HomeMy WebLinkAboutCT 85-35; AVIARA PHASE 1 PA 13; Engineering Application\ ,
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• CITY OF CARLSBAD -ENGINEERING DEPARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR PROCESSING
Complete all appropriate Information. Write NIA whan not applicable.
PRoJecT NAME: A 0 \ ~ 1?L,f>s,--J..) l ~ A (Z:€fi \ '? DATE: H I ec, ct0
PROJECTDESCRIPTION: ~n,-J&\.£ ~L'--':-1 SvP:,Vv-J\.S~ •
4 ?t::t OF ~Jr!;:)~ :r:~ 1 NO. <o ~ -? ? '{'(\ W NO·. \ 2--4 \"Z ..
PROJECT ADDRESS: {)c,J \ P.r{l...ft-1;)~'--J,.6,, \ ~-:;>0/s{) Gf.?r )
LOT NO(S).: -Z,,~~ -30 Z. .MAP NO.: I 2A-\ 2.. APN(S).:. _________ _
OWNER: AJ \ ~ l,a,....)17 ~~~"t~
. Mailing Address: /}...D \ \ ~P-1\.,0rf\P-r{)__ ~~601 I?£:.
~ 2-eiC. I CA?~, ~ ., C1;z..064
Phone Number: { &l1 l °1. ~ \ -\ ~ '10
APPLICANT: ,_('$_~ __ &_.) _______ _
Malling ,O,,ddreao:
Phone Number:
I certify that I e legal owner and that all above information I certify that I am the agent of the legal owner and that all information .on
is true and co J, the •~:~rnflWI g this sheet la true and correct to the beat of my knowledge. ,.,
Signature-+----+---+-ll-'"-,,-;;------+-. Date~ Signature _________ Date ____ _
CIVIL ENGINEER: ? -t-(AN ~v""r aj1 ~ SOILS ENGINEER:__,_N..._./Pr-.___,· _~ ________ _
Firm: Finn: J~ d~~l\
I Mailing Address: 46 l w es r A s r: Malling Addreaa:
~'Z.--'7o~ ~.O. 1U. 92--tOI
Phone Number: {(el9 ) :z.&2--4-4--<.::,'7
State Registration Number: c,,p, 12<£ ~vO \ ~
LANDSCAPE ARCHITECT:_r.J__,_/~-------
Firm:
Mailing Addrosa:
Phone Number:
State Registration Number: _________ _
Phone Number:
State Registration Number: ________ _
ADDITIONAL COMMENTS:_N,,,,_/_~_. ______ _
NO. OF DWEWNG UNITS: ~~MP ZONE: !Cf NO. OF LOTS: tS NO. OF ACRES:80• \ i
IMPROVEMENT VALUATION: sewer, water & reclaimed water: __ 1\1_.[_~_-__ , ___ _
I
I ~~b~N~dat:~~~=s-:::::====:-cv--l~dsc_a_p_e_: ___ cy f~ater district:_ cy !
remedial cy import/export _ cy ---
\ PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE l
P:\DOCS'.MISFORMS\FRMOO()($J Rr::-1 12/1 £,!!?:;
APPLICATION FOR
(CHECK ALL THAT APPLY):
rr=
D Bounda Ad'ustment
D Ad'ustment Plat
0 Certificate of Com liance
D Dedication of Easement
Type:, __________ _
T pe:
D Encroachment Permit
D Final Mao
D Gradin
Standards Variance
:□ Im rovement Plancheck
D Landsca e Plancheck
D Parcel Ma
D Quitclaim of Easement
Type: _________ _
T e:
D Reversion to Acrea e
D Street Vacation
□ Tentative Parcel Ma
Certificate of Correction
D Covenant for Easement
D Substantial Conformance Exhibit
P:\DOCS\MISFORMS\FRM00063
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