HomeMy WebLinkAboutPR 4.83; SILLEN RESIDENCE; Engineering ApplicationCITY O*ARLSBAD - ENGINEERING EPARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR PROCESSING
,'j Complete all appropriate information. Write N/A when not applicable.
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__4L3/ PROJECT ADDRESS:
//Oo LOT NO(S).:' MAP NO.:..APN(S).:
_L/ &j'$IL APPLICANT:
Mailing Address: 3 A In_(SS.Q _ Mailing-Address:
Phone Number (_)_ Phone-Number: (
I certify that I am t e legal owner and t t all the above information I certify that I am the agent of the legal Owner and that all information on
istrue and rre t o the best of my kn led e. this sheet is true and correct to the best of my knowledge.
Signature_________________________ ate_________ Signature Date____________
CIVIL ENGINEER: _: SOILS ENGINEER:__________________________
Firm: Firm:
Mailing Address: ' Mailing Address:
Phone Number: ( Phone Number: ( -.
State Registration Number: State Registration Number:
LANDSCAPE ARCHITECT: COMMENTS:_____________________
Firm: -'
Mailing Address:
Phone Number: (
State Registration Number:
1)
NO OF DWELLING UNITS: LFMP ZONE NO OF LOTS: . Pekpe,AC.RESBAD
IMPROVEMENT VALUATION: wer, water & reclaimed water: _t', NGNEERNG COUNTER
Water District (circle 'one): CatIsbad Municipal Wat'er'District Olivenhain Vallecitos
streets and drainage:____________________ landscape: _LJ
GRADING QUANTITIES CY cut 1* cy fill cy - - remedial cy import/export N/ cy
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE
P:\DOCS\M1SFORMS\FRM00063 REV 04/28/95
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APPLICATION FOR
(CHECK ALL THAT APPLY):
I FOR CITY USE ONLY
Plancheck
Number
Type Drawing
Number
Project
ID.
Deposit/Fees
Paid
1=1 Adjustment Plat ADJP
El Certificate of Compliance COC
O Dedication of Easement
Type:
Type:
DOE
Encroachment Permit ENCROACH
0 Engineering Standards Variance ESV
OFinal Map FM
OGrading Plancheck GRPC
O Grading GRADING
O Improvement Plancheck 'PC
O Landscape Plancheck LPC
0 Parcel Map PM
0 Quitclaim of Easement
Type:
Type:
QUiTO
El Reversion to Acreage RTA
O Street Vacation SW
o Tentative Parcel Map
El Certificate of Correction 000R
O Covenant for Easement COVE q
O Substantial Conformance Exhibit SCE -
- U) L', UL, L~ U LS
APPLICATION ACCEPTED BY
MASTER PROJECT ID________________________
RECEIPT NUMBER 3 o S--o
PRELIMINARY SIERRA SYSTEM INPUT INITIAL_______
SIERRA SYSTEM INPUT INITIAL__________________
R:BASE INPUT INITIAL______________
MASTER FILE NUMBER: F
DOther:____________________________________________
- -
CITY OF CARLSBAD
ENGINEERING COUNTER
DATE STAMP
APPLICATION RECEIVED
P:\D0CS\MISF0RMS\FRM00063 REV 04/28/95