HomeMy WebLinkAboutMS 14-03; CANTIL STREET DUPLEX; Engineering ApplicationCl of
Carlsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
ComDlete all aDDroDriate information. Write N/A when not aoolicabte.
Project Name: H-,5' /4-Os !ef4i77c. (gq7 Z)i',42cr Date:______________________
Project Description: k,t57t24.J
Project Address: . 1 '3 - 6-74-7 4A/74
Lot No(s).: F7O Map No.: 6,170-5- APN(s):i— g_4—cO
Number of Lots: Z Number of Acres: 0. Miles of Trails:q.(
Owner: c5LL
Mailing Address: '4 _z'/(-'14
Applicant: Zi/4&YO77 At 6
Mailing Address: i(, 17_
7_1'h, QY '701Z-7
Phone Number: ')_Z' - RAW Phone Number: (5)_Z24-473
Fax Number: Fax Number:
E-mail: ,'Q&4jt E-mail:
I certify that I am the legal owner and that all the above
information is true orr Ct t the best of my knowledge.
/
oo
Signatur 1Dte:/5 Signature._Date: /YO—/Z/ t —5—
Civil Engineer: Soils Engineer:
Firm: Firm:
Mailing Address: Mailing Address:
Phone Number: Phone Number:
Fax Number: Fax Number:
E-mail: E-mail:
StateRegistrationNumber: StateRegistrationNumber:
Additional Comments:
IMPROVEMENT VALUATION
What water district i,the proposed project located in? (check one)
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) landscape and irrigation, and drainage improvements (if applicable)? $
GRADING QUANTITIES
cut cy fill _______ cy remedial cy import cy export _______ cy
JAN 21
E-23 •. - '.1 ' Page 1 of 2 REV 07114
T.. rns IL/-03
-
%h City of
Cailsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carisbadca.gov
Complete all appropriate information. Write N/A when not applicable.
APPLICATION FOR
(check all that apply)
FOR CITY USE ONLY
Project
ID.
Drawing
Number
Deposit /Fees
Paid
Comments
El Adjustment Plat (ADJ)
O Certificate of Compliance (CE)
El Dedication of Easement (PR)
Type:
Type:
O Encroachment Permit (PR)
O Final Map (FM)
O Grading Plancheck (DWG)
Onprovement Plancheck (DWG)
&f Parcel Map (PM) Mb 1 0'3 Prn j - O
O Quitclaim of Easement (PR)
Type:
o Reversion to Acreage (RA)
O Street Vacation (SW)
O Tentative Parcel Map (MS)
O Certificate of Correction (CCOR)
O Covenant of Easement (PR)
O Substantial Conformance
Exhibit (SCE)
O Trails D < mile 0 > mile
O Other
APPLICATION ACCEPTED BY: DATE STAMP
4P14CATION RECEIVED
JAN 21 2015
E-23 Page 2 of 2 REV 07/14