HomeMy WebLinkAboutCUP 96-01; PACIFIC BELL; Engineering ApplicationCITY OFRLSBAD' - :ENGINEERINGPARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR PROCESSING
Complete all appropriate information. Write N/A when not aoolicáble.
PROJECT NAME: 14/v1J/?A k1- / /?4Q- 13F-L /W?,V/V,1 DATE:__________
PROJECT DESCRIPTION: _,1/i/L j7/,'oiv9 ,4A/TffNNA
I'
PROJECT ADDRESS:
LOT NO(S),: MAPNO.:_APN(S).: 2o7—
OWNER: PACt F/c- APPLICANT: 1qz,z _4,j/V
Mailing Address: 5'/0?/Z1,V/7906bQ? Mailing Address: _ 6175,01V (27
.5411_066c _921z3 -29q T0_e '9a0i9
Phone Number: (119_)_SS__4"O PhoneNumber: o1019 )
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 th be f my nowledge.
Signature J'Wi1_Dat/a//1 Signature_____________________
CIVIL ENGINEER: _' SOILS ENGINEER: ,
Firm: I_Uf Firm:
Mailing Address: 'eSI_Fe124c_ LV Mailing Address:
Phone Number: (Gig_SZ_'4iIZ. 'Phone Number:
State Registration Number: 1 7s'' State Registration Number:
LANDSCAPE ARCHITECT:' ADDITIONAL COMMENTS:_____________________
Firm:
Mailing Address:
Phone Number:
State Registration Number:
NO. OF DWELLING UNITS: LFMP ZONE: _, NO: OF LOTS: NO. OF ACRES:_____
water & reclaimed water:____________
it J
Water District (circle one): Carlsbad Municipal Water District Olivenhain Vallecitos c'
streets and drainage: landscape:
GRADING QUANIIr''9 ' CY cut cy fill ' cy
remedial cy import/export , cy
PLEASE CHECK OFF APPLICATIC
P:\D0CS\MI5F0RMS\FRM00063
Awk
FOR CI27 ONLY
APPLICATION FOR Plancheck Type Drawing Project Deposit/Fees (CHECK ALL THAT APPLY): Number Number ID. Paid
O Adjustment Plat AWP
O Certificate of Compliance COC
Dedication of Easement DOE
Type:P PZZY9i CuP%o I
O Encroachment Permit ENCROACH
O Engineering Standards Variance . . .
0 Final Map . .
DOrading Plancheck : GRPC
O Grading . GPADING.
O Improvement Plancheck IPO
0 Landscape Plancheck UDC
0 Parcel Map ... .PM :
O Quitclaim of Easement QUITO
Type: .
Type:
0 Reversion to Acreage S
- RIA
0 Street Vacation SW
El Tentative Parcel Map . .
El Certificate of Correction CCOR . .
O Covenant for Easement . DOVE : •. .: . .
.
O Substantial Conformance Exhibit SCE
APPLICATION ACCEPTED BY___________________
MASTER PROJECT ID U ô f
RECEIVED RECEIPT NUMBER
PRELIMINARY SIERRA SYSTEM INPUT INITIAL_______ NOV U 5 1996 SIERRA SYSTEM INPUT INITIAL__________________ .
R:BASE INPUT INITIAL_____________ . ENGINEERING
MASTER FILE NUMBER: F S DEPARTMENT
Ebther:_______________________________________ S .
DATE. STAMP
APPLICATION RECEIVED
P:\DOCS\MISFORMS\FRM00063 REV 04/28/95