HomeMy WebLinkAboutPR 4.71; ENCROACHMENT PERMIT APPLICATION; Engineering ApplicationCITY OF .RLSBAD -ENGINEERING .PARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR PROCESSING
Complete all appropriate information. Write NIA when not applicable.
PROJECT NAME: ENCROACHMENT PERMIT APPLICATION DATE: 2-22-94
PROJECT DESCRIPTION: ENCROACHMENT ON CITY PROPFJZTY GENFIULLY FAST OF 5300 EL AJZBOL VJUl/f
PROJECT ADDRESS: 5300 EL ARBOL VRIVE, CARLSBAV
LOT NO(S).: ___ 2=2=6 ____ MAP NO.:-"0""'0-=-63:...4L.&7 ____ APN(S).: 210-160-2300
OWNER: GLAVYS H. WOOV, TRUST
Mailing Address: 5 300 Fl ARBO/ URIVE
CARLSBAV, CA 92008-4318
Phone Number: .._( .... 6 .... 1_._9___.)....__·_._43..,.8,._-...,3,...3...,6 .... 6 ___ _
APPLICANT: SAME AS ABOVE
Mailing Address:
Phone Number:
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.
Firm:
Mailing Address:
Firm:
Mailing Address:
P:\DOCS\MISFORMS\FRM00063
Signature __________ Date ____ _
ADDITIONAL COMMENTS: ___________ _
NO. OF LOTS: _____ _
cut _____ cy
remedial
fill-----
cy import/export
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE
cy
REV 12/15/92
APPLICATION FOR
(CHECK ALL THAT APPLY):
D Adjustment Plat
D Certificate of Compliance
D Dedication of Easement
-
Type: __________ _
Type:
Encroachment Permit
D Engineering Standards Variance
D Final Map
D 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
RECEIPTNUM8~R ..... 5 4 77 ....
PRELIMINARY SIERRA §YS1"1:MfNPPTINIJ"IAL .. ~ •
SIERRA ~YSTl:M INPUT INtr"O\t.....,>•· .... •···•·•·· ..... > .... · ------
R:BASE fNPUTINITIAL,_· ________ ___,...,,,,,..,,,.,.,...,,,.,.,
Dother:
P:\DOCS\MISFORMS\FRM00063 REV 12/15/92