HomeMy WebLinkAboutPR 3.4.164; RANCHO CARRILLO; Engineering Application. . CITY OF CARLSBAD - ENGINEERING DEPARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR f'ROCESSING
Complete all appropriate Intotmatlon. Write N/A when not applicable.
PROJECT NAME: 1?4VCWa c49I2IaILO DA
PROJECT DESCRIPTION: oF LAf Tccc xri o,
PROJECT ADDRESS: o R.
LOT NO(S).:. MAP NO.:
er Cr4 L.(Tc
APN(S).:__________________________
OWNER: wt !MereA1 _L jiic.is. APPUCANT:
Mailing Address: ZGO_/1C.0_t4 St,_. Mailing Address:
JV77
Phone Number: 7I1 )_2o3 Phone Number
I conhfy than am the legal owner an.0hat all the above information I cOrtIf thatI am the agent of thO legal owner and that all information on
is true and corr this sheet Is true and correct to the best of my knowledge.
Signat
o th knowled
~at%~
' Signature __._Date____________
CIVIL ENGINEER: ,C. SOILS ENGINEER: t'/k
Firm: Firm:
Mailing Address: S(02 faA/2.S Mailing Address:
Phone Number: ( CD t 2-9 t 01 01' Phone Number. I .
LANDSCAPE ARCHITECT: IP ADDITIONAL COMMENTS:_________________________
Firm:
Malin Addr;s# tfi ll C4111 (t__7' _T
Phone Number: .(_)
NO. OF bWELLINGUNITS:___P)1
NO. OF LOTS: /4 NO. OF ACRES:
IMPROVE VALUATION: sew( reclaimed water:.._.)_IA
stred
landscape:-
I water district:___________________
GRADING QUANTiTIES: pJ / A cv cut cy fill .... cy
remedial'import/export cy
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE
PADOCS\MISFORMS\FRM00063 . REV 115/92
S .
PPLICATION FOR
CHECK ALL THAT APPLY):
FOR CITY USE ONLY
Plancheck
Number
Typo Drawing
Number
Project
ID.
I DepositjFées
..
O Adjustment Plat AWP
O Certificate of Compliance COO
0"00edication of Easement
Type:
Type:
3.4. 0/6
DOE
a lo P>w 1. .
O Encroachment Permit ENCROACH
O Engineering Standards Variance ESV . .__.
O Final Map FM
O Grading GRADING
O Improvement Plancheck
O Landscape Plancheck LPC
:
O Parcel Map . .: PM
.. .: .:..
...J Quitclaim of Easement
Type:
Type:
OUITC
.
. ..
O Reversion to Acreage RTA
O Street Vacation .. ..
O Tentative Parcel Map MS .
MASTER PROJECT ID
RECEIPT NUMBER 1')té'
PRELIMINARY SIERRA SYSTEM INPUT INITIAL I4
SIERRA SYSTEM INPUT INITIAL___________________
R:BASE INPUT INITIAL______________
Dother:
P:\DOCS\MISFORMS7RM00063 REV 12115/92