HomeMy WebLinkAboutHDP 00-11; Fox Miller Property; Hillside Development Permit (HDP)CITY OF CARLSBAD
LAND USE REVIEW APPLICATION
APPLICATIONS APPLIED FOR: (CHECK BOXES)
(FOR DEPARTMENT I
Administrative Permit - 2nd
Dwelling Unit
Administrative Variance
Coastal Development Permit
Conditional Use Permit
Condominium Permit
Environmental Impact
Assessment
General Plan Amendment
Hillside Development Permit
Local Coastal Plan Amendment
Master Plan
Non-Residential Planned
Development
Planned Development Permit
(FOR DEPARTMENT
USE ONLY)
Planned Industrial Permit
Planning Commission '
Determination
Precise Development Plan
Redevelopment Permit
Site Development Plan
Special Use Permit
Specific Plan
/
=e- C~~~IU~R,
Obtain from Engineering Department
Tentative Tract Map
Variance
Zone Change
List other applications not
specified I I
2) ASSESSOR PARCEL NOW.: -
3) PROJECT NAME: fox lmICw2
4) BRIEF DESCRIPTION OF PROJECT: NN~P \umsrrzrAc LOTS ?Us ofw-
5 Q4cL
I CERTIFY 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
KNOWLEPGE. / CORRECT TO THE BEST OF MY KNOWLEDGE.
7) BRIEF LEGAL DESCRIPTION P~z. Lo+ F - GAuccSo &u+~WDUW+ 4 MAP 0~3
Oe~rnroq
NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMllTED PRIOR TO 3:30 P.M.
A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:OO P.M.
Form 16 PAGE 1 OF 3
8) LOCATION OF PROJECT:
STREET ADDRESS
ON THE SIDE OF I CL CkWaIhld QGAc 1 u err
(NORTH, SOUTH, EAST, WEST) (NAME OF STREET)
BETWEEN AND I FA141 DAY hJE- 1
(NAME OF STREET) (NAME OF STREET)
/
LOCAL FACILITIES MANAGEMENT 'ZONE
PROPOSED NUMBER OF LOTS p-ll1)
TYPE OF SUBDIVISION
PERCENTAGE OF PROPOSED
PROJECT IN OPEN SPACE
GROSS SITE ACREAGE 154f.l 20)
EXISTING ZONING '
NUMBER OF EXISTING
RESIDENTIAL UNITS
PROPOSED IND OFFICE/
SQUARE FOOTAGE
PROPOSED INCREASE IN
ADT - " .
EXISTING GENERAL 1 21)
PIAN w
PROPOSED ZONING lpMl
PROPOSED NUMBER OF
RESIDENTIAL UNITS
PROPOSED COMM
SQUARE FOOTAGE
PROPOSED SEWER
USAGE IN EDU
PROPOSED GENERAL
PIAN DESIGNATION ..
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 TMS PURPOSE
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE FEE REQUIRED
,\ 6JP
/+ -
I I
Nl TOTAL FEE REQUIRED /g&? 1
DATE FEE PAID
I DATE STAMP jJ 36\'3 APP ?&hON RECEIVED
RECEIVED BY: fK&
RECEIPT NO.
Form 16 PAGE 2 OF 3
City of Carlsbad
1635 Faraday Avenue Carlsbad CA 92008
Applicant: LADWIG DESIGN GROUP, INC
Set Id: SO00000485
DescriPtion
CT000020
GPA00005
HDPOOOll
PIP00002
suPooolo
ZC000007
Amount
5,930.00
3,680.00
1,207.50
2,780.00
2,090.00
2,977.50
Total : 18,665.00
Receipt Number: ROO15808
Transaction Date: 10/17/2000
Pay Type Method Description Amount
""""" """"" """""""" """""
Payment Check 6210 18,665.00
Transaction Amount: 18,665.00
DISCLOSURE STATEMENT
'Applicant's statement or disclosure of certain ownership interests on all applications which will require
discretionary action on the part of the City Council or any appointed Board, Commission or Committee.
The following information MUST be disclosed at the time of applicafion submittal. Your project cannot
be reviewed until this information is completed, Please print.
Note:
Persen is defined as "Any individual, fh, co-prtnaship, joint venturr, association, social club, htmal
organization, corporation, estate, bust, receiver, syndicate, in this and any other 'county, city and county, city
municipality, district or other political subdivision or any other group or combination acting 8s a unit"
Agents may sign this document; however, the legel name and entity.of the applicant and pmpaty owner must be
provided below.
