HomeMy WebLinkAboutCD 2020-0001; FRESCO RESTAURANT; Consistency Determination (CD)CITY OF CARLSBAD APPLICATION FORM FOR CONSISTENCY DETERMINATION APPLICATiON.
CITY USE ONLY· [)evelopment Number:_"·~ 1 ---,', ':· Dc.V:Z-o t:t--b O "2 0
Ot!ginal ProjectN4mber: ' 9onsistency Determination 'Number: (' p 2, oz_o > CC6 \ '
PR:OJECT NAME:
Assessor's Parcel Number(s) ~nd
. Address: •
Description of proposal {add attachment if necessary):
-~~~~~l"'c,-----~---~~
Would you like to orally present your proposal to your assigned staff planner/engineer? Yes B
.Please list t~ s~embers you have previously spoken to regarding this project. If none, please so state.
. . ~-.~ .............. J~Gl/'c4J . . . . . .
OWNER NAME (Print): APPLlCANTNAME (Print):
MAILING ADDRESS:
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MAILING ADDRESS: ;;;)
CITY, STATE, ZIP:
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' D" • CITY, STATE, ZIP,
TELEPHONE:
EMAIL ADDRESS:
. *Owner's signat\,ire indicates permission to conduct a: preliminary
review for a developmi:intproposal.
IN THEPROCESS OF REVIEWING THIS APPLICATION IT MAYBE
• NECESSARY FOR MEMBERS OF CITY S'fAFF TO INSPECT AND
ENTER THE PROPERTY THAT lS THE SUBJECT OF THIS
• APPLICATION. I/WE CONSENT TO ENTRY FOR THIS PURPOSE. I ..
CERTIFY THAT I AM THE LEGAL•OWNERAND THATALL THE ABOVE
INFO TiON IS TRUE AND CORRECT TO THE BEST OF MY
::TU~E o~T~, I io
APPLICANTS REPRESENTATIVE (Print):
MAILING.ADDRESS:
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
TELEPHONE:
EMAIL ADDRESS:
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
OWNER AND THATAL.L THE ABOVE INFORMATION IS TRUE
.AND CORRECT TO THE BESTOF)\IIY KNOWLEDGE.
SIGNATURE
o,JzJ /20
DA
I CERTIFY THAT IAMTHE LEGAL REPRESENTATIVEOF THE APPL,ICANT ANO THAT ALL THE ABOVE INFORMATION IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE.
'SIGNATURE DATE
FEE REQUIRED/DATE FEE PAID:
~ECEIVED BY:
JAN 2 0 2021J
GllY Ui~ c::\; zl.'.~D;\l J
PU\1\J0\l1'i' ·, 1.1\\'lt~l1-:i'!
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Page2of2 Revised 02/28/1.8