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HomeMy WebLinkAboutCDP 2022-0019; HOM RESIDENCE; Engineering Application~fr" '-.. City of Carlsbad APPLICATION GRADING PERMIT E-24 Develo pment Services Land Development Engineering 1635 Faraday Avenue -442-339-2750 www.carlsbadca.gov I PERMIT NUMBER: GR2'>2-3-co3.o Project Name: ~-•:..i..i..u...,~_.r.=::::..::e...w.:s...i;.,..!.=-G-<----~~~---Project Number: _C.=-ii:""-.!....:;_--=....,:;=____,,:::..=.....___,L-f Project Locatio Assessor Paree Project Des Owner: rawing Number. ..., Address: ;t,\ 7 D :Iwc.J""-~ve ~~-e. Suite: ---------1 City: wl.s \o ~ \ • State: C ~ Zip: -.c.=..-=-=~-----1 Phone Number: 7 I 4/ t..to :s-S:'-f of, . Email: l . ....i....::b::..:::":..!:L~l=--=():....:..,.,_="-~=""---'--=---• =..:...V\,\..,:..=..._..,...--1 I certify that I am the legal owner of this property and I authorize the grading associated with this pe \,, OWNER SIGNATURE: DATE: /"i---;.;;.;.,,;.;;;;.;.;..;;..;..;;.~----=........------~=""""""'----==="""""'-=-===t Civil Engineer: (t.f ,(_. Address: :Z. 7 t D L City: State: Soils Engineer: __.~~!.-'"Z.--=-J!;..ld,~~----~.L.l..........1.~=U'...!...:!~--------------1 phi ve, Address: b9 (o O l=="l Q., ers City: ~g,y,_ -' Phone Number: Email: Grading Contractor: C"I r Y wtJ.., Address: \~3?.~ ~YIO ?en(Asq.,vd-v> BlvJ City: S401 _ D1 e© {> Grading Quantities: cut ---------+--~--cy cy re~edial cy Qualified contact person trained in NPDES requirements: Phone Number: ~ 8 15 6-4 / Email: I hereby acknowledge th I have read the application and information provided is correct. I agree to comply with all federal, state, and city I ws, 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: Q."L~ .. -+ -H-o•Vl.. ___ ..;.._:;;;:...=;........:'--.....:;_--=---='---------------------------1 Address: .,:;t I 7 o -r' u.,fv, y.. A-v:e..h.~ City: G:u-l, E-24 Page 1 of 1 REV04/23