1. ' APPLICANT (Not the applicant's agent)
Provide the COMPLETE, LEGAL names and addresses of ALL persons having a financial
interest in the application. If the applicant includes a cornoration or oartnershiu, include the
names. title, addresses of all individuals owning more than 10% of the shares. IF NO
APPLlCABLE W/A) IN THE SPACE BELOW. If a publiclv-owned cornoration, include the
names, titles,. and addresses of the corporate officers. (A separate page may be attached if
necessary.)
INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDlCATE NON-
Person corp/Part
Title Title
Address Address
2. OWNER (Not the owner's agent)
Provide the COMPLETE, LEGAL names and addresses of persons having any ownership
interest in the property involved.. Also, provide the nature of the legal ownership (i.e,
partnership. tenants in common, non-profitf cprporation, etc.). If the ownership includes a
cornoration or DartnershiD, include the names, title, addresses of all individuals owning more
than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES,
PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publiclv-
owned cornoration, include the names. titles. and addresses of the corporate offken. (A separate
page may be attached if necessary.)
2075 Las Palmas Dr. - Carlsbad, CA 92009-1576 - (760) 438-11 61 - FAX (760) 438-0894 @
J
-1
* NON-PROFIT 01 WIZATION OR TRUST 3. - I
If any person identified pursuant to (1) or (2) above is a nonorofit organization or a trust. list the
names and addresses of ANY person serving as an officer or director of the non-profit
organization or as trustee or beneficiary of the.
Non Profiflrust Non Profit/Trust b
Title Title
Address Address
4. Have you had more than $250 worth of business transacted. with any member of City staff.
Boards. Commissions. Committees and/or Council within the past twelve (12) months? 0 Yes @.No If yes, please indicate person(s):
-
NOTE: Attach additional sheets if necessary.
1 certify that all the above information is true and correct to the best of my knowledge.
Signhe 6f owneddate Signature of applicanudate
mr3 E. vtziccrz.R
Print or type name of owner Print or type name of applicant
Signature of owner/applicant's&ent if applicable/date
L&&Jld &QZ5fC& Cw4/NC c, L&DLc//L;
Print or type name of owner/applicant's agent
H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 .Page 2 of 2
~ ~~~
DISCLOSURE STATEMENT
Applicant's statement or disclosure of certain ownership interests on all applications which will require
discretionary action on the part of the City Council or any appointed Board, Commission or Committee.
The following information MUST be disclosed at the time of applicafion submittal. Your project cannot
be reviewed until this information is completed. Please print.
Note:
Person is defined as "Any individual, fm, co-partnership, joint venture, association, social club, fraternal
organization, corpolation, estate. bust. receiver, syndicate, in this and any other 'county, city and county, city
municipality, district or other political subdivision or any other pup or combination acting as a unit."
Agents may sign this document; however, the kgal name and entity .of the applicant and property owner must be
provided below.
1. ' APPLICANT (Not the applicant's agent).
Provide the COMPLETE. LEGAL names and addresses of persons having a financial
interest in the application. if the applicant includes a comoration or eartnershie, include the
names, title, addresses of all individuals owning more than 10% of the shares. IF NO
APPLICABLE (N/A) IN THE SPACE BELOW- If a publicly-owned comoration, include the
names, titles,. and addresses of the corporate officers. (A separate page may be attached if
necessary.)
Person Corp/Part
INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-
Title Title
Address Address
2. OWNER (Not the owner's agent)
Provide the COMPLETE, LEGAL names and addresses of ALL persons having any ownership
interest in the property involved .-. Also, provide the nature of the legal ownership (i.e,
partnership. tenants in common, non-profit, corporation, etc.). If the ownership inciudes a
corDoration or Partnershi& include the names, title, addresses of all individuals owning more
than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES,
PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publiclv-
owned coreoration, include the names. titles. and addresses of the corporate officers. (A separate
page may be attached if necessary.)
Person QO+QDON P, . Fo>( Corp/Psrt
Title GG u6g Title
Address \SO0 \/I /2- ARC0 Address
/
?4us V'ELPES ESrnTES,c4 90274-
2075 Las Palmas Dr. Carlsbad, CA 92009-1576 (760) 438-1161 FAX (760) 438-0894 @
P
.I -
3. NON-PROFIT 01 LNIZATION OR TRUST -
If any person identified pursuant to (1) or (2) above is a nonuroftt organization or a trust. list the
names and addresses of ANY person serving as an offrcer 'or director of the non-profit
organization or as trustee or beneficiary of the.
