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Zs%> APPLICATION Development Services
ENGINEERING Engineering Department CITY OF PLANCHECK 1635 Faraday Avenue
760-602-2750 CARLSBAD E23
Complete all appropriate information. Write NIA when not licablida
Project Name: P'ARL 1D(t.4 080 Date:__________________
Project Description: i13 M fl PARC L MAP> f1 L
Project Address: 'Z 740 A R LA 1) RJ CA 9 L 5 V>A 7. CIA '1 2-0 of
LotNo(s).: T3 LQTS Map No.:('1'—-ob) APN(s):
Number of Lots: Number of Acres:I Q 7 A- Miles of Trails: t4/4
Owner: H - I Lt4. k Q Applicant: HVH I1-LL.l
Mailing Address: F-7,4 o AR LA\t _fI7. Mailing Address: Z740 ,2LA 13D'_tP. cA-L', ',AP _CA &I z-ooE j, 4_112005
Phone Number: (7o)-434_-3Z8 Phone Number: (5)_-7I7—,74.1
Fax Number: Fax Number:
E-mail: _Iob E-mail: 1A44-{01 6iI.
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: jpate:(0/4,'( Signature: Date:
il Engineer: Soils Engineer: HL.(
Firm: Firm: - kU_cOIL
Mailing Address: Mailing Address: 402r;
Phone Number:
CALA ._IA_2ooP,
Phone Number: (-79)-7-9_-Z4
Fax Number: Fax Number:
E-mail: E-mail: LAfOre o-oJ(1.Con
StateRegistrationNumber: State Registration Number: F_._77 2..
Additional Comments:
IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one)
.0 Carlsbad Municipal Water District 0 Olivenhain 0 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) iaçdscapeand irrigation, and drainage improvements (if applicable)? $
- GRADING QUANTITIES
cut Jy 'fill , remedial cy import _______ cy export ________cy
[1
E-23 Page 1 of 2 REV 7/7/09
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CITY OF
CARLSWAD
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Engineering Department
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
COM0108 all annronriate, information- Write NIA whAn not annlieahI
APPLICATION FOR
(check all that apply)
FOR CITY USE ONLY
Project
I.D.
_________ Drawing
Number
Deposit /Fees
Paid
Comments
EJ Adjustment Plat (ADJ)
V
V
El Certificate of Compliance (CE)
U Dedication of Easement (PR)
Type:
Type:
U Encroachment Permit (PR)
j Final Map (FM)
U Grading Plancheck (DWG)
O Improvement Plancheck (DWG)
Parcel Map (PM)
.QQuitclaim of Easement (PR)
Type:
O Revsion to Acreage (RA)
U Street Vacation (STV)
0 Tentative Parcel Map (MS)
0 Certificate of Correction (CCOR)
O Covenant of Easement (PR)
U Substantial Conformance
Exhibit (SCE)
El Trails D<mile EJ>mile
O Other
APPLICATION ACCEPTED BY:.
V
nA
APPLIC I
V
V NOV 30 2010
ENGINERG.V ...
V , DEPARTMENT
E-23 Page 2 of 2 REV 7/7/09
CLuFCARLSBAD ENGINEERING DEPAlENT ,
""APPLICATION-,''•.-
ENGINEERING PLAN CHECK -.
Complete all äppropnate infomatiofl Write N/A when not applicable
PROJECT NAME: MMHDU t4fl3/fZ. 'LAB. DATE: /ox
PROJECT DESCRIPTION: PJv' 2 Lb1
PROJECT ADDRESS: 2. T40 &LA62 RI)
LOTNO(S).: ___ —MAP NO.: APN(S).: L9',-l4a—o2--
NUMBER OF LOTS: NUMBER OF ACRES: MILES OF TRAILS:
OWNER: HHii - LLAKVol L R3 APPLICANT: AS L..Gf
Mailing Address: 'Z.740 Ag LkO FP . Mailing Address:
4l', ,A
Phone Number: (-ibo) -4 3!J 3 Z& F7 4:,&2- Phone Number:
Fax Number: -* 111 .61t1 Fax Number:
E-Mail: MAMTAA LW E-Mail:
I certify that I am the legal owner and that all the above
information is true and correct to the best of my knowledge.
~d402;E~_Signature: Date:"/&/O€' Signature: Date:
CIVIL ENGINEER: SOILS ENGINEER: 5AM.
FIRM: FIRM:
Mailing Address: Mailing Address:
Phone Number: Phone Number:
Fax Number: Fax Number:
E-Mail: E-Mail:
State Registration Number: State Registration Number:
ADDITIONAL COMMENTS: C/h-i Et.,-,C ( 7(,o 7 1? - 6717
•
IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one)
fCarlsbad Municipal Water District []Olivenhain UVallecitos
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
SEE REVERSE SIDE
H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Revised 05/01/07
- CMWf CARBAD.- ENGINEERINGDEPA ENT.: .
: APPLICATION I, 2
ENGINEERING PLAN CHECK -
+
, 4 - Complete all appropriate informatlon Write N/A when not applkable;
- 0" FOR MY USE ONLY
APPLICATION FOR PROJEcT DRAWING- DEPOSIT/FEES
(v' all that apply) I Lda NUIER ' 4 PAlo'
O Adjustment Plat (AD])
o Certificate ofCompliance (CE) . .5
O Dedication of Easement (PR)
Type: -• ________________ ________________ -:..
Type:_____________
-S.,
- S . • I—s
Type:____________ '-
El Encroachment Permit (PR) •
:.-
S
.
Final Map (FM)
J Grading Plancheck (DWG)
O Ipiovernent Plancheck (DWG)
j"Parcei Map (PM)
Quitclaim of Easement (PR)
Type:_________________
Type:__________________
Type:_________________
U Reversion to Acreage (RA)
Street Vacation (STy)
Tentative Parcel Map(MS)
Certificate of Correction
(CCOR) :- - " •
Covenant of Easement (PR)
Substantial Conformance
Exhibit (SCE)
O Trails D<mile J> mile
Other
H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Page 2