HomeMy WebLinkAboutEIR 02-03A; BUENA VISTA CREEK MAINTENANCE; Environmental Impact Report (EIR)«~~' ~ CITY OF
CARLSBAD
LAND USE REVIEW
APPLICATION
P-1
Development Services
Planning Division
1635 Faraday Avenue
{760) 602-4610
www.carlsbadca.gov
APPLICATIONS APPLIED FOR: (CHECK BOXES)
Development Permits
0 Administrative Permit
0 Coastal Development Permit (*) 0 Minor
0 Conditional Use Permit (*)
0 Minor 0 Extension
0 Environmental Impact Assessment
0 Habitat Management Permit
0 Hillside Development Permit (*)
0 Planned Development Permit
0 Minor
0 Residential 0 Non-Residential
0 Planned Industrial Permit
0 Planning Commission Determination
0 Site Development Plan
0 Special Use Permit
0 Tentative Tract Map
0 Variance 0 Administrative
(FOR DEPT. USE ONLY) Legislative Permits
0 General Plan Amendment
0 Local Coastal Program Amendment (*)
0 Master Plan 0 Amendment
0 Specific Plan 0 Amendment
0 Zone Change (*)
0 Zone Code Amendment
List other applications not specified
~ ~\ ~-~vtt\-lL-Y~I' ~l
D
D
(*) = eligible for 25% discount
(FOR DEPT. USE ONLY)
E:l F. OL-o?..G~
NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITTED PRIOR TO 3:30P.M. A PROPOSED PROJECT REQUIRING ONLY ONE
APPLICATION MUST BE SUBMITTED PRIOR TO 4:00P.M.
ASSESSOR PARCEL NO(S).: t?(o-~~-( oJ:J-
1
92/lJ 101 (I -2;()7,
PROJECT NAME: 2\2fN~ 1!1~ {!ZEtlC tiM tvffi..JN--Jct
BRIEF DESCRIPTION OF PROJECT: PU.XP CaJb)11Z.Z;L kPD L'-1M10f8l-Jf\:lf.J(.£ P<:?o' vinES
Crzettc_ Ct-/"MJPEEL @J~ 112 ~(a_/D $1-()fPlf-..%..7
BRIEF LEGAL DESCRIPTION:
LOCATION OF PROJECT:
ON THE:
(NORTH, SOUTH, EAST, WEST)
STREET ADDRESS
SIDEOF ~3-Y2
(NAME OF STREET)
BETWEEN ~ 6lk+?.U IUD fZGt\:LAND
(NAME OF STREET) (NAME OF STREET)
P-1 Page 1 of 5 Revised 07/10
• OWNER NAME (Print): Crt){(!: C,Jd~~~ APPLICANT NAME (Print): ~~...:
MAILING ADDRESS: \\0'?£5 ~-a.~~ MAILING ADDRESS:
CITY, STATE, ZIP: Ckl.l~,u tf7<C(2~2 CITY, STATE, ZIP:
TELEPHONE: ~cO·Wl-/'~ TELEPHONE:
EMAIL ADDRESS: ~~V"{j. 1 hot-aUr Ja2 ca_ l[l~CA eC¥ EMAIL ADDRESS:
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO
KNOWLEDGE. THE BEST OF MY KNOWLEDGE.
OOBLu.eQ Zlilllwrz-'iSltlae.W ~llf[za-z_
SIGNATURE DATE SIGNATURE DATE
APPLICANT'S REPRESENTATIVE (Print): ~t~ ~JQ.~WC ~'@~
MAILING ADDRESS: ~
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
APPLICANT AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE. ~v::;M!J -z/llPIWI-z_
SIGNATURE DATE
IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING
COMMISSIONERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS
APPLICATION. INVE CONSENT TO ENTRY FOR THIS PURPOSE.
NOTICE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING
RECORDED ON THE TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH
THE LAND AND BIND ANY SUCCESSORS IN INTEREST.
~&
PROPERTY OWNER SIGNATURE
FOR CITY USE ONLY
P-1 Page 2 of5
EIVED
FEB 1 4 2012
CITY OF CARLSBAD
PLANNING DIVISION
DATE STAMP APPLICATION RECEIVED
RECEIVED BY:
Revised 07/10