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Home My WebLink AboutGPA 10-05; RANCHO CARLSBAD OPTION PARCEL; General Plan Amendment (GPA)~f~ \._,;::,.. :~ CITY OF CARLSBAD LAND USE REVIEW APPLICATION P-1 Development Services Planning Division 1635 Faraday Avenue {760) 602-4610 www .ca rlsbad ca .gov APPLICATIONS APPLIED FOR: (CHECK BOXES) Development Permits (FOR DEPT. USE ONLY) Legislative Permits (FOR DEPT. USE ONLY) □ Administrative Permit ~ General Plan Amendment ~PA lo-11c::.. □ Coastal Development Permit{*) D Minor □ Local Coastal Program Amendment {*) □ Conditional Use Permit (*) □ Master Plan □Amendment D Minor D Extension □ Environmental Impact Assessment D Specific Plan □Amendment □ Habitat Management Permit D Minor ~ Zone Change (*) 7(~ JO--{)f □ Hillside Development Permit {*) D Zone Code Amendment □ Planned Development Permit D Residential D Non-Residential □ Planned Industrial Permit List other applications not specified □ Planning Commission Determination □ □ Site Development Plan □ □ Special Use Permit □ □ Tentative Tract Map (*) = eligible for 25% discount □ Variance D Administrative NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITTED PRIOR TO 3:30 P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION MUST BE SUBMITTED PRIOR TO 4:00 P.M. ASSESSOR PARCEL NO(S).: PROJECT NAME: BRIEF DESCRIPTION OF PROJECT: C hf\rJ e. ttoM BRIEF LEGAL DESCRIPTION: LOCATION OF PROJECT: ON THE: (NORTH, SOUTH, EAST, WEST) BE1WEEN 'c. C.,K.. (NAME OF STREET) P-1 SIDE OF AND /'1 ·-tu STREET ADDRE~~ CAf./JV(,')V f:-.:cJAD I (NAME OF STREET) (~n/ e q e_. ~ Jul, '1 (NAME OF STREET) Page 1 of 5 Revised 07/10 OWNER NAME (Print): CA r..ve/2,A ,' I ? I MAILING ADDRESS: /;J.., 9 b 5 f' o;'vf-e .Di: l rM/.\f... c1TY,sTATE,z1P: Vet /{AR.; CA q,tOI'-/ TELEPHONE: EMAIL ADDRESS: PLICANT NAME (Print): I /c::, AD MAILING ADDRESS: { b '.3.;-+Al AO-~'f Av f;1vv-e c1TY. sTATE, z1P: C~.I\ r rs t;,l\i::::> , CA cp-oo g TELEPHONE: 1 b O -6 0 ;J -'-I b ;J-Cf EMAIL ADDRESS: I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO KNOWLEDGE. THE BEST OF MY KNOWLEDGE. SIGNATURE DATE APPLICANT'S REPRESENTATIVE (Print): MAILING ADDRESS: CITY, STATE, ZIP: TELEPHONE: EMAIL ADDRESS: I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE LICANT AND THAT ALL THE ABOVE INFORMATION IS TRUE AND 0 REC TH EST OF MY KNOWLEDGE. //-/O-I0 SIGNATURE DATE SIGNATURE DATE IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING COMMISSIONERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT TO ENTRY FOR THIS PURPOSE. NOTICE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING RECORDED ON THE TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH THE LAND AND BIND ANY SUCCESSORS IN INTEREST. PROPERTY OWNER SIGNATURE FOR CITY USE ONLY P-1 Page 2 of 5 D ~.in V 1 0 2010 CITY OF CARLSBAD PLANNING DEPT DATE STAMP APPLICATION RECEIVED RECEIVED BY: ; Revised 07/10 «~ ~ CITY OF CARLSBAD PROJECT DESCRIPTION P-1(8) Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov PROJECT NAME: __ R------'--'A'---AJ_J_1_0 _Cv+--'-1_1 &_£_AD_· _o_d_,b_tt_) _f;_A_(_{ e__/ APPLICANT NAME: __ ?_/_f-7_·--=o~-f_C~A~-_r l_s_£_A_D_ 1 _____ _ Please describe fully the proposed project by application type. Include any details necessary to adequately explain the scope and/or operation of the proposed project. You may also include any background information and supporting statements regarding the reasons for, or appropriateness of, the application. Use an addendum sheet if necessary. Description/Explanation: P-1(8) Page 1 of 1 Revised 07/10 «, ~ CITY OF DISCLOSURE STATEMENT P-1(A) Development Services Planning Division 1635 Faraday Avenue {760) 602-4610 www.carlsbadca.gov CARLSBAD 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, joint venture, association, social club, fraternal organization, corporation, estate, trust, receiver, syndicate, in this and any other county, city and county, city municipality, district or other political subdivision or any other group or combination acting as a unit." Agents may sign this document; however, the legal name and entity of the applicant 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, titles, 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 (N/A) 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. __________ _ Corp/Part ___________ _ Title ___________ _ Title _____________ _ Address _________ _ Address. ___________ _ 2. OWNER (Not the owner's agent) P-1(A) 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, titles, 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 (N/A) 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 __________ _ Corp/Part. ___________ _ Title ___________ _ Title _____________ _ Address _________ _ Address ____________ _ Page 1 of2 Revised 07/10 • 3. 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 $500 worth of business transacted with any member of City staff, Boards, Commissions, Committees and/or Council within the past twelve (12) months? D Yes D 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 knowledge. Signature of owner/date Signature of applicant/date Print or type name of owner Print or type name of applicant Signature of owner/applicant's agent if applicable/date Print or type name of owner/applicant's agent P-1(A) Page 2 of2 Revised 07/10