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HomeMy WebLinkAboutCUP 02-21; HOFFMAN PROPERTY; Engineering ApplicationCARLSBAD -ENGINEERING DEPA APPLICATION ENGINEERING PLAN CHECK NT Complete all appropriate information. Write N/ A when not applia11ble. PROJECTNAME: iYl p,, u DATE: ~-~S--03 PROJE~ DESCRIPTION: J'11smf/anor1 ff.f (]~, 4o-f11-b ;yb rnortbf!tdM i-tJ /'e.p&LU«- e.P'., f/(1 ~ rrtrn o po~ p,ntl ~u~-r. PROJECT ~DRESS:9~J~no R½d, 5re,. A, C!d,rlshtt;d CA q;J,.oo~ LOTNO(S).: Htred ~ MAP NO.: 3451 APN(s).: ~J~/ol-;;tJ NUMBER OF LOTS: n /CL. NUMBER OF ACRES: n /a_ OWNER: 04'4 f:1 Ot'.)tl 0J4b(On J) NtJf:fui APPLICANT: Mailing Address: LfCtot El Ct,.,1nu1q /~w Mailing Address: lw:/s ha.d--fl.it" q ~o-o ~ &rk f!/Jroecstonu cf ~r<:J?> St, 11 D, $fj/) C It 9:J: /,?.. I Phone Number: Fax Number: E-Mail: I certify that I am the legal owner and that all the above information is true and correct to the best of my knowledge. Phone Number: Fax Number: E-Mail: Signature: ate: ~\z?5-o 3 Signature: CIVIL ENGINEER: SOILS ENGINEER: ------------FIRM: FIRM: Mailing Address: Mailing Address: Phone Number: Phone Number: Fax Number: Fax Number: E-Mail: E-Mail: State Registration Number: State Registration Number: ADDmONAL COMMENTS: of-r t:f.J tJ ll 17 )__ b. fi_e_. 5lt /J OJ._ -10 IMPROVEMENT VALUATION 1. What water district is the proposed project located in? (check one) jglcarlsbad Municipal Water District Oolivenhain Ovallecitos 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)? $ n I 1,0 GRADING QUANTITIES cut ___ cy fill ___ cy remedial ___ cy import ___ cy export ___ cy SEE REVERSE SIDE cu P o 2. -2 I H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Revised 1/14/02 CICf F CARLSBAD -ENGINEERING DEP~MENT APPUCATION ENGINEERING PLAN CHECK I Complete all appropriate information. Write N/ A when not applicable. FOR CITY USE ONLY APPUCATION FOR PROJECT DRAWING DEPOSIT /FEES COMMENTS ( ✓ all that apply) I.D. NUMBER PAID □ Adjustment Plat (ADJ) □ Certificate of Compliance (CE) □ Dedication of Easement (PR) Type: ,Type: Type: □ Encorachment Permit (PR) □ Final Map (FM) □ Grading Plancheck (DWG) □ Improvement Plancheck (DWG) □ Parcel Map (PM) □ Quitclaim of Easement (PR) Type: Type: Type: □ Reversion to Acreage (RA) □ Street Vacation (STY) □ Tentative Parcel Map (MS) □ Certificate of Correction (CCOR) □ Covenant of Easement (PR) □ Substantial Conformance Exhibit (SCE) □ Other I APPUCATION ACCEPTED BY: I DATE STAMP APPUCATON RECEIVED Revised 1/14/02