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HomeMy WebLinkAboutPR 4.65; GUERIN RESIDENCE; Engineering Application~ITV OF IRLSBAD -ENG,NEERING 01,ARTMENT APPLICATI_ON FOR ENGINEERING PLANCHECK OR PROCESSING Complete all appropriate information. Write NIA when not applicable. PROJECT NAME: <2,-u ·e.ac-~n DATE: '2:-l \-'93 PROJECT DESCRIPTION: (.e.A--al-n ~~ i..&~~L( ' ._.f /J C:.r:-0a.. c.~ 11n.<JA-CI:-. ! i;ifu <ri c14=-, ~-w ~o PROJECT ADDRESS: 3Cft! Ma e1. v0 e_ LOT NO(S).: j_ MAP NO.: 00 )...y;'-( l APN(S).: ;J. O 7 Q" 1.. 01 ()t)' . ·., , , . OWNER: (J, lAv-,'s Cbve.~\,I~ • APPLICANT: ..rallVl, 1S 01,\,l i-iec;;v Mailing Address: 3~! l M~.»t vee--Mailing Address: ' (2, V' {s h a. I( I CA Phone Number: ( ~lq ) b s·o -o ?!tf . Phone Number: {, ) · 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 correct to the best of my knowledge. this sheet is true and correct-to the best of my knowledge. Signature C{w,)~ Date )..-{(~'J3 Signature Date CIVIL ENGINEER: -----.. Ill l~ SOILS ENGINEER: --Al I A- Firm: Firm: Mailing Address: Mailing Address: Phone Number: I , ) Phone Number: ( ) , LANDSCAPE ARCHITECT: -----ti1 I 1t ADDITIONAL COMMENTS: __-.--J//4 Firm: Mailing Address: Phone Number: {. ) NO. OF DWELLING UNITS: NO. OF LOTS: NO. OF ACRES: IMPROVEMENT VALUATION: sewer, water & reclaimed water: streets and drainage: landscape: ~-water district: 0 GRADING QUANTITIES: CY cut cy fill cy remedial cy import/export cy PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE ·eNG-R. P:\DOCS\MISFORMS\FRM00083 REV 12/15/92 PR 4,foS APPLICATION FOR (CHECK ALL THAT APPLY): D Adjustment Plat D Certificate of Compliance D Dedication of Easement Type: __________ _ Type: . jg Encroachment Permit D Engineering Standards Variance D Final Map 0-Grading . 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