HomeMy WebLinkAboutPR 4.68; PIERCE PROPERTY CANNON LAKE; Engineering Application\ .. x• -•~ CITY OF CARLSBAD -ENGINEERING DEPARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR PROCESSING
Complete all appropriate Information. Write NIA when not applicable.
PROJECT NAME: PIE BC EE. PBoPFRTY-C,4 µ tu ON LA((£ DATE: 9--_c,-3
PROJ~~ D~scRrPTION: ~ rov ~ ~ ~ O'&tJ, ~c~ro~J~~~~~ ~~ ) PROJECT ADDRESS:~R BO L ~ . hYq-( 'f 3 ~ -1 d. 0 '7
J..tff ~ '-1 OF ,. .
LOT NO(S).: Tc{(«At'Mf IJJJ[f#' 7 MAP .NO.: b '31:/ 1 APN(S}.: ¢ / 0 -I 6 0 -;J. 'i
. . :I .
. -OWNER:V 1;1 i1~;~~-I/, :S#At<vW L.
Mailing Address: 5 3 JD EL AR 8 D L J) R .
C.ARL.S8ffi>, l!.A. cr~oot
Phone Number: { 6 / 9 ) t../ 3 8'-/d O 7
I certify that I am the legal owner and that all the above Information
. is true and correct to the best of my knowledge.
Signature ~ _.,,[. ~ Date 7 /2, /43 " ~·
· Firm: .
LAN
Mailing Address:
Phone Number:
NO. OF DWELLING UNITS: ________ _
'IMPROVEMEN'.r VALUATION:. :sewer, water & reclaime
APPLiCANT: Sr!A&DkJ L. f R.ALPI/£ . .P1ie.~,E
Malling Address: S 3 ID £ L AR. B O L J)R._.
~ARLS8Ab,~A. ,~bar
Phone Number: { G f Cj ) . f s g -l ~ D )
'
I certify that I am the agent of the legal owner and that all Information on
this sheet is true and correct to the best of my knowledge.
Signature ~ 'i f: e + ,. e Date ?-fl ~ C\. 3
Phone Number:
ADDITIONAL COMMENTS: ___________ _
NO. OF ACRES: ___ _
streets and drainage:._~-------la scape: ________ water district:. _____ ,---_
·GRADING QUANTmES: ____ CY cut fill _____ cy
remedi~I cy import/export cy .
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE
P:\DOCS\MISFORMS\FRM00063 REV 12/15/92
APPLICATION FOR
(CHECK ALL THAT APPLY):
IJ,. A~justment Plat
[:] Certificate of Compliance
D Dedication pf Ea~em~nt
•
Type: ____________ _
Type:
,Bl Encroachment Permit
· D Engineering Standards Variance
0 Final Map
Cl Grading
D Improvement Plancheck
D Landscape Plancheck
D Parcel Map
D Quitclaim of Easement
Type: _________ _
Type:
D Reversion to Acreage
D Street Vacation
D Tentative Parcel Map
P:XDOCS\MISFORMS\FRM00063
• I
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REV 12/15/92