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HomeMy WebLinkAboutCDP 16-11; TABATA RANCH JERRY SFR; Engineering ApplicationAPPLICATION Development Services - , City of ENGINEERING Land Development Engineering Carlsbad PLANCHECK 1635 Faraday Avenue 760-602-2750 E23 www.carlsbadca.gov Complete all appropriate information. Write N/A when not anolicable Project Name:1A7kT$ 'hM,tt J1V'* gf Date: Project Description: tA C 4 IV f 0-19 Project Address: JO Lot No(s).:I Map No.: APN(s): Number of Lots:I Number of Acres: Miles of Trails:________________________ Owner: Atç4 lkWf Applicant: Mailing Address: V. 6. ?'X q 31 Mailing Address: _________________ ~ffi t a4 e '?U 10 Zl~ Phone Number: i3O 003 ZJ4VI Phone Number: tJi{trL_. Fax Number: E-mail: 1Wit4fL W 1JKt4 Fax Number:• E-mail: I certify that I apJ the legal owner at all the above I44%4 information is t'ne and coo h best of my knowledge. Signature: Z ate: 16 46 Signature: Date: Civil Engin: 114 VO (1 LO & Soils Engineer: "Pa.I4 Mt,4{ Firm: ______ ______ VKCA in Firm: Mailing Address: 3I'6'7 P1¼ Oik$ J*LlA4 Mailing Address: çri ofIO i0 ____ Phone Number: 16,19 - (-3 lit-' Phone Number: 14(4 Fax Number: Fax Number: E-mail: V10 j VcV C4M E-mail: State Registration Number: 3 V • State Registration Number: Additional Comments: IMPROVEMENT VALUATION What water district is 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 NTITIES cut 1 00 cy fill cy remedial cy import ____ _____ cy export E-23 Page 1 of 2 REV 07/14 (op 10-11 4LitCyof Carlsbad S APPLICATION ENGINEERING PLANCHECK E-23 I Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov Comoleth all annronriate information. Write NIA when not annlicabl. APPLICATION FOR (check all that apply) FOR CITY USE ONLY _________ Project I.D. Drawing Number DëpositiFées Paid Comments O Adjustment Plat (ADJ) 14+ O Certificate of Compliance (CE) El Dedication of Easement (PR) Type: Type: O Encroachment Permit (PR) O Final Map (FM) E.ading Plancheck (DWG) ctP )t.g. 411• g ti El Improvement Plancheck (DWG) o Parcel Map (PM) O Quitclaim of Easement (PR) Type: O Reversion to Acreage (RA) O Street Vacation (STV) O Tentative Parcel Map (MS) El Certificate of Correction (CCOR) El Covenant of Easement (PR) El Substantial Conformance Exhibit (SCE) O Trails 0 < mile 0 > mile 9-Other 5.3 APPLV/N /CCEPTEDBY: DATE STAMP APPLICATION RECEIVED REC!yED SEP 16 2016 LAND DE\i I O2MMT ENGINFFRIM E-23 Page 2 of 2 REV 07/14