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Home My WebLink AboutLCPA 90-08D; CARLSBAD RANCH PA 5; Local Coastal Program Amendment (LCPA)0 CITY OF CARLSBAD (j LAND USE REVIEW APPLICATION 1) APPLICATIONS APPLIED P'OR: (CHECK BOXES) (FOR DEPARTMENT (FOR DEPARTMENT USE ONLY) USE ONLY) □ Administrative Permit -2nd □ Planned Industrial Permit Dwelling Unit □ Administrative Variance □ Planning Commission Determination □ Coastal Development Permit □ Precise Development Plan □ Conditional Use Permit □ Redevelopment Permit □ Condominium Permit □ Site Development Plan □ Environmental Impact □ Special Use Permit Assessment □ General Plan Amendment ~ Specific Plan (Amendment) □ Hillside Development Permit □ +eAtati1.ie l=!aFsel Ma13 Obtain from Engineering Depar:tment ~ Local Coastal Plan Amendment Tentative Tract Map □ Master Plan Variance □ Non-Residential Planned □ Zone Change I I Development □ Planned Development Permit □ List other applications not s ecified 2) ASSESSOR PARCEL NO(S).: NA 3) PROJECT NAME: Carlsbad Ranch seecific Plan 4) BRIEF DESCRIPTION OF PROJECT: Seecific Plan Amendment 5) OWNER NAME (Print or Type) Carlsbad Estate Holding, Inc., c/o LEGO CA, Inc. MAILING ADDRESS Carlsbad Estate Holding, Inc., c/o LEGO California, Inc. One LEGOLAND Drive • CITY AND STATE Carlsbad, CA ZIP TELEPHONE 92008 (760)918-5410 I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ..,? . .. ;j;7;~.:~· . :,,,,z:~· .. ··-:.~/ ;:,,::· < DATE 6) APPLICANT NAME (Print or Type) Timothy Stripe MAILING ADDRESS 5900 Pasteur Court, Suite 200 ZIP TELEPHONE CITY AND STATE Carlsbad, CA 92008 (760)431-8500 RTIFY THAT I A L REPRESENTATIVE OF THE E INFORMATION IS TRUE AND - /~_.._-NOWLEDGE . 7)l-•· BRIEF LEGAL DESCRIPTION NA ----------------------------- 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 16 PAGE 1 OF2 8) LOCATION OF PROJECT: o· A r°\ ---------s~ri:{EETADDRESS r------------, ,---------------ON THE SIDE OF (NORTH, SOUTH, EAST, WEST). BETWEEN AND (NAME OF STREET) 9) LOCAL FACILITIES MANAGEMENT ZONE 20 10) PROPOSED NUMBER OF G 11) NUMBER OF EXISTING G 12) ·LOTS A RESIDENTIAL UNITS NA 13) TYPE OF SUBDIVISION G 14) PROPOSED IND 8 15) A OFFICE/ SQUARE A FOOTAGE ~-~,.. PROPOSe~I-NCREASE ~A 18) 16) PERCENTAGE OF PROPOSED ~17) PROJECT IN OPEN SPACE INADT • • 19) GROSS SITE ACREAGE 020) EXISTING GENERAL ~21) PLAN 22) EXISTING ZONING 023) PROPOSED ZONING 0 (NAME OF STREET) (NAME OF STREET) PROPOSED NUMBER OF RESIDENTIAL UNITS PROPOSED COMM SQUARE FOOTAGE PROPOSED SEWER USAGE IN EDU PROPOSED GENERAL PLAN DESIGNATION G G 24) 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 TO ENT~_fJ:~~,RPOSE • ··~ S)G~~--; FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE TOTAL FEE REQUIRED DATE FEE PAID Form 16 FEE REQUIRED 1-<t:LE:i\/ED ', ......... . ClT:' <':):-:-C/-\f-?LSBAD DATE STAMP APP.LICAfi·oN~CEIVED RECEIVED BY: ·RECEIPT NO. PAGE 2 OF 2 0 DISCLOSURE STATEMENT Applicant's statement or disclosure of certain ownership interests on all applications which will require discretionary action on the part of the City Council or any appointed Board, Commission or Committee. The following information MUST be disclosed at the time of application submittal. Your project cannot be reviewed until this information is completed. Please print. Note: Person is defined as "Any individual, firm, co-partnership;. foi11t venture, association, social club, fratemal organization, corporation, estate, trust, receiver, syndicate, iri this .an:c:l any other coJ.mty, city arid county, city municipality, district or other political subdivision ot any other gro1ip:qrcoinbiriation acting.as a u~it." • . . . . Agents may sign this clocument; however, the legal name an~ ~ritityof the app)icant and property owner must be provided below. • ; 1. APPLICANT (Not the applicant's agent) Provide the COMPLETE, LEGAL names and addresses of ALL persons having a financial interest in the application. If the applicant includes a corporation or partnership, include the names, title, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON- APPLICABLE (NIA) IN THE SPACE BELOW If a publicly-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person Timothy Stripe Title President Address 5900 Pasteur Court, Suite 200 Carlsbad CA 92008 Corp/Part _____________ _ Title ______________ _ Address ______________ _ 2. OWNER (Not the owner's agent) Provide the COMPLETE, LEGAL names and addresses of ALL persons having any ownership interest in the property involved. Also, provide the nature of the legal ownership (i.e, partnership, tenants in common, non-profit, corporation, etc.). If the ownership includes a corporation or partnership, include the names, title, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (NIA) IN THE SPACE BELOW. If a publicly- . owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person William Haviluk Title President Address One LEGOLAND Drive Carlsbad CA 92008 Corp/Part Ea®ffisbad Estate Holding, Inc. c/o LEGO California, Inc. Title ______ ~--------- Address One LEGOLAND Drive, Carlsbad CA 92008 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-4600 • FAX (760) 602-8559 D 0 0 ,, j. NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust, list the names and addresses of ANY person serving as an officer or director of the non-profit organization or as trustee or beneficiary of the. Non Profit/Trust ________ _ Non Profit/Trust ___________ _ Title Title ------------------------------ Address Address --------------------------- 4. Have you had more than $250 worth of business transacted with any member of City staff, Boards, Commissions, Committees and/or Council within the past twelve (12) months? Oves ~ No If yes, please indicate person(s): ____________ ~-- NOTE: Attach additional sheets if necessary. I certify that all the above information is true and correct to the best of my know led William Haviluk Timothy Stripe Print or type name of owner Print or type name of applicant Signature of owner/ap icant's agent if applicable/date Print or type name of owner/applicant's agent H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 Page 2 of 2