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HomeMy WebLinkAboutPC 2017-0002; JORDAN RESIDENCE; Engineering ApplicationAPPLICATION ENGINEERING PLANCHECK E-23 Project Name: Addi---hao ard i j -4: A'DU ·to 'J?rd1U\ Pro·ect Descri tion: ' • Owner: \he '-+~......_-&,L-1,-'!""'L...l--'-UL..L"'-"'J-+f-l,A~ Mailing Address: PR9~ Number: ~umber: E-mail: 3 JD -'-Sg,_ J7SO he legal owner and that all the above Signature: ue nd co~ the ~a..'-knowledge. ;,,t.~-Date: Firm: Mailing Address: Phone Number: Fax Number: E-mail: Phone Number: Fax Number: E-mail: Firm: Mailing Address: Phone Number: Fax Number: E-mail: Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov State Registration Number: State Registration Number: Additional Comments: ________________________________ _ cut IMPROVEMENT VALUATION 1. What water district is t~oposed project located in? (check one) ~rlsbad Municipal Water District D Olivenhain D 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 ;!rNTITIES cy fill cy remedial cy import cy export cy E-23 Page 1 of 2 REV 07/14 • 41 City of lsbad APPLICATION ENGINEERING PLANCHECK E-23 ' ◄ Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov Complete all appropriate information Write N/A when not applicable. FOR CITY USE ONLY APPLICATION FOR Project Drawing Deposit /Fees Comments (check all that apply) I.D. Number Paid D Adjustment Plat (ADJ) ~. Certificate of Compliance (CE) rini ~n --rY'Y"'R D Dedication of Easement (PR) Type: Type: D Encroachment Permit (PR) □ Final Map (FM) □ 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 SEP 2 5 ?017 E-23 Page 2 of 2 REV 07/14