HomeMy WebLinkAboutCD 12-13; Hoehn Honda Refacing; Administrative Permits (ADMIN)CITY OF I"AI>I <>RAn AP CATION FORM FOR ''""'"' DET INATION APPLICATION I CITY USE ONLY ~n I'J--I '2. ::!..-• Number:
PROJECT NAME: Hoehn Honda l:le!l&tllll Refaru o ~
As-.or's Parcel Number(s): 211-000-19
Desc:ription of proposal (add attac:hment if necessary): Stucco exterior slum~ block wall on north, .....est, and south
elevations
Would you like to orally present your proposal to your assigned starr planner/engineer? Yes 0 No IX]
PluM list the starr members you have previously spoken to regarding this project If none, ~so state.
Barbara Kennedy
OWNER NAME (Print): Hoebo aaoc;ata APPLICANT NAME (Print): HoebD I:J!!Wil
MAILING ADDRESS: ~Q~Za& MAILING ADDRESS: E!Q asm ZDa
CITY, STATE, ZIP: Cj!r1sbad CA 92018 CITY, STATE, ZIP: carlsbad CA 92018
TELEPHONE: 760.438.1818 TELEPHONE: 760.438.1838
EMAIL ADDRESS: tls;ilsbliilkemorefthoehnmdgiJi com EMAIL ADDRESS: l:kiiblikanvvc@hoehoms:dam 16lm
'Owller's signature Indicates permission ID conduct a preliminary
review for a development proposal.
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF OWN"0 6"'n lHAT ALL THE ABOVE INFORMATION IS TRUE
MYZ:E. qf 13/)'2.
Ai\16 ~fJ"' I' HE BEST OF MY KNOWLEDGE.
I 1..!. ~~
SJ8NATURE ._:/-DATE SIGIIIA TURE DATE
APPLICANTS REPRESENTATIVE (Print): Bicharslll!!lsill Bokal & §D~ Arch~ects
MAILING ADDRESS: ~ w atb Street
CITY, STATE, ZIP: Del Mar CA 92014
TELEPHONE: 858.481.8244
EMAIL ADDRESS: rbokal@bokalandsneed.com
~;~~TIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
'1~"6• AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
.-9f 7 " TOTH~M}~: MY KNOWLEDGE. I~ ,,.-t:{(_ zfr-z-
IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF TO INSPECT AND
ENTER THE PROF! RTY THAT IS THE SU~=T OF THIS APPLICATION. lltNE CONSENT TO ENTRY FOR THIS PURPOSE. ~~ /.7.7
/ PROPERTY OWN!<R'SIGNATURE
9-{8-f?-FEE REQUIRED/DATE FEE PAID: $ G ~ ~ QQ.
RECEIVED BY: ~~
P-16 Page 2ol2
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City of Carlsbad
1635 Faraday Avenue Carlsbad CA 92008
1111!111-lllllln 11111111110 II
Applicant: HOEHN HONDA
Description Amount
CD120013 682.00
5199 PASEO DEL NORTE CBAD
Receipt Number: R0091296 Transaction ID: R0091296
Transaction Date: 09/18/2012
Pay Type Method Description Amount
Payment Check 682.00
Transaction Amount: 682. 00
City of Carlsbad
Faraday Center
Faraday Cashiering 001
1226201-2 09/18/2012 98
Tue, Sep 18, 2012 10:16 AM
•
Receipt Ref Nbr: R1226201-2/0006
PERMITS -PERMITS
Tran Ref Nbr: 122620102 0006 0007
Trans/Rcpt#: Rooo
SET#: CD120013
P.mount:
Item Subtota 1 :
Item Tot a 1:
!TEM(S) TOTAL:
Check (Chk# 018455)
Totai Received:
Have a nice day'
1 ~ $682.00
$682.00
$682.00
$682.00
$682.00
$682.00
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