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HomeMy WebLinkAboutCDP 2017-0073; GAGNON RESIDENCE; Engineering Application( City of Carlsbad Co APPLICATION ENGINEERING PLANCHECK E-23 Project Name: Ga,,9 ~e. . . .. € Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov licable. APN(s): __________ _ Number of Lots: Owner: pplicant: Mailing Address: Phone Number: Phone Number: Fax Number: Fax Number: E-mail: E-mail: I certify that I am the legal owner and that all the above information is the best of my knowledge. Signature: e,~zo,,s Date: ~ -2.,(1-lf, Civil Engineer: Firm: Firm: Mailing Address: Mailing Address: Phone Number: Phone Number: Fax Number: Fax Number: E-mail: E-mail: State Registration Number: 95 -;:J,qo ,31?8-5 State Registration Number: Additional Comments: ________________________________ _ cut IMPROVEMENT VALUATION 1. What water district is the proposed project located in? (check one) ~ Carlsbad Municipal Water District O Olivenhain O Vallecitos 2. 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 cy fill cy remedial cy import cy export cy E-23 Page 1 of 2 REV 07/14 ( City of 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 NIA when not applicable. APPLICATION FOR FOR CITY USE ONLY (check all that apply) Project Drawing Deposit /Fees Comments I.D. Number Paid 0 Adjustment Plat (ADJ) [S Certificate of Compliance (CE) <:FP2vn-C Jl ?)( <,-tr,,,,?n lf--'1 )Q2-c') D Dedication of Easement (PR) Type: Type: 0 Encroachment Permit (PR) 0 Final Map (FM) 0 Grading Plancheck (DWG) D Improvement Plancheck (DWG) D Parcel Map (PM) D Quitclaim of Easement (PR) Type: D Reversion to Acreage (RA) D Street Vacation (STV) D Tentative Parcel Map (MS) D Certificate of Correction (CCOR) D Covenant of Easement (PR) D Substantial Conformance Exhibit (SCE) D Trails D < mile D > mile D Other II APPLICATION ACCEPTED BY: ::::::;:> E-23 l 7 e3 Page 2 of2 11 DATE STAMP RlrC\!TfVEIJED NOV 2 6 2018 L-, \ND CEVELOPMENT ENGli'JEERING REV 07/14