HomeMy WebLinkAboutDEV 2017-0191; 3331 MADISON STREET; Engineering Applicationdb
f.. (Cityof
Carlsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Complete all appropriate information. Write N/A when not applicable.
Project Name: C17 //(1S f411 d/ AP1eJ /4'e4 6A Date:_____________________
Project Description: /9,-
Project Address:S 3 13 .2 17I,J L7Y' iZ (4dj4 -r1, (/ 92. 16 f
Lot No(s).: Map No.: APN(s):c2O
Number of Lots: l... Number of Acres: Miles of Trails:________________________
Owner: i//f Applicant: 17) r,5?
Mailing Address: 33J1 /)6?/J 6r,- 5Z7 Mailing Address: 3 3,3,1 fl -eel ,il1. JC
'//54/-) ,gzobF
Number: ?110 3 5-1 (o
ç/,-I,n 2Z vo
Phone Number: :?o 3/ - ('a 9-9
Fax Number: Z'O 7,& Fax Number: ?40 9- it) -0
E-mail: C/,ISt E-mail: C/,1drt?, Xe t'Yo.i/ .i
I certify that I am the legal owner and that all the above
information is true and correct to th best of my knowledge.
61te: I ? Signature:i41 & ,/ O ate: /- .7Iv nature:c '
'r: '//b 5o u/lfl I/P Soils Engineer:
Firm: Li/ IA,,, SfV4, t firm:
,i) ,f, /-vt Mailing Address: /1, f $ ) Mailing Address:
S/ft?2Th —L112//2-
Phone Number: (4. 9,7-/ 19 Phone Number:
Fax Number: (i9 - ?s-3--- sçi/ Fax Number:
E-mail: E-mail:
State Registration Numbei L5 9b 19 State Registration Number:
Additional Comments:
IF//Lm 7i4J
/)1/ I00 00 isC,95
IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one)
'lsbad Municipal Water District 0 Olivenhain fl 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, publjj
4 (median) landscape and irrigation, and drainage improvements (if applicable)? $ /V/
GRADING QUANTITIES
cut .cy fill _______ cy remedial _______ cy import _______ cy export _______ cy
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E-23
APPLICATION
ENGINEERING
PLANCHECK
E-23
Develonment Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
ComDlete all aoDrooriate information. Write N/A when not aoolicable.
(check all that apply)
APPLICATION FOR FOR"
I I USE ONL'~ _______________________
Project
D
DnvJng
umber
Deposit /Fees Comments
LIII Adjustment Plat (ADJ).
R'ertificate of Compliance (CE)
/J/,qor
3 33/,ç Is hore4
Cc(/2,0( M1 LI Dedication of Easement (PR)
Type:
Type.
LI Encroachment Permit (PR)
LI Final Map (FM)'
LI Grading Plancheck(DWG)
_________
LI improvement Plancheck (DWG) '
LI Parcel Map (PM)
LI Quitclaim of Easement (PR) AIM-
Type:
El Reversion to Acreage (RA) ,4J) #9
LI Street Vacation (STV) Nil-
LI Tentative Parcel Map (MS)
LI Certificate of Correction (CCOR)
LI Covenant of Easement (PR)
LI Substantial Conformance
Exhibit (ç••) Iv,
LI Trails LI <mile LI > mile '
El Other
PPLICATI'ON'ACCEPTED '
TATE STAMP
APP Li C AT 0 R E V ED
i'c LV
JL\H 29 208
LAN[) DEVELfl II:'\T'
E-23 , Page 2 of 2 REV 07/14