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Home My WebLink AboutCT 04-22; Ocean Estates; Tentative Map (CT)Q ' . CITY OF CARlSBAD lAND USE REVIEW APPLICATION 1) APPLICATIONS APPLIED FOR: (CHECK BOXES) (FOR DEPARTMENT (FOR DEPARTMENT D USE ONLY) D USE ONLY) Administrative Permit Planned Industrial Permit [] Administrative Variance r"\v~'Q(J·Ol_ D Planning Commission Determination D Coastal Development Permit D Precise Development Plan D Conditional Use Permit D Redevelopment Permit D Condominium Permit D Site Development Plan D Environmental Impact D Special Use Permit Assessment D General Plan Amendment D Specific Plan D Hillside Development Permit D +eRtati•.•e PaFsel Ma13 Obtain from Engineering Department D local Coastal Program ~ Tentative Tract Map cro4-2~ Amendment D Master Plan D Variance D Non-Residential Planned D Zone Change Development D Planned Development Permit D 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) 6uF(\\ LL~ /;£f)Gj Al2-HLlu-BJJ MAILING ADDRESS MAILING ADDRESS \LQ o "'·Tanl.ar<-~ck. \~~ ?-<a; 0 f1iJ f>t L-D Da-' CITY AND STATE ZIP TElEPHONE CITY AND STATE ZIP TElEPHONE Q_a( \ok:x:Yl CJ\ Ci·?L:f::b I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS lRUE AND CORRECT TO THE BEST OF MY TLE"~....,AT I AM THE LEGAL REPRESENTJ\ IVE OF THE AT LL THE ABOVE INFORMATION IS TRUE AND T OF MY KNOWLEDGE. _./ l-o ltBlo'-J DA E 1 SIG . U E DATt I ') , h \ r1 c, 1. . .. L "' ., \ . " '/mal- KgLED~ 1/J. t" .. · .WMU!fv?- SIGNATURE 7) BRIEF lEGAl DESCRIPTION l.'Jl!l) I \d\:\-('IT f')\('jC\( ] J TOLu(\ 0'1 ( (W~)V:yy\ 3 0M (-i:t "7}~ NOTE: A PROPOSED PROJECT REQUIRING MUlTIPlE APPliCATIONS BE FILED, MUST BE SUBMITTED PRIOR TO 3:30P.M. A PROPOSED PROJECT REQUIRING ONL V ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:00 P.M. Form 14 Rev. 04/04 PAGE 1 OF 6 8) lOCATION OF PROJECT: STREET ADDRESS ON THE (NORTH, SOUTH, EAST, WEsn SIDE OF I ocean ~ ' (NA F STREET) BETWEEN I :n:ecY1 Ace . 9) lOCAl FACiliTIES MANAGEMENT ZONE 10) PROPOSED NUMBER OF LOTS I 5 111) NUMBER OF EXISTING @] 12) PROPOSED NUMBER OF [±] RESIDENTIAL UNITS RESIDENTIAL UNITS . 13) TYPE OF SUBDIVISION ~14) PROPOSED IND OFFICE/ I2J 15) PROPOSED COMM [2] . SQUARE FOOTAGE SQUARE FOOT AGE 16} PERCENT AGE OF PROPOSED I/ 1 17 ) PROPOSED INCREASE IN 14a 118) PROPOSED SEWER [±:] PROJECT IN OPEN SPACE ADT ' USAGE liN EDU 19} GROSS SITE ACREAGE I.LsAI20 ) EXISTING GENERAL ~ 21) PROPOSED GENERAL IW\~t-tl PLAN PlAN DESIGNATION 22) EXISTING ZONING ~23) PROPOSED ZONING 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. 1/WE CONSENT TO/~TRY ~P'jjTHIS .PURPOSE / (/~ {~{ }/'er ~ SIGNATURE FOR CITY USE ONlY FEE COMPUTATION APPliCATION TYPE FEE REQUIRED ., DATE STAMP APPliCATION. RECEIV~D · RECEIVED BY: TOTAl FEE REQUIRED· Form 14 Rev. 04/04 PAGE 2 OF 6 City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 (R0049365 ) Applicant: MULLEN EDGAR Description Amount CT040022 32.19 Receipt Number: R0049365 Transaction ID: R0049365 Transaction Date: 04/21/2005 Pay Type Method Description Amount Payment Check 32.19 Transaction Amount: 32.19 6549 04/21/05 0002 :J2 CG~:::~ City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 Applicant: MULLEN EDGAR Description Amount CT040022 6/200.00 Receipt Number: R0045994 Transaction Date: 10/26/2004 Pay Type Method Description Amount --------------------:::..