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:
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Page 2 of2
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DATE STAMP
RlrC\!TfVEIJED
NOV 2 6 2018
L-, \ND CEVELOPMENT
ENGli'JEERING
REV 07/14