HomeMy WebLinkAboutEIA 92-04; C OF C MASTER SPACE DRAINAGE PLAN; Environmental Impact Report (EIR)crr OF CARLSBAD
LAND USE REVIEW APPLICATION FOR PAGE 1 OF 2
1) APPLICATIONS APPLIED FOR: (CHECK BOXES)
(FOR DEPT
USE ONLY) FOR E?T
SE ONLY
Master Plan
Specific Plan
Precise Development Plan
Tentative Tract Nap
E Planned Development Permit
0 Non-Residential Planned Development
Condominium Permit
] Special Use Permit
Redevelopment Permit
Tentative Parcel Map
Administrative Variance
General Plan Amendment
Local Coastal Plan Amendment
Site Development Plan
Zone Change
Conditional Use Permit
Hillside Development Permit
Environmental Impact Assessment
Variance
Planned Industrial Permit
Coastal Development Permit
Planning Commission Determination
C] List any other applications not specificed
2) LOCATION OF PROJECT: ON THE 60 (/19 SIDE OF
(NORTH. SOUTH EAST, WEST) (NAME OF STREET)
BETWEEN ------ AND (
(NAME OF STREET) (NAME OF STREET)
3) BRIEF LEGAL DESCRIPTION:
4) ASSESSOR PARCEL NO(S).
5) LOCAL FACILITIES 6) EXISTING GENERAL PLAN - 7) PROPOSED GENERAL PLAN
MANAGEMENT ZONE DESIGNATION DESIGNATION
8) EXISTING ZONING
-
9) PROPOSED ZONING - 1 10) GROSS SITE
ACREAGE
11) PROPOSED NUMBER OF ,,'i 14-- 12) PROPOSED NUMBER ri/if 13) IYPE OF SUBDIVISION
RESIDENTIAL UNITS "/ OF LOTS -
(RESIDENTIAL
COMMERCIAL
14) NUMBER OF EXISTING RESIDENTIAL UNITS
INDUSTRIAL)
15) PROPOSED INDUSTRIAL
(
h/4- j 16) PROPOSED COMMERCIAL j /4 OFFICE/SQUARE FOOTAGE SQUARE FOOTAGE
N01t A PRYOD PROJECT REt3UIRING ThAT ?JL77t3 APPUCkTIOM BE MM um M ="r PRIOR TO 330 PM. A ?ROfOD PRaffia
REQLItRING THAT Ot&Y OM APPUCAMON BE 1I) IaW BE SLgWnM ppjg TO 4 P.M. FRM00016 8/90
ED
F~ 49 - CITY OF CARLSBAD
40 LAND USE REVIEW APPLICATION FORM p..~GE 2 CF
17) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE
18) PROPOSED SEWER USAGE IN EQUIVALENT DWELLING UNITS r
19) PROPOSED INCREASE IN AVERAGE DAILY TRAFFIC
20) PROJECT NAME:.
21) BRIEF DESCRIPTION OF PROJECT: ZJ EI4) 2F 11t -i-r/ 7q
01-6kD r5Ttr Pi n* -nt in
WThiiTP14/i
22) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF,
PLANNING COMMISSIONERS, DESIGN REVIEW 30ARD 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
23) OWNER 24) APPLICANT
NAME (PRINT OR TYPE)
X-v
MAILING ADDRESS 7 MA ADDRESS
CITY AND STAT/2I TELEPHONE C Z I P 41L/P VNE
CERpfTHAT I AM THE LEGAL OWNER CERTIFY THAT C AM THE LEGAL OWNER't REPRESENTATIVE AND
AN-4HAT ALL THE ABOVE INFORMATION THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE
IS TRUE AND CORRECT TO THE BEST OF BEST OF MY KNOWLEDGE.
MY KNOWLEDGE.
SIGNATURE DATE
SIGNATURE DATE
FOR CITY USE ONLY
FEE COMPUTATION:
APPLICATION TYPE FEE REQUIRED
I
/
DATE STAMP APPLICATION RECEIVED
RECEIVED BY:
TOTAL FEE FEE REQUIRED
DATE FEE PAID
- I RECEIPT NO.
(2)