-----=-------------------- Payment ~-c:;d VISA 6 1 200.00 cJM~C S3r Transaction Amount: 6/2oo.oo 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, 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 si!gn 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, 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 (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 ( )0 r=at ) LLC Title Address __________ _ Title--.,..--------~-- Address \l 90 'IC(Y)c(cc'~ (.:\t;e. C6'f\~\f)oci) CJ\ ~Iocf') 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 (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 fo Fa·l1 l C Title ___________ _ Title _____________ _ Address _________ _ Address ll 0() ~ cffif\'CcYk. a. ;e. rc:v-k~:kaj:) C£ 0 \?C'JOf) 1635 Faraday Avenue • Carlsbad. CA 92008-7314 • (760) 602-4600 • FAX (760) 602-8559 • www.ci.carlsbad.ca.us (i) 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 Pmfit/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? DYes lXI No If yes, please indicate person(s): ____________ _ NOTE: Attach additional sheets if necessary. 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 H:ADMIN\COUNlrER\DISCLOSURE STATEMENT 5/98 Page2 of2 PROJECT DESCRIPTION/EXPLANATION PROJECT NAME: ----'u~· . .l...lc\e~,cn,..Q..j -'----lo.\L....:I,) i~\s,L.l.·±a~·~~.._.·~u.;;c---"~~·no..-1-· ___ _ APPLICANT NAME: 60FYif .J LLc_"' 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: lenia-I.Le lf'~c:\-\'0d;)-5 \)'cfJD~d \cs\-0, 4 51l'C)U 1='c;m1\_y dLUel\1n9 ID~~ ,\ ore Cb<Y\YYI()() &e0 lo-t ~foJec+ bcobd d\"\ CtQey, Bl, bekffi t:eech ~ ~ CJ\'f i 6-6 en ~!en ~"'e;.__1 , Project Description 10/96 Page 1 of 1 f) -. City of Carlsbad IQblhlllh.i•i§.fillil.t§bl HAZARDOUS WASTE AND SUBSTANCES STATEMENT Consultation Of Lists of Sites Related To Hazardous Wastes (Certification of Compliance with Government Code Section 65962.5) Pursuant to State of California Government Code Section 65962.5, I have consulted the Hazardous Wastes and Substances Sites List compiled by the California Environmental Protection Agency and hereby certify that (check one): 0 The development project and any alternatives proposed in this application are not contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. 0 The development project and any alternatives proposed in this application !!! contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. APPLICANT Name: ______________ _ Address: Phone Number: __________ _ PROPERTY OWNER Name: (;L\fA=G tlC d Address: \\JD TcrO~ffrk, f\-L'€4 Qclf\eJ:.ccL C!\ (32t::Df:!> Phone Number: ________ _ Address of Site: ~ean F4 hehoee() ·f:tec_h fug' ~ C"hr\ r~:J80C:£Y) Ll?ai Local Agency (City and county) (\b4 D-~ OeJI{ lufrrG 0CJ1)(\ l~ .c# ~(\1) ~~ 0 Assessor's book, page, and parcel number: 2o8-J 4.4 ~-u I /5ilfJ< l; ma,p J 7 0) Specify list(s): ____________________________ _ Regulatory Identification Number: _____________________ _ Date of List:_·------------------------------ Applicant Signature/Date Property Owner Signature/Date Admin/Counter/HazWaste 1635 Faraday Avenue • Carlsbad. CA 92008-7314 • (760) 602-4600 • FAX (760) 602-8559 • www.ci.carlsbad.ca.us <!)