . I certify that I am the legal owner and that a the above E-Mail: ~; LiI\ 0 il\o..~ V\o-t'~ @. b v~ c...~ .... ~ ,..rt) t.) p <a CO...-... and to the best of my knowledge . .foJ ~ Date: cr-n-~ '. CIVIL " FIRM: Mailing Address: , Phone Number: Fax Number: ." E-Mail: State Registration Number: ADDmONAL COMMENTS: 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: ~ ~Isbad Municipal Water District DOlivenhain .. \"'. 'D~~Uecitos: .' 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 onlv), 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 1/1<1102 , I I · " .. W b'F'CA~~~A~: 7,:E,~G~~:E,~~~(;:,P'E'.tM~':NT " , ' ,: ' , ';,:' " .. APpLIC4nOt( ',.: ': ;,;"" ' , , ,',:,:, ":':ENGl:NEERING,,PLAN::CHECK" , ! -;,' :' , ,-.' ,. ~'--, ' • ' <', -• Complete all i)ppropriate Informatlon~ Writt! 'N/A rthenit0t applicable~, FOR CITY USE ONLY , , ' , . ' ' ,. APPLICAnON FOR PROJEct ·DRAWi,.G ' QEP9$IT1F~E$ 'COMMEtiits ( ./ all that apply) NUMBER' : :PAil) , , ' " ' J~P. .-<. , , ., 0 Adjustment Plat (ADJ) 0 Certificate of Compliance (CE) 0 Dedication of Easement (PR) Type: ~ Type: TJPe: W Encorachment Permit (PR) ~ 0/1 .. '),0 1)t1'5A I~ 'U' ' 0 Final Map (FM) 0 Grading Plancheck (DWG) I" " 0 Improvement Plancheck (DWG) ( ~ - 0 Parcel Map (PM) 0 Quitclaim of Easement (PR) \ V\'VCJ Type: \ Type: ~\)g Type: 0 Reversion to Acreage (RA) 0 Street Vacation (SlV) 0 Tentative Parcel Map (MS) 0 Certificate of Correction (CCOR) 0 Covenant of Easement (PR) '0 Substantial Conformance Exhibit (SCE) 0 Other " ", '" -,.,' ;' ,?;~: ;:; "/,, H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Page 2 Revised 1/14/02