Non Profiflrust Non Profiflrust ;r
Title Title
Address Address
4. Have you had more than $250 worth of business transacted with any member of City staff.
Boards, Commissions. Committees and/or Council within the past twelve (12) months? 0 Yes $1 No If yes, please indicate person(s):
NOTE: Attach additional sheets if necessary.
1 certify that all the above information is true and correct to the best of my knowledge.
Signahre of ownerldate Signature of applicantldate
&jkDolj 6. hX
Print or type name of owner Print or type name of applicant
Signature of ownedapplicant'dgent if applicablddate
L&DLc)L& QCTW a-CWP, 1 E3c
\2O&W--c. L&DLe/l,/
Print or type name of ownedapplicant's agent
H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 ' .Page 2 of 2
DISCLOSURE STATEMENT
I Applicant's statement or disclosure of certain ownership interests on all applications which will require] I discretionary action on the part of the City Council or any appointed Board, Commission or Committee. I
The following information MUST be disclosed at the time of applicafion submittal. Your project cannot
be reviewed until this information is completed, Please print.
Note:
Person is defmed as "Any individual, firm, CO-partnnship, joint venture, association, social club, fraternal
organization, corporation, estate, trust, receiver, syndicate, in this and any other 'county, city and county, city
municipality, district or other political subdivision or any other group or combination acting as a unit."
Agents may sign this document; however, the legal name and.cntity.of the applicant and property owner must be
provided below.
I :' APPLICANT (Not the applicant's agent)
Provide the COMPLETE, LEGAL names and addresses of persons having a financial
interest in the application. If the applicant includes a comoration or DartnershiD, include the
names, title, addresses of all individuals owning more than 10% of the shares. IF NO
APPLICABLE O\J/A) IN THE SPACE BELOW. If a publiclv-owned comoration, include the
INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-
names, titles,. and addresses of the corporate
necessary.)
Person
Title
Address
officers. (A separate page may be attached if
CorpPart
Title
Address
&. 3 OWNER (Not the owner's agent)
Provide the COMPLETE, LEGAL names and addresses of && persons having any ownership
interest in the property involved ... Also, provide the nature of the legal ownership (i.e,
partnership. tenants in common, non-profif corporation. etc.). If the ownership includes a
comoration or DartnershiD, include the names, title. addresses of all individuals owning more
than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES,
PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publiclv-
owned comoration, include the names. titles. and addresses of the corporate officers, (A separate
page may be attached if necessary.)
Person Q055 A. VIA.] corpmart
Title KxW Iu w R
Address c/d l&A Ij I CKk Address
~.
/
A .Title
FLbofL 'CQ&4*
\ E(_/XflPILlSE-
&~l<d L'1KJ0,c4 .~z~~6
2075 Las Palmas Dr. - Carlsbad, CA 92009-1 576 - (760) 438-1161 - FAX (760) 438-0894 @
4
.A -
1 NON-PROFIT 0 ANIZATION OR TRUST 3. If any person identified pursuant to (1) or (2) above is a nonurofit oreanization or a trust. list the
names and addresses of ANY person serving an officer or director of the non-profit
organization or as trustee or beneficiary of the.
Non Profiflrust Non Profit/Trust
Title Title
Address Address
z
4. Have you had more than $250 worth of business transacted with any member of City staff.
Boards, Commissions. Committees and/or Council within the past twelve (12) months? 0 Yes =No If yes, please indicate person(s):
NOTE: Attach additional sheets if necessary.
I certify that all the above information is true and correct to the best of my knowledge.
$?DSS 4 .a\ LE(c
Print or type name of owner Print or type name of applicant
Print or type name of owner/applicant's agent ~ ~~~~
/
H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 .Page 2 of 2
DISCLOSURE STATEMENT
Applicant's statement or disclosure of certain ownership interests on all applications which will require
discretionary action on the part of the City Council or any appointed Board. Commission or Committee.
Tlle following information MUST be disclosed at the time of application submittal. Your project cannot
be reviewed until this information is completed, Please print.
Note:
Person is defined as "Any individual, finn, co-partnership, joint venture, association, social club, fraternal
organization, corporation, estate, trust, receiver, syndicate, in this and any other county, city and county. city
municipality, district or other political subdivision or any other group or combination acting as a unit."
