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HomeMy WebLinkAboutCUP 05-31; BRESSI RANCH FUEL MART LLC; Engineering ApplicationSTY OF CARLSBAD - ENGINEERING DRTMENT APPLICATION ENGINEERING PLAN CHECK Complete all appropriate information. Write N/A when not applicable. PROJECT NAME: M41; DATE: $, -3 PROJECT DESCRIPTION: (.4r4r,e,), #4 tz W4.94 PROJECT ADDRESS: "/# .4rI!4'd71 P t'd LOT NO(S).: /t/ MAP NO.: APN(S).: , ..// - NUMBER OF LOTS: / NUMBER OF ACRES: OWNER: ffpc fl$,,.,/ ,4icc. *,*, f APPLICANT: l2 CQ 12 Mailing Address: So, Mailing Address: P.i., PISA AP€t4V ivrd #' ('Il f4^&4, r4 F'5 t4 Phone Number: 9 c-. 1115, It Phone Number: _795 '/57/ Fax Number: Fax Number: 254 -2e' E-Mail: Fco,,r øs r .o E-Mail: f . I certify that I am the legal owner and that all the above Information is true and correct to the best of my knowledge. L 10. T Signature: ,j1 jejt 4'.L2 Date: -04' Signature: /e4ZtQ Date:/O a..f q4 -o CIVIL ENGINEER:J NA) SOILS ENGINEER: i4Nv,4sL . FIRM: 4 i. ,/j t)ar.. FIRM: Le.'ri 41-b/ a. kil Mailing Address: ,/?2,c JqLx- le. Mailing Address: 191 V 'Ed sLJa4 'b Phone Number: 4'Z Phone Number: 71-- 249- TO Fax Number: Fax Number: 7f1 Zt2 .4649/ E-Mail: E-Mail: State Registration Number: '7''/'.f( State Registration Number: ADDiTIONAL COMMENTS: IMPROVEMENT VALUATION What water district is the proposed project located in? (check one) Ilsbad Municipal Water District DOlivenhain flvaiiecitos 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. remedial ______ cy export cy ffll cy impo cy SEE REVERSE SIDE H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Revise CITY CARLSBAD - ENGINEERING DEPART$T — APPLICATION ENGINEERING PLAN CHECK Complete all appropriate information. Write N/A when not applicable. • APLCATIONFOR 1 FORCITY U6E•OrN1Y..S I all that apply) PRO3Ec 1 __AVI jDEPöSrrfFEES COMENTS Adjustment Plat (AD)) Certificate of Compli__C! Dedication of Easement (PR) Type: ________ _________ \ Type: . A Type El S \'_•\ El FMFI -' twos ImprovementPlancheck(DWG) 1_çMp (PM)S El Ou q f Type:•3t'\ _C "s .s Type. _____ El Reversion tore0 )q El Street Vacation(SW) El Tentative Parcel F1p.M$) LI Certificate of Correction (CCOR) El Covenant of Easement (PR) [] Substantial Conformance Exhibit (SCE) Other APPLICATION APPLICATION ACCEPTED BY: DATE STAMP APPLICATON RECEIVED I.1/flC/CI flDACkIT ecol,rce,,.Aercne,nI;..,,;.. h. t a -- flLJ. n.....