HomeMy WebLinkAboutPR 3.4.263; PRITTIE REMODEL; Engineering Application)
*4
CITY OFIARLSBAD - ENGINEERING•PARTMENT
APPLICATION -
FOR ENGINEERING PLANCHECK OR PROCESSING
Complete all appropriate information. Write -NIA when not -applicable.
PROJECT NAME:A'16b1 L DATE: -
PROJECT DESCRIPTION:.bEb - -
PROJECT ADDRESS:_7/
LOT NO(S).:Z5./ 3Z1(- APN(S).: -Ile -&5 _
OWNER: '!''-' _ APPLICANn
Mailing Address: 1?I!/ Mailing Address JZ/Z_tiZ,'i_~7
4b J A_
Phone Nuhiber: ( Phoriii ______________________
- - --.c:--. --
I certify that I am the legal owner and that all the above information - I certify that I am- the-agent-of -the legal owner and that all information on
is true and correst-to the best of my knowledge. -' this sheet is true- orrect-to the best of my knowledge. -
* Signature Date Signatur
IVlL ENGIr(ER: - Mv2 _ SOILS ENGINEER:____--- _- -
• Firm: - ----4ALF.-p-(4-AI IS FLfl Firm: __L - - t ---•
Mailing Address: "—;gJ44 ,9/&* ,Zi'é ,44'E. -, Mailing Address "' --
Phone Number:- - . - -( ) • Phone Numbe t(-------- )---
State Registration Number: S ' Z 7' State Registration Number: - --.-
LANDSCAPE ARCHITECT: ADDITIONAL COMMENTS:____________________
Firm:
Mailing Address: • - 0 - ---- - -
r - -
Phone Number:
State Registration Number
NO. OF DWELLING UNITS: LFMP ZONE: N00FL0TS - NO. OF ACRES:-:
IMPROVEMENT VALUATION sewer, water & reclaimed water
Water District (circle one: Carlsbad Municipal Water District- OIivenhain T - ValiecWos
streets and drainage landscape
CY GRADING QUANTITIES: - - cut - - ---cy ---lI- - ::0; -y -
- -: remedial - -- ---------- cy - import/export - - - cy
PLEASE CHECKOFF APPLICATION TYPES ON REVERSE SIDE -----------
PADOCS\MISFORMS\FRM00063 - - - REV 04/28195
' 4+: _.; - ,-
j •L
I - FOR CI USE ONLY
APPUCATION FOR Plancheck Type Drawing Proiect Deposit/Fees
(CHECK ALL THAT APPLY)_____ Number __ Number IE Patd -
DAdjustrnent__Plat
0 CertificateofCompliance
,:of Dedication Easement
0 Permit Encroachment ENcC1
0 Eng,neenng Standards Variance
1.—I - - L_J FinalMap- , FM
D3radinqPlancheck .
, 0 Grading ,' GRADING _
DlmprovementPiancheck
0_LandscapePlandheck .
r-i PM I
i.jParcelMap
[]'Quitclaim of Easement
' I Type • __ _-. _--_-. .
Type .
0 Reversion to Acreage .- __ .
Vacation Street
O TentativeParcelMap
O Certificate of Correction CCOR
O Covenant
O Substantial Conformance Exhibit
7-77 77.9
P:\DOCS\MISFORMS\FRM00063