HomeMy WebLinkAboutHDP 91-10; LA COSTA FAIRWAY VILLAS; Hillside Development Permit (HDP)(FOR DEPT
USE ONLY)
[J General Plan Amendment I
Local Coastal Plan Amendment
Site Development Plan
0 Zone Change
[J Conditional Use Permit
2/'Hillside Development Permit
"vironmental Impact Assessment
Variance
Planned Industrial Permit
Coastal Development Permit
Planning Commission Determination
[] List any other applications not specificed
Crry OF CARLSBAD -- -
LAND USE REVIEW APPLICATION FOR PAGE
1) APPLICATIONS APPLIED FOR: (CHECK BOXES)
(FOR DEPT
i
Master Plan
Specific Plan
Precise Development Plan e '
Tentative Tract Map
2-"Planned Development Permit AA
O Non-Residential Planned Development
"ondorninium Permit , pg,•
Special Use Permit
O Redevelopment Permit
O Tentative Parcel Map
El Administrative Variance
2) LOCATION OF PROJECT: ON THE J SIDE OF /E981,761 ~T: 1
(NORTH, SOUTH EAST, WEST) (NAME OF STREET)
BETWEEN L QfP, j AND J J101flCl, p,-
(NAME OF STREET) (NAME OF STREET)
3) BRIEF LEGAL DESCRIPTION: 0
4) ASSESSOR PARCEL NO(S). I '2-f (P - - C) 1-., 9c /
5) LOCAL FACILITIES 6) EXISTING GENERAL PLAN f24f 7) PROPOSED GENERAL PLAN MANAGEMENT ZONE DESIGNATION DESIGNATION
8) EXISTING ZONING 9) PROPOSED ZONING I (2)ifl 10) GROSS SITE )) 3 ACREAGE
11) PROPOSED NUMBER OF 112) PROPOSED NUMBER 13) TYPE OF SUBDIVISION
91 RESIDENTIAL UNITS j OF LOTS /
(RESIDENTIAL
COMMERCIAL
INDUSTRIAL)
14) NUMBER OF EXISTING RESIDENTIAL UNITS
15) PROPOSED INDUSTRIAL I I 16) PROPOSED COMMERCIAL r g7 OFFICE/SQUARE FOOTAGE SQUARE FOOTAGE
NOTE. A PWPOSRD P9.GJECr R&UWiUG TH&T MUL'ElP%Z APIUC&TIONS BE PILR1) M= BE SUBTTEJ) PBK* TO 330 PJ& A PROPOSM PROJECT
REQUIRING ThAi ONLY ONE APPUC&MON BE MW MUST BE "UMM PRIOR TO 4M PA FRM000I6 8/90
21)
W CITY OF CARLSBAD W
LAND USE REVIEW APPLICATION FORM PAGE 2 OF 2
17) PERCENTAGE OF PROPOSED PROJECF IN OPEN SPACE
18) PROPOSED SEWER USAGE IN EQUIVALENT DWELLING UNITS / 1
19) PROPOSED INCREASE IN AVERAGE DAILY TRAFFIC
20) PROJECT NAME: T
22) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF,
PLANNING COMMISSIO , E~BOARDMEMBERS, OR CITY COUNCIL MEMBERS TO INSPECT AND
ENTER THE PROPER Th&14S APPLICATION. I/WE CONSENT TO ENTRY FOR THIS
PURPOSE
—INRIURE
23) OWNER 24) APPLICANT
NAME (PRINT OR TYPE) NAME (PRINT OR TYPE)
'
MAILING ADDRESS MAILING ADDRESS
CITY ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE WDSTTE
CA-
CERTIFY THAT I AM THE LEGAL OWNER I CERTIFY THAT I AM THE LEGAL OWNER's REPRESENTATIVE AND
AND THAT ALL THE ABOVE INFORMATION THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE
IS TRUE AND CX) OF BEST OF MY KNOWLEDGE.
SIGNATURE DATE
GNA dE
FOR CITY USE ONLY -
FEE COMPUTATION:
APPLICATION TYPE FEE REQUIRED
TJ1L)' C) fl )') 1 .:.-..
op g/-
DATE STAMP App
RECEIVED BY:
TOTAL FEE REQUIRED
'to
DATE FEE PAID ._g - 9/ RECEIPT NO.
.
.
/
• • ••••••,• - •.:;'.;- .:7 T'T- -'
CITY OF CARLSBAD • c4:- / Cf
1200 CARLSBAD VILLAGE DRIVE CARLSBAD, CALIFORNIA 92008
438-5621
REC'D FROM \\S 2 1624
DATE ;PEW
ACCOUNT NO. DESCRI ON AMOUNT
<' _
•.\
'°_i
Cf /
DO oo
RECEIPT NO. 3500 • TO'TAL fl-
S
1-1
DISCLOSURE STATEMENT
APPLICANT'S STATEMENT OF 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.
(Please Print)
The following information must be disclosed:
1. Applicant
List the names and addresses of all persons having a financial interest in the application.
'7 '22-4FA1 1 ,pclI?&-o') /
es'm (L(,A*J
2. Owner
List the names and addresses of all persons having any ownership interest in the property involved.
3. If any person identified pursuant to (1) or (2) above is a corporation or partnership, list the names and
addresses of all individuals owning more than 10% of the shares in the corporation or owning any partnership
interest in the partnership.
4. If any person Identified pursuant to (1) or (2) above is a non-profit organization or a trust, list the names and
addresses of any person serving as officer or director of the non-profit organization or as trustee or beneficiary
of the trust.
FRM00013 8/90
2075 Las Palmas Drive • Carlsbad, California 92009-4859 • (619) 438-1161
0 0
(Over)
Disclosure Statement - Page 2
5. Have you had more than $250 worth of business transacted with any member of City staff, Boards,
Commissions, Committees and Council within the past twelve months?
Yes - No If yes, please indicate person(s)__________________________________________________
Person is defined as: Any individual, firm, copartnership, joint venture, association, social club, fraternal organization, corporation, estate, trust,
receiver, syndicate, this and any other county, city and county, city municipality, district or other political subdiviaon, or any other group or
combination acting as a unit
(NOTE: Attach additional pages as necessary.)
Signature of Owner/date
OSL74 2LO1110,Ci2/))
Print or type name of owner
Signature of applicant/date
Print or typo name of applicant
FRM00013 8/90