HomeMy WebLinkAboutMS 13-07; VIASAT EXPANSION; Engineering Application( City of
Carlsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Se rvices
Land Development Engineering
1635 Faraday Avenue
442-339-2750
www.carlsbadca.gov
Complete all appropriate information. Write NIA when not applicable.
Project Name: ~A.SA, 'l:,U/LbtN(S /PJII Date: /0/1'1/zozz
Project Description: IMA?f"R Lrl'lr. fff,,,Jrx:Ano,J
Project Address: 2L/3ts:, 7bwlll thttuov /<.:,AJ:,
Lot No(s).: 3 & '-I Map No.: P/VI 2ll5Z APN(s): 213-21,/-22 J, 23
Number of Lots: z Number of Acres: Miles of Trails:
Owner: E_1Ve,rt4L. ~ CAt.lrP/lAltA -sr; Applicant: SA1'1'\t l'6 OWNe;~
Mailing Address: (,/5S $1-U4MIH(2 f?Dt.t_ /.LL; Mailing Address:
Urtc!t>:BM> C,A '1Z«>j_
Phone Number: 7UJ -~2/ -,/{pl/ Phone Number:
4=a~ l!llur::nber: Cl/\il>A Tc>R,Totr.,/CL Fax Number:
E-mail: c1"1M. 7()t.TrJ~cEe v,A~Ar.co~ E-mail:
I certify that I am the legal owner and that all the above
information is true and cz to the best of my knowledge.
M A<!x~, ,f<{4 /, '/. Signature: ___ e--Date: /0 l9J aJZZ Signature: Date:
Civil Engineer: !<&171-1 Mt/\lsc,I Soils Engineer: NIA
Firm: 0 'l)A-Y CIWSVlil+N7'5 Firm:
Mailing Address: 27to tJJK.a A-V£ WC>7 # lt'JO Mailing Address:
CA llLS3Al> CA ~20/t:>
Phone Number: Z'1l>-'13t -Zl{)o .ic2o3 Phone Number:
Fax Number: Fax Number:
E-mail: K£1nlJ/€ oMYa:JN$1.1£rh/f.S. ~ E-mail:
State Registration Number: C r;.022.3 State Registration Number:
Additional Comments:
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one)
~ Carlsbad Municipal Water District D Olivenhain D Vallecitos
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, pu,rc
(median) landscape and irrigation, and drainage improvements (if applicable)? $ ;../ ..-:f
GRADING QUANTITIES
cut cy fill cy remedial cy import cy export cy
E-23 Page 1 of 2 REV 02/22
( City of
Carlsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
442-339-2750
www.carlsbadca.gov
Complete all appropriate information Write NIA when not applicable.
APPLICATION FOR
( check all that apply)
n Adjustment Plat (ADJ)
~ Certificate of Compliance (CE)
~ Dedication of Easement (PR)
-
Type:
Type:
n Encroachment Permit (PR)
~ Final Map (FM)
~ Grading Plancheck (DWG)
~ Improvement Plancheck (DWG)
~ Parcel Map (PM)
~ Quitclaim of Easement (PR)
-Type:
n Reversion to Acreage (RA)
~ Street Vacation (STV)
~ Tentative Parcel Map (MS)
~ Certificate of Correction (CCOR)
~ Covenant of Easement (PR)
□ Substantial Conformance
Exhibit (SCE)
n Trails O < mile n > mile
--n Other
I APPLICATION ACCEPTED BY:
E-23
Project Drawing
I.D. Number
Page 2 of 2
t-u" ~I I Y U~t: UNL Y
Deposit /Fees
Paid
Comments
DATE STAMP
APPLICATION RECEIVED
REV 02/22