HomeMy WebLinkAboutADJ 05-12; HALL ADJUSTMENT PLAT; Engineering ApplicationCITYMP CARLSBAD - ENGINEERING DEPARNT
APPLICATION
ENGINEERING PLAN CHECK -
Complete all appropriate information. Write N/A when not applicable.
PROJECT NAME: ,i7/4 1 DATE:
PROJECT DESCRIPTION: .(ci2. d,J 1 ii -/31-Ic
4:4/ /34..ç
PROJECT ADDRESS: /44. c//448 ,,reSiL ,41ve -
LOT NO(S).: I .2 MAP NO.: PA/,,.'/ç APN(S).:
NUMBER OF LOTS: NUMBER OF ACRES: /
OWNER: 4i-i,,,cA'Y/a// APPLICANT: 4. Wcj//
Mailing Address: J4-8 ,I:2,6/. i,4 Mailing Address: ,4tJe
c1-A6ad (4qoo8
Phone Number: .. d9g Phone Number: 7z9
Fax Number: Fax Number:
E-Mail: E-Mail:
I certify that I am the legal owner and that all the above
information is true and rect to the best of y knowledge.
Signature Date: PJ
CIVIL CN€INEER: J;//,,- & .5//, . SOILS ENGINEER:
FIRM: /1 Sr FIRM:
Mailing Address: Mailing Address:
Phone Number: 4 ij42 Phone Number:
Fax Number: Fax Number:
E-Mail: E-Mail:
State Registration Number: 4', 333,0, State Registration Number:
ADDITIONAL COMMENTS:
IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one)
Carlsbad Municipal Water District DOlivenhain 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 ,4f) ' 14:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check J b Revised 1/14/02
Cr)F CARLSBAD — ENGINEERING DEPAIENT
APPLICATION
ENGINEERING PLAN CHECK
complete all appropriate information. Write N/A when not applicable.
APPLICATION FOR
(v' all that apply)
FOR CITY USE ONLY
PROJECT ,
I.D.
DRAWING
NUMBER
DEPOSIT/FEES
PAID
COMMENTS
[ Adjustment Plat (AD))
fl Certificate of Compliance (CE)
Dedication of Easement (PR)
Type:_________________
Type:__________________
Type:__________________
U Encorachment Permit (PR)
Final Map (FM)
Grading Plancheck (DWG)
U Improvement Plancheck (DWG)
U ParcelMap(PM)
Quitclaim of Easement (PR)
Type:_________________
Type:_________________
Type:__________________
Reversion to Acreage (RA)
Street Vacation (STy)
Tentative Parcel Map (MS)
Certificate of Correction
(CCOR)
Covenant of Easement (PR)
Substantial Conformance
Exhibit (SCE)
Other
APPLICATION ACCEPTED BY:
AUG 1
.8 /GL5
DATE STAMP
APPLICATON RECEIVED
nOUrT ccOnr ClUaQ1PIAnnJtnn fnr Pnnnrnn PI.. r.h.,.k PAn. 2 1 Revised 1/14/02