HomeMy WebLinkAboutEIA 02-04; COMMUNITY FOREST MANAGEMENT PLAN; Environmental Impact Report (EIR).... ~ CITY OF CARLSBAD _
WI' LAND USE REVIEW APPLICATION •
1) APPLICATIONS APPLIED FOR: (CHECK BOXES)
D Administrative Permit -2nd
Dwelling Unit
D Administrative Variance
D Coastal Development Permit
D Conditional Use Permit
D Condominium Permit
(FOR DEPARTMENT
USE ONLY)
Environmental Impact
Assessment 02--
D General Plan Amendment
D Hillside Development Permit
D Local Coastal Plan Amendment
D Mac:ter Plan
D Non-Residential Planned
Development
D Planned Development Permit
2) ASSESSOR PARCEL NO(S).:
3) PROJECT NAME:
4) BRIEF PESCRIPTION
and ' «IA I
5) OWNER NAME (Print or Type)
CITY AND STATE
I CERTIFY THAT I AM THE LEGAL OWNER AND
INFORMATION IS TRUE AND CORRECT TO
KNOWLEDGE.
SIGNATURE
7) BRIEF LEGAL DESCRIPTION
TELEPHONE
DATE
D
D
D
D
D
0
D
D
D
D
D
D
Planned Industrial Permit
Planning Commission
Determination
Precise Development Plan
Redevelopment Permit
Site Development Plan
Special Use Permit
Specific Plan
=FeRteti'lfe Pereel MB~)
ObtaIn from Engineering Department
Tentative Tract Map
Variance
Zone Change
List other applications not
s ecified
(FOR DEPARTMENT
USE ONLYI
6) APPLICANT NAME (Print or Type)
Q tf~u!sbd ytJ-
MAlLIN ADDRESS
/65S-1iu~
TELEPHONE
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
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 SUBMmED PRIOR TO 4:00 P.M.
Form 16 PAGE 1 OF 2
~ .... -• B) LOCATION OF PROJECT:
STREET ADDRESS
ON THE ,---SIDE OF ---(NORTH. SOUTH, EAST. WEST) (NAME OF STREET I
BETWEEN ---AND ~
(NAME OF STREET) (NAME OF STREET)
9) LOCAL FACILITIES MANAGEMENT ZONE (?I 77
10) PROPOSED NUMBER OF LOTS I ;1t~ 1 11 ) NUMBER OF EXISTING @12) PROPOSED NUMBER OF ~ RESIDENTIAL UNITS RESIDENTIAL UNITS
13) TYPE OF SUBDIVISION Ivt~ 114) PROPOSED IND OFFICEI ~ 15) PROPOSED COMM 0 SQUARE FOOTAGE SQUARE FOOTAGE
16} PERCENT AGE OF PROPOSED II"/~ 117) PROPOSED INCREASE IN ~ 18) PROPOSED SEWER ~ PROJECT IN OPEN SPACE ADT USAGE IN EDU
19) GROSS SITE ACREAGE ~20} EXISTING GENERAL ~ 21) PROPOSED GENERAL c;a PLAN PLAN DESIGNATION
22) EXISTING ZONING
I ,?A 1
23)
PROPOSED ZONING ~
24) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY
ST AFF, 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
,eJjf--
TOTAL FEE REQUIRED
DATE FEE PAID
Form 16
FEE REQUIRED
0
/
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(
AUfi 2 6: 2002
CITY OF CARLSBAD
DATrS~fjtJ!~ltl~;r RECEIVED
RECEIVED BY:
RECEIPT NO.
PAGE 2 OF 2