HomeMy WebLinkAboutADJ 06-12; REXFORD/YARROW DR; Engineering ApplicationCIF CARLSBAD - ENGINEERING DEMENT
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable.
PROJECT NAME: 7)12. WI DATE:
PROJECT DESCRIPTION:
PROJECT ADDRESS: (s,'èO '/oX( 't~CA RLLS -k3 AD
LOT NO(S).: 9, /0 MAP NO.: 0 APN(S).: 2_1 3-
NUMBER OF LOTS: 2--. NUMBER OF ACRES: .3 ', 4. /7
OWNER: LL APPLICANT: /'/&,EL 7a4PJo,./
Mailing Address: . Wth e.4- (o7O Mailing Address: Toui R/ L,sJb J(4&y4
LA Q 697 BLCI 1e( kd.
Phone Number: Q - (, 3 t ¶3 Phone Number:
Fax Number: SI C) o (c' Fax Number: 74 .-
E-Mail: E-Mail: €
I certify that I am t1egal owner and that all the above 2.OI('I pZ et
informatio s(I a correct to the est of my knowledge.
S i g n a~re: /~l Date: (o/Lo/O(a Signature: Date:
wunll~
CIVIL'ENINEER: SOILS ENGINEER:
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:
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 H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Revised 1/14/02
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CITF CARLSBAD - ENGINEERING DEPA ENT
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable.
APPLICATION FOR / (/ all that apply)
FOR CITY USE ONLY
PROJECT
I.D.
DRAWING
NUMBER
DEPOSiT/FEES
PAID
COMMENTS
Adjustment Plat (AD)) AWS c; (o7 o 2-2
Certificate of Compliance (CE)
Type: -
Dedication of Easement (PR)
Type:_________________
Type:.
U Encorachment Permit (PR)
Final Map (FM)
El Grading Plancheck (DWG)
LI Improvement Plancheck (DWG)
Parcel Map (PM)
Quitclaim of Easement (PR)
Type:_____________
Type:______________
Type:__________________
J Reversion to Acreage (RA)
El Street Vacation (SW)
El Tentative Parcel Map (MS)
[J Certificate of Correction
(CCOR)
Covenant of Easement (PR)
fl Substantial Conformance
Exhibit (SCE)
El Other
ACCEPTED BY:
ECEWED
JUN 27 2006
ENGINEERING
DEPARTMENT
DATE STAMP
APPLICATON RECEIVED
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