HomeMy WebLinkAboutCDP 2017-0024; HIGHLAND JAMES; Engineering Application------------►---------------~--------------. ...
(City of
Carlsbad
APPLICATION
GRADING PERMIT
E-24
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
I PERMIT NUMBER: @rz:zo:z._o-ap::z-P>
Project Name: H:thH:t,.J\:NP LUr \ <f L(;1-Z. Project Number: ----------1
Project Location: .... atie:::....L.1 ... 0~,,___Y'.f"-'--"80==-__,_L..L.:'-'--'-'-=--"--"'-=----.._._ ______ _ Drawing Number: '-l<l _ D ______::..=..1.-L......:=-::'----------1
Assessor Parcel Number(s):
ICN
Owner:
Address: ?:lli0 l··tl(1 \-\:Y:t1'JD 'OILJ
City: 4-RA..f?BA:D State: ~CJt:~-----
Phone Number: c, (,?I WL1 '1t't tig Fax Number:
I certify that I am the legal owner of this property and I authorize the grading associated with this permit.
OWNER SIGNATURE: -DATE: 3 ,C
Civil Engineer:
Address: "2.l:-( yz 2.~ t:::, Wt
City: .S~N t o. State: CPr
Phone Number: Fax Number: ca
Soils Engineer: C 1 €"
Address: 14 I-{ ( t'YV)N"TleL-fl.oA.D Suite:
City: e5co State: C.B Zip:
Phone Number: Fax Number:
Grading Contractor: ___..P_.1?1---'-'IY)._..... __ c~·-o_~~'~g.A-=~VL"'-'-~'-N~<h=---t---State License No.: __,,'Be....:fo~"'--""'--'-""""------1
City Business License No.: -----------t
Address: 1)1'1,0 oDE?A::...,nc.-WA::\1 · a
City: O~SIDE' State: __ C,A.~~---
Grading Quantities: cut ______ cy fill ______ cy import ------cy remedial cy export cy
Qualified contact person trained in NPDES requirements:
Phone Number:
Basis of Permit Fees: cy Total Permit Fees: $ --------------------------Verified By: Ba I an c e Due: $
I hereby acknowledge that I have read the application and information provided is correct. I agree to comply with all
federal, state, and city laws, ordinances, regulations and policies relating to excavation and grading including, but not
limited to, the Federal Endangered Species Act of 1973 and any amendments thereto. I will also comply with OSHA
Permit requirements for trenches over five feet deep and the provisions and conditions of any permit issued pursuant to
this application.
Applicant Name:
Address: 3 2-Z CP H-lh ltUTN!>
City:
Phone Number:
APPLICANT'S SIG
E-24
State: &Pr
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