HomeMy WebLinkAboutPD 2019-0002; OSHEA DEDICATION; Engineering ApplicationCCityof
Carlstiad
APPLICATION
ENGINEERING
PLANCHECK
E-23
)
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Complete all appropriate information. Write N/A when not aoolicable.
Project Name: ~ha__a, ""bfcii co:hcn Date:OI I l~l::019
Project Description: b::aclo~ bdico-KOD lO' wl r ~adiH~
Project Address: ~g,05 ~o \.~,ca::::i ~ .
Lot No(s).: Map No.: APN(s): .Jo3 -LD::) ,. 3~ -oa
Number of Lots: Number of Acres: Miles of Trails:
Owner: \_) \ ·-.v t~n ~hor, Applicant:
Mailing Address: ~Q~ vn-..d\:.:oo Mailing Address: ~rrQ_ ~ (). Ere,v-
C!!.1,~~\-na CA.
Phone Number: (~Lo 7S5 7J~;;l. Phone Number: ---Fax Number: Fax Number: --------E-mail: E-mail:
I certify that I am the legal owner and that all the above
information is true and correct to the best of my knowledge.
Signature: Date: Signature: Date:
.
~•("'.
drux:>o ~'~ n: Soils Engineer: -.. -••:,••...,,.-.
Firm: ~~£~WI~ Firm: -Mailing Address: Mailing Address: ----~o. Qt),'rl, .Sl ~ ~;,t:FH: ~
Phone Number: taJ 9 -9BJ --s~3,s, Phone Number: ------Fax Number: Fax Number:
E-mail: E-mail:
State Registration Number: ~053 State Registration Number:
Additional Comments:
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one)
D 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, public
(median) landscape and irrigation, and drainage improvements (if applicable)? $ :..---
GRADING QUANTITIES
cut ~ fill ~y remedial -----"cy import ---cy export --cy
E-23 Page 1 of 2 REV 07/14
C
Ccityof
Carlsbad
APPLICATION FOR
(check all that apply)
D Adjustment Plat (ADJ)
D Certificate of Compliance (CE)
D Dedication of Easement (PR)
Type:
Type: _______ _
D Encroachment Permit (PR)
0 Final Map (FM)
0 Grading Plancheck (DWG)
D Improvement Plancheck (DWG)
D Parcel Map (PM)
D Quitclaim of Easement (PR)
Type:
D Reversion to Acreage (RA)
D Street Vacation (STV)
D Tentative Parcel Map (MS)
D Certificate of Correction (CCOR)
D Covenant of Easement (PR)
Substantial Conformance
Exhibit SCE
D Trails D < mile D > mile
D Other
E-23
APPLICATION
ENGINEERING
PLANCHECK
E-23
riate information. Write NIA when not a
;~'
Page 2 of2
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
REV 07/14