HomeMy WebLinkAboutPR 3.4.293; MACPHERSON PROPERTY; Engineering ApplicationCITY QFRLSBAD - ENGINEERING•PARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR PROCESSING,
+ Complete all appropriate information: Write N/A when not applicable.
PROJECT NAME: CP/f,2SW PRPE7Y DATE:__________
PROJECT DESCRIPTION:/"_ Row ,e477/t/
PROJECT ADDRESS /277 _ca &4 92_o08
LOT NO(S).:. MAP NO.: /111 -07
OWNER .5TE APPLICANT .572;,!4=_,V 1/ A71A,esA, AAT 4. An0 j9/i v
Mailing Address: /777 Mailing Address:
e -
Phone Number: (6(9) 72 9-...?/9/ -. Phone Number: (61-9) 729/9/
I certify that I am the legal owner and -that all the, aboveinformatiOn I certify that I am e agent 9f the legal owner and that all information on
is true and correct to, the- best of my knowledge.. this sheet is tru
a1714
oryt toi-best of my knowledge.
Signature5aer Date .,, Signature - - Date2?T7
CIVIL ENGINEER:J,DN / Ltiioj SOILS ENGINEER: -
Firm: L1-i1AtG/1VE/2IA4 Firm: -
Mailing Address: -P ./7'i -Mailing Address: --
- Phone Number: ((/9>-_72_9_43'40 ' Phone-'Number:' ,-
State Registration Number: - 1_____2 74L2.- - - State Registration Number: -------
LANDSCAPE ARCHITECT: ii/- -- -. ADDITIONAL COMMENTS: -4/------ - - -
Firm: -- - -- -
- Mailing Address: ----- _-- '' - - -
Phone Number: (_-:_-- -. -.------I- ____--
State Registration Number: ---- -- - -
NO. OF DWELLING UNITS: 1 - LFMP ZONE:// NO. OF LOTS: -,/ NO. OF ACRES:.25' -
IMPROVEMENT VALUATION: sewer, water & reclaimed water: - XIST7N - -
Water District (circte one):bad_Municipal_Water_Distri Olivenhain Vallecitos
streets and drainage: ,'49T-- landscape: - - -
GRADING QUANTITIES" cut , cy fill 0 d - ---'-- -. remedial- : cy ihiporVexport --- cy -
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE
P:\D0CS\MISF0RMS\FRM00063 REV 04/28/95
• 1 FOR CAT USE ONLY
Plancheck Type Drawing Project Deposit/Fees APPLICATION FOR
(CHECK ALL THAT APPLY): Number Number ID. Paid
O Adjustment Plat ADJP
O Certificate of Compliance
Dedication of Easement DOE
Si'i 2cZ 00 Type:p1
Type:
0 Encroachment Permit ENCROACH
O Engineering Standards Variance MV
OFinal Map FM
OGrading Plancheck GRPC;
O Grading GRADING
O Improvement Plancheck ___________ :•
O Landscape Plancheck LPC
O Parcel Map PM
O Quitclaim of Easement QUITO
Type:
Type:
O Reversion to Acreage RTA
0 Street Vacation SW
o Tentative Parcel Map : MS
O Certificate of Correction COOR
O Covenant for Easement COVE :
O Substantial Conformance Exhibit
APPLICATION ACCEPTED BY___________________
MASTER PROJECT ID_______________________ RCEF RECEIPT NUMBER
PRELIMINARY SIERRA SYSTEM INPUT INITIAL_______
S SIERRA SYSTEM INPUT INITIAL ,
R:BASE INPUT INITIAL_____________
MASTER FILE NUMBER F
ther:__________________________________
DATE:,STAMP
APPLICATION .RECEWED
P\D0CS\MSE0RMS\FRM00063 REV 04/28/95