HomeMy WebLinkAboutEIA 00-09; RE-FORMATION OF B&TD #2; Environmental Impact Report (EIR)• CITY OF CARLSBAD • LAND USE REVIEW APPLICATION
1 ) APPLICATIONS APPLIED FOR: (CHECK BOXES) -
{FOR DEPARTMENT (FOR DEPARTMENT
USE ONLY) USE ONLY)
D Administrative Permit -2nd D Planned Industrial Permit
Dwelling Unit
D Administrative Variance D Planning Commission
Determination
D Coastal Development Permit D Precise Development Plan
D Conditional Use Permit D Redevelopment Permit
0 Condominium Permit D Site Development Plan
~ Environmental Impact 61ft [X)-O~ D Special Use Permit
Assessment
D General Plan Amendment D Specific Plan
D Hillside Development Permit D +eFl'teti'o'e Pereel Mel'
Obtain from Engineering Department
D Local Coastal Plan Amendment 0 Tentative Tract Map
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).: All A-f?A}'S WnLt7/:-' J3rL~72LIJ7~it::.;;sLAJo 2
~ : . / /
~
3) PROJECT NAME: R e -.J2r/Yf ash PrJ /2'/ !5 ¢ TD #-'2-(A Vu&/"Zlv ?cukW7 -&1.:tJeIh4~
-4) BRIEF DESCRIPTION OF PROJECT: t<e-'£cmt8fi<fr? o·r (34. TOI:f'Z iV, @rdev Iv arbSe
fee$,
5) OWNER NAME (Print or Type) 6) APPLICANT NAME (Print or Type)
6'/ -ry aF C/f£L-$ !'34-tJ
MAILING ADDRESS MAILING ADDRESS
I ~ ~ > rA-/<.A-oAY' Arc.
CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATION :jl;IS TRU AND CORRECT TO THE BEST OF MY KN~EDGE,!
~~~~.~ ____ ~~_-_--!'iI~/~d
SIGNATURE [{ATE !
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,
SIGNATURE DATE
7) BRIEF LEGAL DESCRIPTION j:?tJ{'-lzm.s tf)£;Z~ &:: a:ncl /7 'c::v-ra cI (2./1 d'£
Zovles 2t!J ~d 2/,
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:
STREET ADDRESS
ON THE SIDE OF
(NORTH, SOUTH, EAST, WEST) (NAME OF STREET)
BETWEEN AND
(NAME OF STREET) (NAME OF STREET)
9) LOCAL FACILITIES MANAGEMENT ZONES I 'Z-t:~ '21 ar?dk('7~ ~15 0/ S ,~d ''9
10) PROPOSED NUMBER OF LOTS D 11) NUMBER OF EXISTING D12) PROPOSED NUMBER OF 0 RESIDENTIAL UNITS RESIDENTIAL UNITS
13) TYPE OF SUBDIVISION 0 14) PROPOSED IND OFFICE/ D 15) PROPOSED COMM 0 SQUARE FOOTAGE SQUARE FOOTAGE
16) PERCENT AGE OF PROPOSED 0 17) PROPOSED INCREASE IN D 18) PROPOSED SEWER 0 PROJECT IN OPEN SPACE ADT USAGE IN EDU
19) GROSS SITE ACREAGE 0 20) EXISTING GENERAL D21) PROPOSED GENERAL 0 PLAN PLAN DESIGNATION
22) EXISTING ZONING 0 23) PROPOSED ZONING
D
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
TO ENTRY FOR THIS PURPOSE
SIGNATURE
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE FEE REQUIRED
DATE STAMP APPLICATION RECEIVED
RECEIVED BY:
TOTAL FEE REQUIRED
DATE FEE PAID RECEIPT NO.
Form 16 PAGE 2 OF 2