HomeMy WebLinkAboutPR 09-31; LEWIS RESIDENCE; Engineering ApplicationOWNER: APPUCANT:
Mailing Address: Mailing Address:
AA A lAVD S'CA-¢ l: S fJ(CLflJlt~
12. G () UJk~{-f S'aA.df ~/.
SaA ft'fa/CUJ' 4 e-A 0..nU i
Phone Number:
Fax Number: • , '
E-Mail: '.'
I certify that I am ~he legal owner and that all the above
information is true and corr~ to the best of my knowledge.
Signature:
'cML ENGINEER: ----------~~--------FIRM:
Mailing Address:
AoomONAL COMMENTS:
Phone Number: .
. Fax Number:
E-Mail:
Signature:
SOILS ENGINEER:
FIRM:
Mailing Address:
Phone Number:
IMPROVEMENT VALUATION
1. What water district is the proposed project located i~? ~ik one)
,%60 ,~qr·tqJb
Dvallecitos DCarlsbad Municipal Water District !D'\ivenhain
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 CarlsbadMunlcip~l.
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 __ _
\ ' SEE REVERSE SIDE ~ H:/~EVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Revised 05101/07
: CITY« ~&D'CR&"'-"ENGINEE~G DEP~ENT "I,' ,
,.... ,A~TlON, .,..." ' ',?~l~
.
. .... ' · " .. ', .i ·;!i,~~~~~~~v.!~not··t';;'~.,i;.",\",,; • ,. ..
t~i_·~::;~~ 'C1m~"'." APPUCATION FOR ~;:. .. .. <,;;:::~;,
.... "7 .•..••... '~~.~~
( .y' all that appiyj il.;\s;~i';·J!~ : •. ··!(~i;,;i~;',
0 Adjustment Plat (AOJ)
0 Certificate of Compliance.(CE)
0 Oedication of Easement (PR) ,
Type:
Type:
"
Type:
~ Encroachment Permit (PR) I~ cor-~I •
(}\I/I tJ Final Map (FM)
., ,
0 Grading Plancheck (OWG) ~~ 0 Improvement Plancheck (OWG)
" 0 Parcel Map (PM)
0 Quitclaim of Easement (PR)
Type:
Type:
Type:
0 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 Trails D<mile 0: mile
0 Other
H:JDEVELOPMENT SERVICESlMASTERSlApplication for Engineering Plan Check Page 2