HomeMy WebLinkAboutPR 3.4.265; KANIA ADDITION; Engineering ApplicationCliv OARLsAD - ENGINEERING•PARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR PROCESSING
Complete all appropriate information. Write N/A when not applicable. - --
PROJECT NAME: 11744 0,3 DATE: f 14_(q
PROJECT DESCRIPTION: WL
PROJECT ADDRESS: -I4O
_ _ OcC LOTNO(S).: MAP NO.: . .
OWNER: Iik+ftX( kIM APPLICANT: 4,W(tr 1 :p\Jc:.
Mailing Address: 14 40 giiey.3t 444 Mailing Address: E70 (
c Os-. O W (8
Phone Number: ( (P) ) 72.1 Phone Number:
I certify that 1 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 orrect to the be of my knowledge.
'4 1(
this sheet is true and correct to the- best-of my knowledge.
8ignature_Date-i /q, 14t/UJJ4 - Signatur Date
CIVIL ENGINEER: - - - - - SOILS ENGINEER:
Firm: 1Ze*X)V I&tftI £A'j7 Firm: - - - -
Mailing Address: c53( L) 2 i-Mailing Address: - - -
- -
PhoneNumber: ( 'L'1 ) 4i hbo Phone Number: ( -
State Registration Number: 2 Co 1 -75 - State Registratioh Number: - - -
LANDSCAPE ARCHITECT: COMMENTS:- P 1
Firm: - - - -
- Mailing Address: - - - - - - - -
Phone Number:
State Registration Number: - - - -
NO. OF DWELLING UNITS:) LFMP ZONE:-. NO. OF LOTS: 1 NO. OF ACRES:
IMPROVEMENT VALUATION: sewer, water & reclaimed water:_____________
Water District (circle one): Carlsbad Municipal Water District Olivenhain Vallecitos
streets and drainage: _- landscape:
GRADING QUANTITIES: - Cy cut - cy fill cy
- - remedial cy import/export - cy
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE
P:\000S\MISF0RMS\FRM00063 REV 04/28/95
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.: . ::.;.•: •-r. .. ..
FOR CITY USE ONLY
APPLICATION FOR Plancheck Type Drawing Project Deposit/Fees
(CHECK ALL THAT APPLY),: Number ________ Number ID Patd
i: Adjustment Plat
0 Certificate of Compliance
U-Dedication of Easement ?ta4cz;
;-7-1-- Type:
Q Encroachment Permit _______
0 Enciineerinci Standards Variance ESV
0 Final Map
DGradin Plancheck GRPO
OGrading GRADiNG
0 Improvement Plancheck
0 Landscape Plancheck
El Parcel Map _____
Q Quitclaim of Easement
Type
Type
0 Reversion to Acreage RTA
0 Street Vacation
0 Tentative Parcel Map
0 Certificate of Correction
O Covenant for Easement cOVE
O Substantial Conformance Exhibit SOE
APPLICATION ACCEPTED BY
. . s... . rEflhED RECEIPT NUMBER_I
1 t 4 1q98
P:\D0CS\MISF0RMS\FRM00063