HomeMy WebLinkAboutEIA 99-09; ENCINA BASIN WATER RECLAIMATION PROGRAM PHASE II; 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)
0 Administrative Permit -2nd 0 Planned Industrial Permit
Dwelling Unit
0 Administrative Variance 0 Planning Commission
Determination
0 Coastal Development Permit 0 Precise Development Plan
0 Conditional Use Permit 0 Redevelopment Permit
0 Condominium Permit 0 Site Development Plan
0 Environmental Impact (rA--Sct01 0 Special Use Permit
Assessment
0 General Plan Amendment 0 Specific Plan ~.
0 Hillside Development Permit 0 ~eRfSfi'le PSFeel MSI9
Obtain from Engineering Depanment
0 Local Coastal Plan Amendment 0 Tentative Tract Map
0 Master Plan . 0 Variance
0 Non-Residential Planned 0 Zone Change
Development .. -
0 Planned Development Permit 0 List other applications not
specified
2) ASSESSOR PARCEL NO(S).:
3) PROJECT NAME: fNC/NA BwsiN vJ~ Rta..NM~~ ~~/2A1vt, PH~7r
4) BRIEF DESCRIPTION OF PROJECT: 'f'HAc=;€":U: CI'F 'tft€ Clr,S' 1Z'Ef..l-[CL~ f.,0~ ~~
--
5) OWNER NAME (Print or Type) 6) APPLICANT NAME (Print or Type) -eery cr 0Af21S~ C"'fuJD
MAILING ADDRESS MAILING ADDRESS
~~ ~\llu.-It-uttD{L. , ~ ~'1?O .~cA-Mti"tO
CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE
C~t;~ ~ ~Cz?&
I G£RTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
KNOWLEDGE. CORRECT TO THE BEST OF MY KNOWLEDGE. s~ ~Z-(I (49
SIGNATURE DATE DATE
7) BRIEF LEGAL DESCRIPTION
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.
Df:vQQO:r3
Form 16 PAGE 1 OF 2
• ~ • 8) LOCATION OF PROJECT: C/~-~IO£
STREET ADDRESS
ON THE I SIDE OF
(NORTH, SOUTH, EAST, WEST) (NAME OF STREET)
BETWEEN I AND
(NAME OF STREET) (NAME OF STREET)
9) LOCAL FACILITIES MANAGEMENT ZONE I
10) PROPOSED NUMBER OF LOTS D11) NUMBER OF EXISTING D 12) PROPOSED NUMBER OF D RESIDENTIAL UNITS RESIDENTIAL UNITS
13) TYPE OF SUBDIVISION D14) PROPOSED IND OFFICE! D 15) PROPOSED COMM D SQUARE FOOT AGE SQUARE FOOTAGE
16) PERCENT AGE OF PROPOSED D17) PROPOSED INCREASE IN D 18) PROPOSED SEWER D 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 MEMEBERS OR CITY COUNCIL MEMBERS
TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT
TOENTRY~
SIGNATURE
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE FEE REQUIRED
DATE STAMP APPLICATION RECEIVED
RECEIVED BY:
TOTAL FEE REQUIRED
DATE FEE PAID
.. 1--' ____ --' RECEIPT NO.
Form 16 PAGE 2 OF 2