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HomeMy WebLinkAboutCP 97-01; Maxey-Johnson Residence; Condo Permit (CP)CITY OF CARLSBAD
LAND USE REVIEW APPLICATION
1) APPLICATIONS APPLIED FOR: (C
Q Administrative Permit - 2nd
Dwelling Unit
Q Administrative Variance
Q Coastal Development Permit
d Conditional Use Permit
wPS? Condominium Permit7~*
Q Environmental Impact
Assessment
Q General Plan Amendment
O Hillside Development Permit
d Local Coastal Plan Amendment
n Master Plan
Q Non-Residential Planned
Development
Q Planned Development Permit
HECK BOXES)
(FOR DEPARTMENT
USE ONLY)
£j-°r*f S — / ^f fa? / J<1.
Djw43<Hfc
I I Planned Industrial Permit
Q Planning Commission
Determination
Q Precise Development Plan
Q Redevelopment Permit
I | Site Development Plan
O Special Use Permit
O Specific Plan
O Tentative Parcel Map
Obtain from Engineering Department
|~| Tentative Tract Map
|~| Variance
f~l Zone Change
| | List other applications not
specified
(FOR DEPARTMENT
USE ONLY)
/ lltifG*'- »*V.
(Hs.<76-/2}
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)
MAILING ADDRESS MAILING ADDRESS
CITY AND STATE ZIP TELEflHONE CITY AND STATE ZIP TELEPHONE
I CERTIFY THAT I AM TI^E LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE.
7) BRIEF LEGAL D
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 OF 2
8) LOCATION OF PROJECT:
ON THE
BETWEEN
STREET ADDRESS
SIDE OF
(NORTH, SOUTH, EAST, WEST)
(NAME OF STREET)
AND
9} LOCAL FACILITIES MANAGEMENT ZONE h
10) PROPOSED NUMBER OF LOTS
1 3) TYPE OF SUBDIVISION
16) PERCENTAGE OF PROPOSED
PROJECT IN OPEN SPACE
1 9) GROSS SITE ACREAGE
22) EXISTING ZONING
I) NUMBER OF EXISTING
RESIDENTIAL UNITS
14) PROPOSED IND OFFICE/
SQUARE FOOTAGE
17) PROPOSED INCREASE IN
ADT
20) EXISTING GENERAL
' PLAN
23) PROPOSED ZONING
(NAME OF STREET)
(NAME OF STREET)
' 1 2) PROPOSED NUMBER OF
RESIDENTIAL UNITS
15) PROPOSED COMM
SQUARE FOOTAGE
18) PROPOSED SEWER
USAGE IN EDU
21) PROPOSED GENERAL
PLAN DESIGNATION
24)IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY
STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMEBERS OR CITY COUNCIL MEMBERS
TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT
TO ENTBY-£O8-tHIS PURPOSE
SIGNATURE
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE FEE REQUIRED
TO
Dfi
cJ
TAL FEE REQUIRED
TE FEE PAID
^IffJ+OC?
y*t '0,oo
/-2?-^7
RECEiVEP —
JAN 2 3 1997
CITY OF
fLJL^^^i^'C T^^'~jyrT^P'APPlrCAllOW DECEIVED
RECEIVED BY:
I/"-) l*.
RECEIPT NO.
Form 16 PAGE 2 OF 2
CITY OF CARLSBAD
1200 CARLSBAD ULLAGE DRIVE CARLSBAD, CALIFORNIA 92008
434-2867
REC'D FROM T DATE
ACCOUNT NO.
(?. - v e r ,-^. , f
ft m f\ f\ t)RECEIPT NO. 3700^
DESCRIPTION
.;• ., S:) «, '! - (.- \
2076 01/^3/77
NOT VALID UNLESS VALIDATED BY TOTAL
AMOUNT
. . ... , ^
oooi o; o?r-pwT •iij-.oo
• '!~i(/ l' "
I Printed on recycled paper.CASH REGISTER
CITY OF CARLSBAD
/ 1200 CARLSBAu VILLAGE DRIVE CARLSBAD, CALIFORNIA 92008
0 ' 434-2867
REC'D FROM DATE
ACCOUNT NO.
{'••• ,;/•-. < i. ,J1 1 • •'- : ! '- '- - I
RECEIPT wd .41726
DESCRIPTION
'
•' ' • / ":f ' '- //' \
, r Cf> v y ••
NOT VALID UNLESS VALIDATED BY TOTAL
r:-i>f;*:T •'^f.{-- ,\--
AMOUNT
, •
O '. V-:
> Printed on recycled paper.CASH REGISTER