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CITY OF CARLSBAD
LAND USE REVIEW APPLICATION
1) APPLICATIONS APPLIED FOR: (CHECK BOXES)
(FOR
DEPARTMENT -USE ONLY)
□ Administrative Permit □ Planned Industrial Permit
□ Administrative Variance □ Planning Commission Determination
□ Coastal Development Permit □ Precise Development Plan
□ Conditional Use Permit □ Redevelopment Permit
□ Condominium Permit □ Site Development Plan
□ Environmental Impact Assessment □ Special Use Permit
0 General Plan Amendment 1 t;,,:,A Ot'd ... 0, D Specific Plan
□ Hillside Development Permit □ +eAtative ~aFGel Ma13
Obtain from Engineering Department
0 Local Coastal Program Amendment !..CPA 04,•0, □ Tentative Tract Map
0 Master Plan Amendment mpq~tOil Cl Variance
□ Non-Residential Planned Development □ Zone Change
□ Planned Development Permit □ List other applications not specified
2) ASSESSOR PARCEL NO(S).: 255-012-05
3) PROJECT NAME: La Costa Glen Corporate Center
4) BRIEF DESCRIPTION OF PROJECT: 2-story office building totaling 21,000 square feet on 7.82 acre parcel
5) OWNER NAME (Print or Type)
Continuing Life Communities, LLC
MAILING ADDRESS
1940 Levante Street
6) APPLICANT NAME (Print or Type)
Continuin~ Life Communities, LLC
MAILING ADDRESS
1940 Levante Street
(FOR
DEPARTMENT
USE ONLY)
CITY AND STATE
Carlsbad, CA 92009
ZIP TELEPHONE CITY AND STATE
(760) 704-6265 Carlsbad, CA
ZIP
92009
TELEPHONE
(760) 704-6265
EMAIL ADDRESS: wilsonj@lacostaglen.com EMAIL ADDRESS: wilsonj@lacostaglen.com
I Y THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE
RUE AND CORRECT TO THE BEST OF MY
Lot 5 of Tract No. 92-08, Green Valle};-ei~Carlsbad, County of San Diego, State of California
Map No. 13997, July 10, 2000
NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMITTED PRIOR TO 3:30 P.M.
A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:00 P.M.
Form 14 Rev. 12/04 PAGE 1 OF 5
8) LOCATION OF PROJECT: Calle Barcelona just west of El Camino Real
-ON THE !North I
(NORTH, SOUTH, EAST, WEST)
BETWEEN Im Camino Real
(NAME OF STREET)
9) LOCAL FACILITIES MANAGEMENT ZONE 123
STREET ADDRESS
SIDE OF !cane Barce!ona
(NAME OF STREET)
AND I Quail Gardens Dr.
(NAME OF STREET)
10) PROPOSED NUMBER OF LOTS □11) NUMBER OF EXISTING □12) PROPOSED NUMBER D
RESIDENTIAL UNITS OF RESIDENTIAL UNITS
13) TYPE OF SUBDIVISION ~14) PROPOSED IND OFFICE/ ~I 000 15) PROPOSED COMM D SQUARE FOOTAGE ' SQUARE FOOTAGE
16) PERCENTAGE OF PROPOSED Ll17) PROPOSED INCREASE EJ18) PROPOSED SEWER EJ PROJECT IN OPEN SPACE INADT USAGE IN EDU
19) GROSS SITE ACREAGE EJ20) EXISTING GENERAL EJ21) PROPOSED GENERAL
,~:0s1j PLAN PLAN DESIGNATION
22) EXISTING ZONING □23) PROPOSED ZONING ~24) HABITAT IMPACTS 8 IF YES, ASSIGN HMP #
25) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY
STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMBERS OR CITY COUNCIL MEMBERS
TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT
T_J,El!CJr~ FO~ TH ,s PURPOSE
-f L:/7 • ,14
sfGNA'tURB C.D[) -~ I -,
\__/
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE
TOTAL FEE REQUIRED
Form 14 Rev. 1 2/04
FEE REQUIRED RECEIVED
MAR D 7 2006
CITY OF CAR
DAT8B[~{;f ' JC =Ml~l-,J,..IJ-IVED
RECEIVED BY:
PAGE 2 OF 5