HomeMy WebLinkAboutPR 3.4.163; RANCHO CARRILLO; Engineering Application. . CITY OF CARLSBAD - ENGINEERING DEPARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR PROCESSING
Complete ,Jl appropriate information. Wilt. N/A when not applicable.
PROJECT NAME: _ 9i2/21LO
PROJECT DESCRIPTION: RI G tFV OF P11OP
PROJECTADbRESS: s.*L ,0ç-.—F;ATr-L&L1T
LOT NO(S).: MAP NO.:______________ APN(S).: .
OWNER: 'S p1t
Mailing Address: 'CID tV!!a Lar
sEr R
Phone Number: (_(o.t) io S o't'4
certify that.l am the legat owner and that all the above information
Is truOand correoUojle bqgodf rvIege.
CIVIL ENGIN
APPLICANT: .
Mailing Address:
Phone Number I
I certify that I am the 'agent of the legal' owner and that all information on
this sheet is true and correct to the. best of my knowledge.
Signature ' ' ' .' Date____________
SOILS ENGINEER:, 0 IA
Firm: ' Firm:
Mailing Address: £6 1c 17t2.AI2,S Q . , , Mailing Address: .
Phone Number: (CD (9 Phone Number
LANDSCAPE ARCHITECT:') I ,
,.,
ADDITIONAL COMMENTS:. Firm:
MaiIing'AddrUs:r . ., 1!t
Phone-Number: U )
NO. OF DWELLING UNITS: Isj&' NO. OF LOTS: tIA NO. OF ACRES:________
IMPROVEMENi VAWATIOI4:. sewer, Water& reclaimed water:IA .
trJets landscape - water district:
GRADING QUANTrnES:.J / A CV cut , cy fill, ' . - cy
remedial cy import/export
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE
P:\DOCS\MISFORMS\FRM00063 ' , ' ' ' . ' , . REV 12/15/92
* , . I
. .
PPLICATION FOR
CHECK ALL THAT APPLY):
FOR CITY USE ONLY
Plancheck
Number
Type Drawing
Number
Project
. .. ID.-,.'.
Deposit/Fees
.. Paid
O Adjustment Plat ADJP
O Certificate of Compliance COC
Ldication of Easement
Type:
Type: F3ai
DOE
PPVt
O Encroachment Permit ENCROACH . : •.•:.
.• .
O Engineering Standards Variance ESV .
O Final Map FM . . . . .
O Grading GRADING . S
O Improvement Plancheck
O Landscape Plancheck LIDO . .
.. i . . . .
O Parcel Map . PM . . .... . ...•
Quitclaim of Easement
Type:________________________
Type:
QUITO
O Reversion to Acreage RTA. . .
O Street Vacation STV
O Tentative Parcel Map MS .
MASTER PROJECT ID
RECEIPT NUMBER__________________________
PRELIMINARY SIERRA SYSTEM INPUT INITIAL_________
SIERRA SYSTEM INPUT INAL___________________
R:BASE INPUT INITIAL_______________
IJOther:
RECEiVED
MAY 2 61993
JAMES . EARY
P:\DOCS\MISFORMS7RM00063 ARC'TECiU;E Nfl PLANNING REV 12115192