HomeMy WebLinkAboutHDP 97-11; Golnick Residence; Hillside Development Permit (HDP).- .
CITY OF CARLSBAD
LAND USE REVIEW APPLICATION
APPLICATIONS APPLIED FOR: (CHECK BOXES) 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 El USE ONLY) 0
0
I q74f IU
(FOR DEPARTMENT
USE ONLY)
Planned Industrial Permit
Planning Commission Determination
Precise Development Plan
Redevelopment Permit
Site Development Plan
Special Use Permit
Specific Plan
Obtain from Engineering Department
Tentative Tract Map
Variance
Zone Change
List other applications not
2) ASSESSOR PARCEL NO(S).:
3) PROJECT NAME:
4) BRIEF DESCRIPTION OF PROJECT:
5) OWNER NAME (Print or Type) 6) APPLICANT NAME (Print or Type)
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MAILING ADDRESS MAILING ADDRESS
Y-
AL DESCRIPTION 04
"B+=r 75"
NOTE: A PROPOSED PROJECT'REQUIRING MULTIPLE APPLICATIONS BE FILED,' MUST BE 'SUBMITTED PRIOR'TO 3:zto.p.~.
A PROPOSED PROJECT REQUJRING,ONLY ONE APPLICATION BE FILED, MUST BE SUBMllTED PRIOR TO 4:OO P.M.
Form 16 PAGE 1 OF 2
LOCATION OF PROJECT: ' EL am
STREET ADDRESS
ON THE 1 5bwi-I~ SIDE OF Gc FiEel-€ 1
(NORTH, SOUTH, EAST, WEST) (NAME OF STREET)
BETWEEN I M4i2MOL LT- AND Mkm- m
(NAME OF STREET) (NAME OF STREET)
LOCAL FACILITIES MANAGEMENT ZONE I 6 I '-
PROPOSED NUMBER OF LOTS
RESIDENTIAL UNITS El RESIDENTIAL UNITS
1 1) NUMBER OF EXISTING 12) PROPOSED NUMBER OF
TYPE OF SUBDIVISION gJd-A 14) PROPOSED IND OFFICE/ 5) PROPOSED COMM
SQUARE FOOTAGE SQUARE FOOTAGE
PERCENTAGE OF PROPOSED
PROJECT IN OPEN SPACE ADT
17) PROPOSED INCREASE IN ml 18) FAEFEELWER
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-ER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT
W
FOR CITY USE ONLY
FEE COMPUTATION
TOTAL FEE REQUIRED I 4 90.08 I
DATE FEE PAID
Form 16
RECEIVED
JUL 14 1997
CITY OF CARLSBAD
PLANNING DEPT.
DATE STAMP APPLICATION RECEIVED
RECEIVED BY:
I
RECEIPT NO. I 39966
PAGE 2 OF 2
-. CITY OF CARLSBAD
1200 CARLSBAD *:iLLAGE DRIVE CARLSBAD, t *LIFORNIA 92008
434-2867
ACCOUNT NO. DESCRIPTION I AMOUNT
NOT VALID UNLESS VALIDATED BY
CASH REGISTER
TOTAL I
r- h
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:
1. APPLICANT
List the names and addresses of all persons having a financial interest in the
amlication.
2.
3.
4.
OWNER
List the names and addresses of all persons having any ownership interest in the
property involved. LOJ .& CMUCdlCIL ZfL -c LUu- mw;A *-
AQLSW. es+ w0fi
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.
AA
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 no?-profit organization or as trustee or beneficiary of the trust.
2075 Las Palmas Dr. - Carlsbad, CA 92009-1 576 0 (61 9) 438-11 61 - FAX (61 9) 438-0894 @
5. Have you had mol, than $250 worth of business trans,,ted with any member of
City staff, Boards, Commissions, Committees and/or Council within the past twelve
(1 2) months?
Yes Lf yes, please indicate person(s1:
Person is defined as 'Any .individual, 'firm, co-partnership, 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 subdivision or any other group or
combination acting as a unit."
NOTE: Attach additional sheets if necessary.
Print or type name of owner Print or type name of applicant
Disclosure Statement 10/96 Page 2 of 2
h
PROJECT DESCRIPTION/EXPLANATION
Please describe fully the proposed project. Include any details necessary to adequately
explain the scope and/or operation of the proposed project. You may also include any
background information and supporting statements regarding the reasons for, or
appropriateness of, the application. Use an addendum sheet if necessary.
Description/Explanation.
Rw. 4/91