Agents may sign this document; however, the legal name and entit).of the applicant and ProperQ owner must be
provided below.
1. APPLICANT (Not the applicant's agent)
Provide the COMPLETE. LEGAL names and addresses of persons having a financial
interest in the application. If the applicant includes a comoration or partnership. include the
names. title, addresses of all individuals owning more than 10% of the shares. IF NO
APPLICABLE (N/A) IN THE SPACE BELOW. If a pubiiclv-owned comoration. include the
names, titles, and addresses of the corporate officers. (A separate page may be attached if
necessary.)
INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-
Person CorpIPart
Title Title
Address Address
*. 3 OWNER (Not the owner's agent)
Provide the COMPLETE, LEGAL names and addresses of persons having any ownership
interest in the property involved.. Also, provide the nature of the legal ownership (Le,
partnership. tenants in common, non-profit, corporation. etc.). If the ownership includes a
comoration or partnership, include the names, title. addresses of all individuals owning more
than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES,
PLEASE INDICATE NON-APPLICABLE @/A) IN THE SPACE BELOW. If a publiclv-
owned corporation, include the names. titles. and addresses of the corporate officers. (A separate
page may be attached if necessary.) i
2075 Las Palmas Dr.: Carlsbad, CA 92009-1576 - (760) 438-1161 FAX (760) 438-0894 @
NON-PROFIT OP" JYIZATION OR TRUST
If any person identirlc;d pursuant to (1) or (2) above is a nonuroht organization or a trusl. list the
names and addresses of ANY person serving as an officer or director of the non-profit
organization or as trustee or beneficiary of the.
Non ProfifI'rust Non Profiflrust
-
3.
Title Title
Address Address
4. Have you had more than $250 worth of business transacted with any member of City staff.
Boards. Commissions. Committees and/or Council within the past twelve (12) months?
Yes Po If yes, please indicate person(s):
NOTE: Attach additional sheets if necessary.
I certify that all the above information is true and correct to the best of my knowledge.
A
Signature of owneridate Signature of applicanddate
i/;b 55 A M L~oL fi,+~~x~ NS+IJC;WU.
Print or type name of owner I Print or type name of applicant
Signature 6f owner/applicant's a&t if applicable/date
(LAP4 QE.r/W drZa@. /Ale
Print or type name of ownedapplicant's agent
.
H:ADMIN\COUNTER\DlSCLOSURE STATEMENT 5/98 Page 2 of 2
DISCLOSURlE STATEMENT
Applicant's statement or disclosure of certain ownership interests on all applications which will require
discretionary action on the part of the City Council or any appointed Board, Commission or Committee.
The following information MUST be disclosed at the time of applicafion submittal. Your project cannot
be reviewed until this information is completed, Please print.
Note: Person is defined as "Any individual, fm, co-partnmhip, joint venture, association, social club, fraternal
organization, corporation, estate, trust, receiver, syndicate, in this and any other 'county, city and county, city
municipality, district or other political subdivision or any other pup or combination acting as a unit."
Agents may sign this document; however, the legal name and entity.of the applicant and property owner must be
provided below.
1. APPLICANT (Not the applicant's agent)
Provide the COMPLETE. LEGAL names and addresses of && persons having a financial
interest in the application. If the applicant includes a comoration or Dartnership. include the
names. title, addresses of all individuals owning more than 10% of the shares. 1F NO
APPLICABLE W/A) IN THE SPACE BELOW. If a publiclv-owned cornoration, include the
INDIVIDUALS OWN MORE THAN 10% OF "HE SHARES, PLEASE INDICATE NON-
names, titles,. and addresses of the corporate
necessary.)
Person
Title
Address
offkers. (A separate page may be attached if
Corp/Part
Title
Address
2. OWNER (Not the owner's agent)
Provide the COMPLETE. LEGAL names and addresses of persons having any ownership
interest in the property involved.. Also, provide the nature of the legal ownership (Le,
partnership. tenants in common, non-profit, corporation, etc.). If the ownership includes a
coruoration or Dartnershiu, include the names, title. addresses of all individuals owning more
than IO% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES,
PLEASE INDlCATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publicly-
owned coruoration, include the names, titles, and addresses of the corporate off'cers. (A separate
page may be attached if necessary.)
