HomeMy WebLinkAboutGPA 04-20; KELLY / JRM OFFICE BUILDING; General Plan Amendment (GPA)I
•• •
CITY OF CARLSBAD
LAND USE REVIEW APPLICATION
1) APPLICATIONS APPLIED FOR: (CHECK BOXES)
(FOR DEPARTMENT (FOR DEPARTMENT
USE ONLY) 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 □ Special Use Permit
Assessment -----□ 0 General Plan Amendment ~ t;PA O'l-;m Specific Plan
□ Hillside Development Permit □ +eAt:at:i>1e PaFGel Ma13
Obtain from Engineering Department
l,@ Local Coasta_l Program Li t-PA Db -n Tentative Tract Map
Amendment -v1)
□ Master Plan □ Variance
□ Non-Residential Planned ~ Zone Change ~ O'l-l~" Development
□ Planned Development Permit □ List other applications not .,
specified
2) ASSESSOR PARCEL NO(S).:
3) PROJECT NAME:
4) BRIEF DESCRIPTION OF PROJECT:
5) OWNER NAME (Print or Type) 6) APPLICANT NAME (Print or Type)
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fO\loW'tlY' A·rrorT~ T LL,C.. ~M(_ ~~\ t:::s--h\,Lc, l(A. (_ ,
MAILING ADDRESS MAILING ADDRESS
\01-0 S, AV\AfR.o..~ 1>r. Su711L '2oD \ D +o s . A IILJ-_'H'(J..5:t K 'Q.-s· V r Tu l-OCJ
CITY AND STATE ZIP TELEPHONE CITY AND ST ATE ZIP TELEPHONE
co NlL l J.o C A-q1,c l-lbb··1f?l,.s~ ~{or-1Jt), C 4-orio?ct ·7~0--,91~<r100
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
I RMATION IS TRUE AND CORRECT TO THE BEST OF MY OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
0 LE CORRECT TO THE BEST OF MY KNOWLEDGE.
IEF LEGAL DESCRIPTION
fl-tl-o'-/
DATE
H-l4"0:1
DATE
NO • 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. 04/04 1)z\J 0~ PAGE 1 OF 6
• •
8) LOCATION OF PROJECT: AJJ,e!L
ON THE
tcr STREET ADDRESS
~ OF r---f,,-~-D-M.-~-....,-/¾,--Ffi_i>_fl._-, -u=--..-----,
(NORTH, SOUTH, EAST, WESD (NAME OF STREED
BEnvEEI\I AND ,Av1·~1~ f~wy.
(NAME OF STREED (NAME OF STREED
9) LOCAL FACILITIES MANAGEMENT ZONE 1-=zott s
10) PROPOSED NUMBER OF LOTS I tv(A 111) NUMBER OF EXISTING ~ 12) PROPOSED NUMBER OF I/V1~ I RESIDENTIAL UNITS RESIDENTIAL UNITS
13) TYPE OF SUBDIVISION ~ 14) PROPOSED IND ~FICE ~ 15) PROPOSED COMM I fU!+ I SQUARE FOOTA SQUARE FOOTAGE
16) PERCENT AGE OF PROPOSED I t1o1, I 17) PROPOSED INCREASE IN ~100 18) PROPOSED SEWER 117.1-j PROJECT IN OPEN SPACE ADT I USAGE IN EDU
19) GROSS SITE ACREAGE I to~ 120) EXISTING GENERAL ~ 21) PROPOSED GENERAL lr-1:I PLAN PLAN DESIGNATION
22) EXISTING ZONING I PM--~ 123) PROPOSED ZONING l™-~I
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
TOENTR~=SE
SIGNATU~
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE FEE REQUIRED
TOT AL FEE REQUIRED
Form 14 Rev. 04/04
RECEIVED
RECEIVED BY:
PAGE 2 OF 6