HomeMy WebLinkAboutPR 3.4.165; RANCHO CARRILLO; Engineering ApplicationCITY OF CARLSBAD. ENGINEERING DEPARTMENT
APPLICATION,
FOR ENGINEERING- PLANCHECK OR PROCESSING
Complete all appropriate Information. Write N/A when notepplicabl..
PROJECT NAME: (iV2.L9 - DA
PROJECT DESCRIPTION: OF Two
PROJECT ADDRESS:, Err Ci n
LOT NO(S).: MAP NM".
OWNER: 'JOC% _o-eS APPLICANT. S A MF.
Mailing Address: 99Cjmino (_2,o_So. Mailing Address
-sth_il2-'tzio
Phone Number Phone Numbór (
I certify that I am the legal ,wner an41at all the -above Information I certify that I am the agetit Of the legal owner and that all Information on,
. true and correct th,6est of4owledge.. this sheet is true and, correct to the best of my knowledge.
Signature Date_-
CIVIL ENGINEER C.. SOILS ENGINEER:, /A
Firm: Firm:
Mailing Address: 620 1 tacAS d Mailing Address:
Phone Number: 1 (v ( . I - 01 1 Phone Number. I -
LANDSCAPE ARCHITECT: I ADDITIONAL COMMENTS:
------ _-- -- r-•• -;
MailinAddresi:JI -
U H r1j L( t U
I PheniNum$er: f -I-t _)
NO. 6F DWu ariAr NO. 'OF LOTS: uk NO. OF ACRES:_______
I dJ4c r -
IMPRpvtyAevMi'Jwat&& reclaimed wateriJ IA-
- - -------- -
streets and drainage: - landscape:-- water district: -
GRADING QUANTITIES:pJ /A CV cut -_________ cy - fill - - - - cy
- - -
- remedial - cy import/export -- -- - - -. - - cy -
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE
P:\DOCS\M1SFORMS\FRM00063 - - - REV 12/15/92
. .
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 .
EZedication of Easement
Type:
Type: .
DOE
..
.. g, OIL S
. .. I ..
0 Encroachment Permit ENCROA*4 .. . :.:.. .
O Engineering Standards Variance ESV . .
O Final Map FM .
O Grading GRADING
O Improvement Plancheck IPC I.......
O Landscape Plancheck
O Parcel Map : . . PM . . .. .. : . ..: . .:.,
.
.J Quitclaim of Easement
Type:
Type:
our- .
O Reversion to Acreage RTA . .
O Street Vacation sry
O Tentative Parcel Map MS
D11/ ?W'1
MASTER PROJECT ID i///
RECEIPT NUMBER /_Lt(
PRELIMINARY SIERRA SYSTEM INPUT INITIAL_________
SIERRA SYSTEM INPUT INITIAL___________________
R:BASE INPUT INITIAL_______________
Dother:
1cLU7 E
rJUN I 4 gg
CITY OF CARLSBAD .
TE
APPLICATION RECEIVED
P:\DOCS\MISFORMS7RM00063 REV 12115/92