HomeMy WebLinkAboutCDP 06-21; WOOLSON RESIDENCE ADDITION; Engineering ApplicationC11F CARLSBAD - ENGINEERING DEPA•ENT
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable.
PROJECT NAME: Op(jQ t'ICJE 't -i-,o DATE:
PROJECT DESCRIPTION:
LOALU-1 - -Tae —
PROJECT ADDRESS: 24-' LO LE aJ
LOT NO(S).: li MAP NO.:? 1 APN(S).: - t —o
4 S
NUMBER OF LOTS: NUMBER OFARE
OWNER: 4oucy APPLICANT: ),ALSlmo ,E.
Mailing Address: AJS Lf Mailing Addr" 77 rt€i AQU
Ci 12X M Ci & cr Ji2L4
Phone Number: (7" 4 Phone Number: 7 (O ---- I27Z.
Fax Number: 1 cc - Fax Number: ? - (o34 1211_
E-Mail: 6ot5c . i E-Mail: PL-i wi' . t -Si b1e
I certify that I am the legal owner and that all the above •
Information is true and rrect to the best of my knowledge.
Signature:A Date24.401 Signature: 44A;~~ Date: 22767
CIVIL ENGINEER: ,V//1. SOILS ENGINEE: N//I
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 Ljvaliecitos
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
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SEE REVERSE SIDE • CPP 0 1/14/02 14:/DEVELOPMENT SERVICES/MASTERS/Application for Enoineejino Plan Check