Person YZIA./~CL E U J L cGL Corp/Part
Title Q WbJ% Title
Address c/u O&Ad E. Vu f Lw Address
/
FLUOR Co~k
I (ZhJTZZLP131JFZ DR.
&LIS0 * VI KJO, cq . q261aG
2075 Las Palmas Dr. - Carlsbad, CA 92009-1576 - (760) 438-1161 FAX (760) 438-0894 @
- 3. NON-PROFIT C" rANIZATION OR TRUST -
If an? person identliied pursuant to (1) or (2) above is a nonurorit oreanization or 3 trus1. list the
names and addresses of ANY person sewing an officer or director of the non-profit
organization or as trustee or beneficiary of the.
Non Profiflrust Non Profiflrust
Title Title
Address Address
4. Have you had more than $250 worth of business transacted with any member of City staff.
Boards. Commissions. Committees and/or Council within the past twelve (12) months?
Yes o$ No If yes, please indicate person(s):
NOTE: Attach additional sheets if necessary.
I certify tha5 all the above information is true and correct to the best of my knowledge.
/"J
y%&2k !=. LczL?
Print or type name of owner Print or type name of applicant
Signature of owner/applicant's age#if applicable/date
L&$w/r; Ql€..fdm /kc
Print or type name of ownedapplicant's agent
, c
H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 ' Page 2 of 2
DISCLOSURE STATEMENT
Applicant‘s statement or disclosure of certain ownership interests on all applications which will require
discretionary action on the part of the City Council or any appointed Board. Commission or Committee.
The following information MUST be disclosed at the time of application submittal. Your project cannot
be reviewed until this information is completed. Please print.
Note:
Person is defined as “Any individual, firm, co-parblmhip, joint venture, association, social club, fraternal
organization, corporation, estate, trust, receiver, syndicate, in this and any other county, city and county. city
municipality, district or other political subdivision or any other group or combination acting as a unit.”
Agents may sign this document; however, the legal name and entity of the applicant and property owner must be
provided below.
1. APPLICANT (Not the applicant’s agent)
Provide the COMPLETE, LEGAL names and addresses of persons having a financial
interest in the application. If the applicant includes a corporation or partnership. include the
names, title, addresses of all individuals owning more than 10% of the shares. IF NO
APPLICABLE (N/A) IN THE SPACE BELOW. If a publiclv-owned cornoration. include the
names, titles, and addresses of the corporate offkers. (A separate page may be attached if
necessary.)
Person Corp/PaIt
INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-
Title Title
Address ‘ Address
-. 3 OWNER (Not the owner’s agent)
Provide the COMPLETE, LEGAL names and addresses of persons having any ownership
interest in the property involved.. Also, provide the nature of the legal ownership (Le,
partnership. tenants in common, non-profit, corporation, etc.). If the ownership includes a
corporation or partnership, include the names, title. addresses of all individuals owning more
than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE’ SHARES,
PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publiclv-
owned cornoration, include the names. titles. and addresses of the corporate officers. (A separate
page may be attached if necessary.)
/
Person 5 L- 5 ~r K . A i - te Corp/Part ;Q i, 5 2 T u i3~b t LC
Title [,‘o “[C * 6 j+t-p~ttGt~e~ t
Address 4 2 i 1. /vi 1 Fr L CVL’ (7ck @Address
fl6b-5 u :Wz= I wt4. y’i(27
2075 Las Patmas Dr. - Carlsbad. CA 92009-1 576 - (760) 438-11 61 * FAX (760) 438-0894 @
-7 J. NON-PROF'IT OF NIZATION OR TRUST -
If any person ident. ;d pursuant to (1) or (2) above is a nonmb. .. organization or a trust. list tilt.
names and addresses of ANY person serving an officer or director of the non-profjl
organization or as trustee or beneficiary of the.
F Non Profiflrust Non Profiflrust
Title Title
Address Address
4. Have you had more than $250 worth of business transacted with any member of Cit?. staff.
Boards. Commissions. Committees and/or Council within the past twelve (12) months? 0 Yes NO If yes, please indicate person(s):
NOTE: Attach additional sheets if necessary.
1 certify that all the above information is true and correct to the best of my knowledge.
Signature of owneddate Signature of applicanddate
Print or type name of owner Print or type name of applicant
Signature of owner/appIicant's agent if appIicable/date
Print or type name of ownedapplicant's agent
c
H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5198 Page 2 of 2