HomeMy WebLinkAboutPD 16-16; ADAMS STREET LOT SPLIT; Engineering Applicationf • APPLICATION
4L City of ENGINEERING Carlsbad PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Complete all appropriate information. Write NIA when not applicable.
Project Name: Rl)/i"t S TRT Loi $pL ri Date:5- I. 73 O/Le
Project Description: ETA13LI5H LOT • LIJJ 'OIJ S8t\./,S)OAJ /pJ ¶j (cj%7tç,
Project Address: RDAYIIS 5T7ET /CYj MNt
Lot No(s).:jv . Map No.: 2.IS7 APN(s): 20(c_-I 0-441 _00
Number of Lots:I Number of Acres:• LI'! Miles of Trails:p
Owner: I....ii, pii( bt151frI Applicant: F*1 EtLSilAJ
Mailing Address: 847 AL4IRLANDS '115Th- Mailing Address: 9147 lli4i 4-.AlI$ VI$TA- w.'q
LJOLJ..,k 92.037 Wf LA- ZIbLL4, £4 gj037
Phone Number: 01) g5 7753 Phone Number: •(M) S- L'— 775-3
Fax Number:' (o) I- 530 Cc73-.'Y42.. Fax Number: (o)i3O (073 — S
E-mail: Al 0JJ E-mail:
I certify that I am the legal owner and that all the above
information is_~d cl ? rr to the best of my knowledge.
Sigrjatul:~~-~'T~~ate: ~Z-30- —9ee: L 1ILT b (a
Soils Engineer:
Firm:' Firm:
Mailing Address: Mailing Address:
Phone Number: 7160 (o3 O'S' Phone Number:
Fax Number: Fax Number:
E-mail: C P, \1 SBG-LOf E-mail:
State Registration Number: State Registration Number:
Additional Comments: X2Wl MT95 (TA CT.:
Pprr Z C
IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one)
21 Carlsbad Municipal Water District U Olivenhain U Vallecitos
If in the Carlsbad Municipal Water District, what is the total cost estimate, including the 15% contingency fee, for
water and reclaimed water improvements, sewer (for Carlsbad Municipal Water District only), street, public
(median) landscape and irrigation, and drainage improvements (if applicable)? $
GRADING QUANTITIES
cut cy fill _______ cy remedial ' cy import _______ cy export , cy
E-23 Page 1 of 2 REV 07/14
(city of
Carlsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
S
Develovment Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Comolete all aoorooriate information. Write N/A when not annfleahip-
APPLICATION FOR
0
0:: '. FOR CITY USE ONLY.. . ..
(check all that apply) Project Drawing Deposit /Fees Comments
I.D. .. . Number Paid .... 0
Adjustment Plat (ADJ) PO 10-1b AVD t— ?5 -
Certificate of Compliance (CE)
0
0
LI Dedication of Easement (PR)
Type: 0 0
Type:
LI Encroachment Permit (PR)
LI Final Map (FM)
LI Grading Plancheck (DWG) 0
LI Improvement Plancheck (DWG) 0
LI Parcel Map (PM) 0
LI Quitclaim of Easement (PR) 0
Type:
El Reversion to Acreage (RA)
LI Street Vacation (STy) 0
LI Tentative Parcel Map (MS) .
LI Certificate of Correction (CCOR)
LI Covenant of Easement (PR)
LI Substantial Conformance
Exhibit _(SCE)
LI Trails LI < mile LI> mile
LI Other
APPLICATION ACCEPTED BY O DATE.STAMP
APPLICATION RECEIVED
RECEijy
JUN 212016 .
AND DEVELOPMENT
E-23 Page 2 of 2 REV 07/14