HomeMy WebLinkAboutADJ 437; AVIARA PA 14; Engineering Application' \
\ \ CITY OF CARLSBAD -ENGINEERING DEPARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR PROCESSING
Complete all appropriate information. Write NIA when not applicable.
PROJECT NAME:. _ _.,(l..,_0...,"(""",4,=~=4.____._/f-'-, .a...;,4-:~,---'-/....,1/'------------
PROJECT DESCRIPTION: ?0/ # 5 f:: or /7&:t;E<::: &¢ /t, 5' ti
DATE: / ,/«442 /22 t::
PROJECT ADDRESS: _ _./,_'o/"a....l_Z.. _ _..t!..._W. ........ .:;,,_,4 ___ _.,Ct?"""""'"t1 __ £/"""-.-___________________ _
LOT NO(S).: _ __,;;_3.;:;;...S" ____ MAP NO.: f?.m. /~S°""t//
OWNER: CaSO?A.J /)/ft/(t?5ot)) tzf?eZES APPLICANT: 6@,(6e::::: t!2 '2)fp(
Mailing Address: /28ie£: ?01« DEL. d//lR, ..s:76"".:?op Mailing Address:
t2e7. &#L ('If:. fz o /f
Phone Number: ( U?(<j ) f-'8/ -85??0 Phone Number: ( 4,(7 } 13/-?Joo
I certify that I am the legal owner and that all the above information
is true and correct to the best of my knowledge.
I certify that I am the agent of the legal owner and that all information on
this sheet ia true and correct to the best of my knowledge.
Signature __________ Date ___ _
CIVIL ENGINEER: G@.£:6c O «13/
Firm:
Mailing Address:
Phone Number: ( (k/9 ) '73/-7.700
State Registration Number: gc.t; 3?o/t(
LANDSCAPE ARCHITECT: _______ _
Firm:
Mailing Addresa:
Phone Number:..__ 1 __ 1..._ ________ _
State Registration Number: __________ _
Signature APl--< a__ /'01YJC-u/l Date I .~'f't' -() -/I
V
SOILS ENGINEER: ___________ _
Firm:
Mailing Addrese:
Phone Number:_ 1 __ 1 ___________ _
State Registration Number: ___________ _
ADDITIONAL COMMENTS: ________ _
NO. OF DWEWNG UNITS: __ LFMP.ZONE:____ NO. OF LOTS: ___ _
IMPROVEMENT VALUATION: ~wer, water & reclaimed water: _______ _
NO. OF ACRES: __
streets and drainage:,,.,,.... ____ ___,,,.,..,..._
GRADING QUANTITIES: ____ CY
landscape: _______ water district: _______ _
cut _____ cy fill ______ cy
remedial cy import/export cy
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE
P:\DOCS\MISFORMS\FRM00063 REV 12/18/13
APPLICATION FOR
(CHECK ALL THAT APPLY):
D Bounda Ad'ustment
D Ad'ustment Plat
D Certificate of Com liance
D Dedication of Easement
Type: _________ _
T e:
D Encroachment Permit
Standards Variance
D Final Ma
D Gradin
D Im rovement Plancheck
D Landsca e Plancheck
D Parcel Ma
D Quitclaim of Easement
Type:. _________ _
T pe:
D Reversion to Acrea e
D Street Vacation
□ Tentative Parcel Ma
D Certificate of Correction
D Covenant for Easement
D Substantial Conformance Exhibit
APPLICATION ACCEPTEO 8Y._....·/1£c: ................. · .. -.. · .................. _. .................... _,.,........_
MASTER PAOJECTIO /P 4T o/RJ •
/Q(270 ;;;~;;;1m,a111m1,&m 1•111:~
·R:8A$$tNeQT1NtriAW< <···
Clother:__,'------'---'--'---'--'---'--'---'---
RECEIVED
l!I:1;;1:1111' ~ 2:u; •ii:mi\}:c.lt:.,i, :: ;Ji,;
ll\l!i,1!111:1iiiiillliil1,iillili·1i~
!;NGINEERING COUNTER / lilliiililJllltjlf ~iiliii!lii!.i
P:\DOCS\MISFORMS\FRM00063 REV 12/16/93