HomeMy WebLinkAboutPR 3.4.174; RANCHO SANTA FE ROAD PHASE 1; Engineering ApplicationCITY OFRLSBAD - ENGINEERING•PARTMENT
APPLICATION
FOR ENGINEERING PINCHECK OR PROCESSING
Complete all appropriate information. Write NIA when not applicable. -
PROJECT -NAME: J?Pic I DATE:_____________
PROJECT DESCRIPTION: t1O poJ Ai-i R/w
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PROJECT ADDRESS.-' ?-Pr?j-t-~o çJt4 F!- - 1°' -Coci A'J.. 4peri Cpc ct)
LOT NO(S).:. MAP NO.:APN(S).:Z23
OWNER: M '4 6 APPLICANT: Li4Pu.lC )
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Mailing Address: ttS Meilkig Address: 03 oM1V 12Oø.t iD
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Phone Number: (el' ) 4.(p2.l_I' Phone Number:
I certify that I am the AW owner all the- above Information I certify that -I am the agent of the legal owner and that all information on is trueand cOu theof ledge. this sheet is true and correct to-the best of my knowledge.
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CIVIL ENGINEER: SOILS ENGINEER:_________________________
Firm: iL-iJC Firm:
Mailing Address: £L CArit ") Mailing Address:
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Phone Number: T1 q 4 — Phone Number: (
State Registration Number: (M ic) Stat•Registratkn Number
LANDSCAPE ARCHITECT: COMMENTS 12A.*) IS \fs..) 2.
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Firm:
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Mailing Address:
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Phone Number: j Coyz.-Pe44
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StateRegistrationNumb.r 4(,r0 --)c ç 394
NO. OF DWELLING UNITS' ZONE: _\. \ NO. OF LOTS: OF ACRES:_____
IMPROVEMENT VALUATION: sewer, water & reclaimed water:____________
Water District (circle one): Carlsbad Municipal Water District (vhn Vallecitos
streets and drainage: : landscape: -
GRADING QUANTITIES: cut cy fill - cy -
remedial cy import/export cy
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE c--D O¼r - -
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P005UISFORMSFRMOOo63 REV 04/2815